title: Activation to self-management and exercise in overweight and obese older women with knee osteoarthritis.
abstract: Knee osteoarthritis (OA) affects approximately 1 in 10 adults in the United States, with higher prevalence in women, aggravated by increased weight. This quasi-experimental pilot study implemented an online self-management (SM) program for older overweight and obese women with knee OA combined with a two-arm progressive exercise trial (walking and stepping groups). After the 10-week intervention using an interprofessional approach, activation to SM scores were significantly higher in all participants (N = 16) and between groups, with a higher increase in the stepping group. Those with higher activation scores pre-intervention obtained higher scores post-intervention. Activation levels also increased significantly among all participants with majority at the highest activation level. Follow-up data at 6 weeks and 6 months showed sustained SM and health-directed behaviors. These findings, although preliminary, highlight the value of combined SM and progressive exercise intervention using an interprofessional approach. Further investigations are essential toward potential practice and policy changes.
authors: University of Nevada, Las Vegas, USA jennifer.kawi@unlv.edu.
authors: Jennifer
authors: J
authors: Kawi
authors: University of Nevada, Las Vegas, USA.
authors: Sue
authors: S
authors: Schuerman
authors: University of Nevada, Las Vegas, USA.
authors: Patricia T
authors: PT
authors: Alpert
authors: University of Nevada, Las Vegas, USA.
authors: Daniel
authors: D
authors: Young
mesh_terms: D000368:Aged; D005081:Exercise Therapy / Q000706:statistics & numerical data*; D005260:Female; D015438:Health Behavior; D006801:Humans; D020407:Internet; D008875:Middle Aged; D009042:Motivation; D009765:Obesity / Q000150:complications / Q000628:therapy*; D020370:Osteoarthritis, Knee / Q000150:complications / Q000628:therapy*; D050177:Overweight / Q000150:complications / Q000628:therapy; D012648:Self Care; D014481:United States; D016138:Walking / Q000706:statistics & numerical data
keywords: activation; exercise; knee osteoarthritis; obesity; overweight; self-management