title: Effectiveness of a Scaled-Up Arthritis Self-Management Program in Oregon: Walk With Ease.
abstract: OBJECTIVE
  To evaluate the effectiveness of Walk With Ease (WWE), an evidence-based arthritis self-management program that was scaled up in Oregon in 2012 to 2014.
  
  
  METHODS
  Guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, we collected participant surveys and attendance records and conducted observations. Preprogram and postprogram, participants self-reported pain and fatigue (scale: 0-10 points; high scores indicate more pain and fatigue) and estimated episodes of physical activity per week in the last month.
  
  
  RESULTS
  Recruitment successfully reached the targeted population-sedentary adults with arthritis (n = 598). Participants reported significant reduction in pain (-0.47 points; P = .006) and fatigue (-0.58 points; P = .021) and increased physical activity (0.86 days/week; P < .001). WWE was adopted by workplaces and medical, community, faith, and retirement centers. Most WWE programs were delivered with high fidelity; average attendance was 47%.
  
  
  CONCLUSIONS
  WWE is suitable for implementation by diverse organizations. Effect sizes for pain and fatigue were less than those in the original WWE studies, but this is to be expected for a large-scale implementation. Public Health Implications. WWE can be effectively translated to diverse, real-world contexts to help sedentary adults increase physical activity and reduce pain and fatigue.
authors.affiliation: At the time of the study, Kathleen P. Conte was with the College of Public Health and Human Sciences, Oregon State University, Corvallis, and The Australian Prevention Partnership Centre based at The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia. Michelle C. Odden and Natalie M. Linton are with the School of Biological and Population Health Sciences, Oregon State University. S. Marie Harvey is with the College of Public Health and Human Sciences, Oregon State University.
authors.forename: Kathleen P
authors.initials: KP
authors.lastname: Conte
authors.affiliation: At the time of the study, Kathleen P. Conte was with the College of Public Health and Human Sciences, Oregon State University, Corvallis, and The Australian Prevention Partnership Centre based at The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia. Michelle C. Odden and Natalie M. Linton are with the School of Biological and Population Health Sciences, Oregon State University. S. Marie Harvey is with the College of Public Health and Human Sciences, Oregon State University.
authors.forename: Michelle C
authors.initials: MC
authors.lastname: Odden
authors.affiliation: At the time of the study, Kathleen P. Conte was with the College of Public Health and Human Sciences, Oregon State University, Corvallis, and The Australian Prevention Partnership Centre based at The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia. Michelle C. Odden and Natalie M. Linton are with the School of Biological and Population Health Sciences, Oregon State University. S. Marie Harvey is with the College of Public Health and Human Sciences, Oregon State University.
authors.forename: Natalie M
authors.initials: NM
authors.lastname: Linton
authors.affiliation: At the time of the study, Kathleen P. Conte was with the College of Public Health and Human Sciences, Oregon State University, Corvallis, and The Australian Prevention Partnership Centre based at The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia. Michelle C. Odden and Natalie M. Linton are with the School of Biological and Population Health Sciences, Oregon State University. S. Marie Harvey is with the College of Public Health and Human Sciences, Oregon State University.
authors.forename: S Marie
authors.initials: SM
authors.lastname: Harvey
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000188:drug therapy*; D005260:Female; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D009922:Oregon; D010353:Patient Education as Topic; D015397:Program Evaluation; D012648:Self Care; D016138:Walking