Trial Outcomes & Findings for Staying Active With Arthritis: RCT of Physical Activity for Older Adults With Osteoarthritis and Hypertension (NCT NCT01280903)

NCT ID: NCT01280903

Last Updated: 2024-09-19

Results Overview

Measured by the electronic-diary in terms of the total volume of lower extremity exercise (i.e., the number of days the participant reports completing a lower extremity exercise session and the total number of lower extremity exercises per day performed \[repetitions x sets\] over a 7-day period).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

182 participants

Primary outcome timeframe

At the end of the 6-month intervention period (week 25)

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
STAR Intervention
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Overall Study
STARTED
91
91
Overall Study
COMPLETED
68
75
Overall Study
NOT COMPLETED
23
16

Reasons for withdrawal

Reasons for withdrawal
Measure
STAR Intervention
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Overall Study
Lost to Follow-up
23
16

Baseline Characteristics

Some participants in each group had no bouts at baseline of =\> 10 consecutive minutes participating in activity at the =\> 2,020 counts threshold.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Total
n=182 Participants
Total of all reporting groups
6-minute walk
486.2 yards
STANDARD_DEVIATION 105.9 • n=91 Participants
484.7 yards
STANDARD_DEVIATION 88.1 • n=91 Participants
485.5 yards
STANDARD_DEVIATION 97.1 • n=182 Participants
Short Physical Performance Battery: total
11.0 units on a scale
STANDARD_DEVIATION 1.7 • n=91 Participants
10.6 units on a scale
STANDARD_DEVIATION 1.6 • n=91 Participants
10.8 units on a scale
STANDARD_DEVIATION 1.6 • n=182 Participants
Short Physical Performance Battery: repeated chair stands
2.9 units on a scale
STANDARD_DEVIATION 1.2 • n=91 Participants
2.7 units on a scale
STANDARD_DEVIATION 1.1 • n=91 Participants
2.8 units on a scale
STANDARD_DEVIATION 1.1 • n=182 Participants
Age, Continuous
64.47 years
STANDARD_DEVIATION 8.46 • n=91 Participants
64.96 years
STANDARD_DEVIATION 7.76 • n=91 Participants
64.71 years
STANDARD_DEVIATION 8.10 • n=182 Participants
Sex: Female, Male
Female
67 Participants
n=91 Participants
66 Participants
n=91 Participants
133 Participants
n=182 Participants
Sex: Female, Male
Male
24 Participants
n=91 Participants
25 Participants
n=91 Participants
49 Participants
n=182 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=91 Participants
3 Participants
n=91 Participants
6 Participants
n=182 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
88 Participants
n=91 Participants
88 Participants
n=91 Participants
176 Participants
n=182 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=91 Participants
0 Participants
n=91 Participants
0 Participants
n=182 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=91 Participants
0 Participants
n=91 Participants
1 Participants
n=182 Participants
Race (NIH/OMB)
Asian
2 Participants
n=91 Participants
1 Participants
n=91 Participants
3 Participants
n=182 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=91 Participants
0 Participants
n=91 Participants
0 Participants
n=182 Participants
Race (NIH/OMB)
Black or African American
17 Participants
n=91 Participants
15 Participants
n=91 Participants
32 Participants
n=182 Participants
Race (NIH/OMB)
White
66 Participants
n=91 Participants
66 Participants
n=91 Participants
132 Participants
n=182 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=91 Participants
9 Participants
n=91 Participants
14 Participants
n=182 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=91 Participants
0 Participants
n=91 Participants
0 Participants
n=182 Participants
Region of Enrollment
United States
91 participants
n=91 Participants
91 participants
n=91 Participants
182 participants
n=182 Participants
Body mass index
34.50 kg/m²
STANDARD_DEVIATION 7.48 • n=91 Participants
33.64 kg/m²
STANDARD_DEVIATION 6.43 • n=91 Participants
34.07 kg/m²
STANDARD_DEVIATION 6.97 • n=182 Participants
Number of comorbidities
6.8 comorbidities
STANDARD_DEVIATION 2.9 • n=91 Participants
6.5 comorbidities
STANDARD_DEVIATION 2.7 • n=91 Participants
6.6 comorbidities
STANDARD_DEVIATION 2.8 • n=182 Participants
Marital status
Married
38 participants
n=91 Participants
46 participants
n=91 Participants
84 participants
n=182 Participants
Marital status
Not married
53 participants
n=91 Participants
45 participants
n=91 Participants
98 participants
n=182 Participants
Educational status
> High school
72 participants
n=91 Participants
71 participants
n=91 Participants
143 participants
n=182 Participants
Educational status
High school or less
19 participants
n=91 Participants
19 participants
n=91 Participants
39 participants
n=182 Participants
Educational status
Missing
0 participants
n=91 Participants
1 participants
n=91 Participants
0 participants
n=182 Participants
Employment status
Employed
45 participants
n=91 Participants
43 participants
n=91 Participants
88 participants
n=182 Participants
Employment status
Not employed
46 participants
n=91 Participants
48 participants
n=91 Participants
94 participants
n=182 Participants
Household income
< $50,000/year
37 participants
n=91 Participants
38 participants
n=91 Participants
75 participants
n=182 Participants
Household income
$50,000 or more/year
39 participants
n=91 Participants
38 participants
n=91 Participants
77 participants
n=182 Participants
Household income
Missing
15 participants
n=91 Participants
15 participants
n=91 Participants
30 participants
n=182 Participants
Lower extremity exercise (e-diary): days/week
0.41 days/week
STANDARD_DEVIATION 1.01 • n=91 Participants
0.36 days/week
STANDARD_DEVIATION 1.02 • n=91 Participants
0.38 days/week
STANDARD_DEVIATION 1.01 • n=182 Participants
Lower extremity exercise (e-diary): minutes/week
7.60 minutes/week
STANDARD_DEVIATION 24.87 • n=91 Participants
7.43 minutes/week
STANDARD_DEVIATION 24.51 • n=91 Participants
7.52 minutes/week
STANDARD_DEVIATION 24.52 • n=182 Participants
Lower extremity exercise (e-diary): average minutes/day
1.09 average minutes/day
STANDARD_DEVIATION 3.55 • n=91 Participants
1.06 average minutes/day
STANDARD_DEVIATION 3.47 • n=91 Participants
1.07 average minutes/day
STANDARD_DEVIATION 3.50 • n=182 Participants
Lower extremity exercise (e-diary): volume [repetitions x sets over 7-day period]/week
56.93 repetitions x sets/week
STANDARD_DEVIATION 255.39 • n=91 Participants
30.41 repetitions x sets/week
STANDARD_DEVIATION 121.21 • n=91 Participants
43.67 repetitions x sets/week
STANDARD_DEVIATION 199.79 • n=182 Participants
Fitness walking (e-dairy): days/week
0.65 days/week
STANDARD_DEVIATION 1.41 • n=91 Participants
0.57 days/week
STANDARD_DEVIATION 1.31 • n=91 Participants
0.61 days/week
STANDARD_DEVIATION 1.36 • n=182 Participants
Fitness walking (e-diary): minutes/week
18.54 minutes/week
STANDARD_DEVIATION 47.45 • n=91 Participants
15.33 minutes/week
STANDARD_DEVIATION 37.83 • n=91 Participants
16.93 minutes/week
STANDARD_DEVIATION 42.82 • n=182 Participants
Fitness walking (e-diary): average minutes/day
2.65 average minutes/day
STANDARD_DEVIATION 6.78 • n=91 Participants
2.19 average minutes/day
STANDARD_DEVIATION 5.40 • n=91 Participants
2.42 average minutes/day
STANDARD_DEVIATION 6.12 • n=182 Participants
Activity minutes over 7 days (ActiGraph): no to very low (counts of 0-99/min)
3155.5 minutes
STANDARD_DEVIATION 714.6 • n=91 Participants
2934.8 minutes
STANDARD_DEVIATION 842.3 • n=91 Participants
3045.2 minutes
STANDARD_DEVIATION 786.7 • n=182 Participants
Activity minutes over 7 days (ActiGraph): light (counts of 100-2,019/min)
2348.7 minutes
STANDARD_DEVIATION 572.0 • n=91 Participants
2418.8 minutes
STANDARD_DEVIATION 632.1 • n=91 Participants
2383.8 minutes
STANDARD_DEVIATION 602.2 • n=182 Participants
Activity minutes over 7 days (ActiGraph): moderate-to-vigorous (counts of > 2,020/min)
275.8 minutes
STANDARD_DEVIATION 154.0 • n=91 Participants
365.5 minutes
STANDARD_DEVIATION 288.4 • n=91 Participants
320.6 minutes
STANDARD_DEVIATION 234.9 • n=182 Participants
Number of bouts over 7 days (ActiGraph): bouts of moderate-to-vigorous activity
1.7 bouts
STANDARD_DEVIATION 2.6 • n=91 Participants
2.7 bouts
STANDARD_DEVIATION 6.5 • n=91 Participants
2.2 bouts
STANDARD_DEVIATION 5.0 • n=182 Participants
Mean duration of bouts over 7 days (ActiGraph): bouts of moderate-to-vigorous activity n=96
17.2 minutes
STANDARD_DEVIATION 7.5 • n=45 Participants • Some participants in each group had no bouts at baseline of =\> 10 consecutive minutes participating in activity at the =\> 2,020 counts threshold.
19.9 minutes
STANDARD_DEVIATION 8.7 • n=51 Participants • Some participants in each group had no bouts at baseline of =\> 10 consecutive minutes participating in activity at the =\> 2,020 counts threshold.
18.6 minutes
STANDARD_DEVIATION 8.2 • n=96 Participants • Some participants in each group had no bouts at baseline of =\> 10 consecutive minutes participating in activity at the =\> 2,020 counts threshold.
Mean number of daily activity minutes (ActiGraph): no to very low (counts of 0-99/min)
440.14 minutes
STANDARD_DEVIATION 96.5 • n=91 Participants
410.26 minutes
STANDARD_DEVIATION 111.1 • n=91 Participants
425.2 minutes
STANDARD_DEVIATION 104.9 • n=182 Participants
Mean number of daily activity minutes (ActiGraph): light (counts of 100-2,019/min)
327.5 minutes
STANDARD_DEVIATION 76.8 • n=91 Participants
339.3 minutes
STANDARD_DEVIATION 86.4 • n=91 Participants
333.4 minutes
STANDARD_DEVIATION 81.7 • n=182 Participants
Mean number of daily activity minutes (ActiGraph): moderate-to-vigorous (counts of >2,020/min)
38.3 minutes
STANDARD_DEVIATION 20.7 • n=91 Participants
51.2 minutes
STANDARD_DEVIATION 38.7 • n=91 Participants
44.7 minutes
STANDARD_DEVIATION 31.6 • n=182 Participants
Mean number of daily bouts (ActiGraph): bouts of moderate-to-vigorous activity
0.2 bouts
STANDARD_DEVIATION 0.4 • n=91 Participants
0.4 bouts
STANDARD_DEVIATION 0.9 • n=91 Participants
0.3 bouts
STANDARD_DEVIATION 0.7 • n=182 Participants
Systolic blood pressure
122.09 mm Hg
STANDARD_DEVIATION 15.01 • n=91 Participants
121.82 mm Hg
STANDARD_DEVIATION 13.78 • n=91 Participants
121.96 mm Hg
STANDARD_DEVIATION 14.37 • n=182 Participants
Diastolic blood pressure
72.86 mm Hg
STANDARD_DEVIATION 11.18 • n=91 Participants
73.15 mm Hg
STANDARD_DEVIATION 9.47 • n=91 Participants
73.01 mm Hg
STANDARD_DEVIATION 10.33 • n=182 Participants
Short Physical Performance Battery: 4-meter usual walk
4.0 units on a scale
STANDARD_DEVIATION 0.2 • n=91 Participants
4.0 units on a scale
STANDARD_DEVIATION 0.0 • n=91 Participants
4.0 units on a scale
STANDARD_DEVIATION 0.2 • n=182 Participants
Short Physical Performance Battery: standing balance
4.2 units on a scale
STANDARD_DEVIATION 0.8 • n=91 Participants
4.0 units on a scale
STANDARD_DEVIATION 0.9 • n=91 Participants
4.1 units on a scale
STANDARD_DEVIATION 0.8 • n=182 Participants
Chair sit-and-reach
-1.4 inches
STANDARD_DEVIATION 5.7 • n=91 Participants
-0.8 inches
STANDARD_DEVIATION 5.6 • n=91 Participants
-1.1 inches
STANDARD_DEVIATION 5.6 • n=182 Participants
8-foot up-and-go
6.5 seconds
STANDARD_DEVIATION 1.8 • n=91 Participants
6.6 seconds
STANDARD_DEVIATION 1.3 • n=91 Participants
6.6 seconds
STANDARD_DEVIATION 1.6 • n=182 Participants
Quadriceps strength (mean maximum for right and left quadriceps)
41.8 pounds
STANDARD_DEVIATION 13.5 • n=91 Participants
43.0 pounds
STANDARD_DEVIATION 16.1 • n=91 Participants
42.4 pounds
STANDARD_DEVIATION 14.8 • n=182 Participants
Western Ontario and McMaster Universities Osteoarthritis Index: Pain
5.8 units on a scale
STANDARD_DEVIATION 3.9 • n=91 Participants
4.8 units on a scale
STANDARD_DEVIATION 3.0 • n=91 Participants
5.3 units on a scale
STANDARD_DEVIATION 3.5 • n=182 Participants
Western Ontario and McMaster Universities Osteoarthritis Index: Function
22.5 units on a scale
STANDARD_DEVIATION 13.4 • n=91 Participants
19.3 units on a scale
STANDARD_DEVIATION 11.9 • n=91 Participants
20.9 units on a scale
STANDARD_DEVIATION 12.8 • n=182 Participants
Western Ontario and McMaster Universities Osteoarthritis Index: Stiffness
3.1 units on a scale
STANDARD_DEVIATION 1.8 • n=91 Participants
2.7 units on a scale
STANDARD_DEVIATION 1.8 • n=91 Participants
2.9 units on a scale
STANDARD_DEVIATION 1.8 • n=182 Participants
Short Form-36v2 Health Survey: Bodily Pain
55.7 units on a scale
STANDARD_DEVIATION 20.3 • n=91 Participants
56.8 units on a scale
STANDARD_DEVIATION 18.7 • n=91 Participants
56.2 units on a scale
STANDARD_DEVIATION 19.5 • n=182 Participants
Short Form-36v2 Health Survey: Physical Functioning
62.0 units on a scale
STANDARD_DEVIATION 23.4 • n=91 Participants
65.2 units on a scale
STANDARD_DEVIATION 19.7 • n=91 Participants
63.6 units on a scale
STANDARD_DEVIATION 21.6 • n=182 Participants
Short Form-36v2 Health Survey: Physical Component Score
42.0 units on a scale
STANDARD_DEVIATION 8.8 • n=91 Participants
42.8 units on a scale
STANDARD_DEVIATION 8.6 • n=91 Participants
42.4 units on a scale
STANDARD_DEVIATION 8.7 • n=182 Participants
Short Form-36v2 Health Survey: Mental Component Score
53.4 units on a scale
STANDARD_DEVIATION 9.8 • n=91 Participants
54.0 units on a scale
STANDARD_DEVIATION 9.4 • n=91 Participants
53.7 units on a scale
STANDARD_DEVIATION 9.6 • n=182 Participants
Brief Fatigue Inventory
2.8 units on a scale
STANDARD_DEVIATION 2.6 • n=91 Participants
2.7 units on a scale
STANDARD_DEVIATION 2.2 • n=91 Participants
2.8 units on a scale
STANDARD_DEVIATION 2.4 • n=182 Participants
Self-efficacy: Exercise
72.8 units on a scale
STANDARD_DEVIATION 28.0 • n=91 Participants
74.4 units on a scale
STANDARD_DEVIATION 27.2 • n=91 Participants
73.6 units on a scale
STANDARD_DEVIATION 27.5 • n=182 Participants
Self-efficacy: Exercise Barriers
60.3 units on a scale
STANDARD_DEVIATION 25.6 • n=91 Participants
68.3 units on a scale
STANDARD_DEVIATION 21.4 • n=91 Participants
64.3 units on a scale
STANDARD_DEVIATION 23.9 • n=182 Participants
Self-efficacy: Arthritis Pain
73.7 units on a scale
STANDARD_DEVIATION 17.0 • n=91 Participants
74.4 units on a scale
STANDARD_DEVIATION 18.2 • n=91 Participants
74.1 units on a scale
STANDARD_DEVIATION 17.6 • n=182 Participants
Self-efficacy: Arthritis Function
83.1 units on a scale
STANDARD_DEVIATION 15.5 • n=91 Participants
85.2 units on a scale
STANDARD_DEVIATION 15.6 • n=91 Participants
84.2 units on a scale
STANDARD_DEVIATION 15.6 • n=182 Participants
Self-efficacy: Arthritis Other Symptoms
76.8 units on a scale
STANDARD_DEVIATION 17.4 • n=91 Participants
77.8 units on a scale
STANDARD_DEVIATION 17.2 • n=91 Participants
77.3 units on a scale
STANDARD_DEVIATION 17.2 • n=182 Participants
Perceived Therapeutic Efficacy - Exercise & Arthritis
67.8 units on a scale
STANDARD_DEVIATION 24.5 • n=91 Participants
72.1 units on a scale
STANDARD_DEVIATION 21.7 • n=91 Participants
70.0 units on a scale
STANDARD_DEVIATION 23.1 • n=182 Participants
Perceived Therapeutic Efficacy - Exercise & Hypertension
74.2 units on a scale
STANDARD_DEVIATION 21.2 • n=91 Participants
74.7 units on a scale
STANDARD_DEVIATION 23.4 • n=91 Participants
74.5 units on a scale
STANDARD_DEVIATION 22.3 • n=182 Participants

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the electronic-diary in terms of the total volume of lower extremity exercise (i.e., the number of days the participant reports completing a lower extremity exercise session and the total number of lower extremity exercises per day performed \[repetitions x sets\] over a 7-day period).

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Performance of Lower Extremity Exercise at 25 Weeks
46.84 repetitions x sets/week
Standard Error 4.59
1.90 repetitions x sets/week
Standard Error 0.86

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the ActiGraph accelerometer in terms of mean daily activity minutes of none to very low, light, and moderate-to-vigorous activity counts summarized over a 7-day period.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Participation in Fitness Walking at 25 Weeks
None to very low
434.89 minutes
Standard Error 11.69
409.98 minutes
Standard Error 11.54
Participation in Fitness Walking at 25 Weeks
Light
314.07 minutes
Standard Error 9.29
321.44 minutes
Standard Error 9.18
Participation in Fitness Walking at 25 Weeks
Moderate-to-vigorous
40.53 minutes
Standard Error 2.68
46.69 minutes
Standard Error 3.93

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the 6-minute walk (yards) as part of the performance-based functional status assessment.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Objective Functional Status by the 6-minute Walk at 25 Weeks
465.46 yards
Standard Error 18.82
483.02 yards
Standard Error 14.47

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Short Physical Performance Battery (total scale score) as part of the performance-based functional status assessment; subscale scores are summed for a total scale score; the scale score range is 0-13; higher scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Objective Functional Status by the Short Physical Performance Battery at 25 Weeks
11.29 units on a scale
Standard Error 0.22
10.86 units on a scale
Standard Error 0.23

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the OMRON HEM-907XL automatic professional digital blood pressure monitor in mm Hg.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Systolic Blood Pressure at 25 Weeks
120.33 mm Hg
Standard Error 1.74
123.07 mm Hg
Standard Error 1.68

PRIMARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the OMRON HEM-907XL automatic professional digital blood pressure monitor in mm Hg.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Diastolic Blood Pressure at 25 Weeks
71.74 mm Hg
Standard Error 1.20
73.10 mm Hg
Standard Error 1.16

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the electronic-diary in terms of the total volume of lower extremity exercise (i.e., the number of days the subject reports completing a lower extremity exercise session and the total number of lower extremity exercises per day performed \[repetitions x sets\] over a 7-day period).

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Performance of Lower Extremity Exercise at 52 Weeks
42.06 repetitions x sets/week
Standard Error 6.74
3.14 repetitions x sets/week
Standard Error 1.22

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the ActiGraph accelerometer in terms of mean daily activity minutes of none to very low, light, and moderate-to-vigorous activity counts summarized over a 7-day period.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Participation in Fitness Walking at 52 Weeks
Light
318.04 minutes
Standard Error 9.50
321.01 minutes
Standard Error 9.30
Participation in Fitness Walking at 52 Weeks
Moderate-to-vigorous
39.37 minutes
Standard Error 2.74
47.97 minutes
Standard Error 3.97
Participation in Fitness Walking at 52 Weeks
None to very low
426.71 minutes
Standard Error 11.97
408.30 minutes
Standard Error 11.70

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the 6-minute walk (yards) as part of the performance-based functional status assessment.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Objective Functional Status by the 6-minute Walk at 52 Weeks
480.29 yards
Standard Error 16.89
465.36 yards
Standard Error 19.26

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Short Physical Performance Battery (total scale score) as part of the performance-based functional status assessment; subscale scores are summed for a total scale score; the scale score range is 0-13; higher scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Objective Functional Status by the Short Physical Performance Battery at 52 Weeks
11.20 units on a scale
Standard Error 0.24
11.25 units on a scale
Standard Error 0.19

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the OMRON HEM-907XL automatic professional digital blood pressure monitor in mm Hg.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Systolic Blood Pressure at 52 Weeks
122.54 mm Hg
Standard Error 1.78
125.14 mm Hg
Standard Error 1.71

PRIMARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the OMRON HEM-907XL automatic professional digital blood pressure monitor in mm Hg.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Diastolic Blood Pressure at 52 Weeks
72.62 mm Hg
Standard Error 1.22
74.06 mm Hg
Standard Error 1.18

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Physical Function subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index; the subscale score range is 0-68; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Subjective Functional Status at 25 Weeks
16.68 units on a scale
Standard Error 1.44
18.30 units on a scale
Standard Error 1.42

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the MicroFET2 hand-held dynamometer in terms of mean maximum pounds over two trials.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Quadriceps Strength at 25 Weeks
43.21 pounds
Standard Error 1.75
41.88 pounds
Standard Error 1.71

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Pain subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index; the subscale score range is 0-20; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Pain by the Pain Subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index at 25 Weeks
4.25 units on a scale
Standard Error 0.39
4.54 units on a scale
Standard Error 0.38

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Bodily Pain subscale of the Short Form-36v2; the subscale score range is 0-100; higher scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Pain by the Bodily Pain Subscale of the Short Form-36v2 at 25 Weeks
59.65 units on a scale
Standard Error 2.32
58.13 units on a scale
Standard Error 2.26

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Brief Fatigue Inventory, which assesses fatigue severity; the scale score range is 0-10; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Fatigue at 25 Weeks
2.49 units on a scale
Standard Error 0.27
2.76 units on a scale
Standard Error 0.25

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Short Form-36v2 in terms of the following: Mental Component: this summary scale is composed of eight subscale scores primarily derived from the mental health, role functioning-emotional, and social functioning scores; the scale score range is 0-100; higher scores are better Physical Component: this summary scale is composed of eight subscale scores primarily derived from the physical functioning, role functioning-physical, and bodily pain scores; the scale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Health-Related Quality of Life at 25 Weeks
Short Form-36v2 Mental Component
53.92 units on a scale
Standard Error 1.11
52.30 units on a scale
Standard Error 1.20
Health-Related Quality of Life at 25 Weeks
Short Form-36v2 Physical Component
43.10 units on a scale
Standard Error 0.97
43.07 units on a scale
Standard Error 0.95

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Self-Efficacy Scale in terms of the following: Exercise Barriers Self-Efficacy subscale: the subscale score range is 0-100; higher scores are better Exercise Self-Efficacy subscale: the subscale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Self-Efficacy at 25 Weeks
Exercise Barriers Self-Efficacy
59.81 units on a scale
Standard Error 2.77
58.37 units on a scale
Standard Error 2.69
Self-Efficacy at 25 Weeks
Exercise Self-Efficacy
67.43 units on a scale
Standard Error 3.44
60.20 units on a scale
Standard Error 3.35

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Arthritis Self-Efficacy Scale in terms of the following: Pain subscale: the subscale score range is 10-100; higher scores are better Function subscale: the subscale score range is 10-100; higher scores are better Other Symptoms subscale: the subscale score range is 10-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Arthritis Self-Efficacy at 25 Weeks
Arthritis Self Efficacy Pain
75.58 units on a scale
Standard Error 1.97
67.38 units on a scale
Standard Error 2.13
Arthritis Self-Efficacy at 25 Weeks
Arthritis Self-Efficacy Function
85.74 units on a scale
Standard Error 1.79
85.90 units on a scale
Standard Error 1.67
Arthritis Self-Efficacy at 25 Weeks
Arthritis Self-Efficacy Other Symptoms
78.88 units on a scale
Standard Error 1.99
77.66 units on a scale
Standard Error 1.95

SECONDARY outcome

Timeframe: At the end of the 6-month intervention period (week 25)

Measured by the Perceived Therapeutic Efficacy Scale in terms of the following: Exercise and Arthritis: the scale score range is 0-100; higher scores are better Exercise and Hypertension: the scale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Outcome Expectancy at 25 Weeks
Perceived Therapeutic Efficacy Arthritis
72.79 units on a scale
Standard Error 2.41
59.67 units on a scale
Standard Error 2.91
Outcome Expectancy at 25 Weeks
Perceived Therapeutic Efficacy Hypertension
77.14 units on a scale
Standard Error 2.48
69.62 units on a scale
Standard Error 2.42

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Physical Function subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index; the subscale score range is 0-68; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Subjective Functional Status at 52 Weeks
17.02 units on a scale
Standard Error 1.49
17.51 units on a scale
Standard Error 1.44

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the MicroFET2 hand-held dynamometer in terms of mean maximum pounds over two trials.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Quadriceps Strength at 52 Weeks
43.66 pounds
Standard Error 1.77
43.33 pounds
Standard Error 1.73

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Pain subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index; the subscale score range is 0-20; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Pain by the Pain Subscale of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index at 52 Weeks
4.09 units on a scale
Standard Error 0.41
4.72 units on a scale
Standard Error 0.39

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Bodily Pain subscale of the Short Form-36v2; the subscale score range is 0-100; higher scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Pain by the Bodily Pain Subscale of the Short Form-36v2 at 52 Weeks
59.73 units on a scale
Standard Error 2.36
59.70 units on a scale
Standard Error 2.28

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Brief Fatigue Inventory, which assesses fatigue severity; the scale score range is 0-10; lower scores are better.

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Fatigue at 52 Weeks
2.97 units on a scale
Standard Error 0.28
2.94 units on a scale
Standard Error 0.25

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Short Form-36v2 in terms of the following: Mental Component: this summary scale is composed of eight subscale scores primarily derived from the mental health, role functioning-emotional, and social functioning scores; the scale score range is 0-100; higher scores are better Physical Component: this summary scale is composed of eight subscale scores primarily derived from the physical functioning, role functioning-physical, and bodily pain scores; the scale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Health-Related Quality of Life at 52 Weeks
Short Form-36v2 Mental Component
53.18 units on a scale
Standard Error 1.12
51.81 units on a scale
Standard Error 1.21
Health-Related Quality of Life at 52 Weeks
Short Form-36v2 Physical Component
42.10 units on a scale
Standard Error 1.18
42.47 units on a scale
Standard Error 1.15

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Self-Efficacy Scale in terms of the following: Exercise Barriers Self-Efficacy subscale: the subscale score range is 0-100; higher scores are better Exercise Self-Efficacy subscale: the subscale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Self-Efficacy at 52 Weeks
Exercise Barriers Self-Efficacy
53.30 units on a scale
Standard Error 2.83
53.05 units on a scale
Standard Error 2.73
Self-Efficacy at 52 Weeks
Exercise Self-Efficacy
55.49 units on a scale
Standard Error 3.56
51.00 units on a scale
Standard Error 3.43

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Arthritis Self-Efficacy Scale in terms of the following: Pain subscale: the subscale score range is 10-100; higher scores are better Function subscale: the subscale score range is 10-100; higher scores are better Other Symptoms subscale: the subscale score range is 10-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Arthritis Self-Efficacy at 52 Weeks
Arthritis Self-Efficacy Pain
73.15 units on a scale
Standard Error 2.06
69.44 units on a scale
Standard Error 2.19
Arthritis Self-Efficacy at 52 Weeks
Arthritis Self-Efficacy Function
85.38 units on a scale
Standard Error 1.82
87.75 units on a scale
Standard Error 1.69
Arthritis Self-Efficacy at 52 Weeks
Arthritis Self-Efficacy Other Symptoms
75.92 units on a scale
Standard Error 2.03
75.23 units on a scale
Standard Error 1.96

SECONDARY outcome

Timeframe: 6 months after the intervention period ends (week 52)

Measured by the Perceived Therapeutic Efficacy Scale in terms of the following: Exercise and Arthritis: the scale score range is 0-100; higher scores are better Exercise and Hypertension: the scale score range is 0-100; higher scores are better

Outcome measures

Outcome measures
Measure
STAR Intervention
n=91 Participants
Staying Active with Arthritis Intervention STAR Intervention: The 24-week modified Staying Active with Arthritis (STAR) intervention, guided by self-efficacy theory and modified to address comorbid hypertension, consists of 6 weekly individual face-to-face exercise sessions by a licensed physical therapist, 9 biweekly telephone counseling sessions by a registered nurse to continue the use of self-efficacy strategies, and lower extremity exercise and fitness walking being carried out at home between sessions. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Attention-Control
n=91 Participants
Senior Health Information Intervention Attention-Control: Attention-Control is a 24-week general health education program for older adults that consists of 6 weekly telephone sessions by a registered nurse followed by 9 biweekly telephone sessions by a registered nurse. There will be no contact with participants during weeks 7, 9, 11, 13, 15, 17, 19, 21, and 23. Topics include cancer screenings; immunizations; osteoporosis; low vision; hearing loss; talking with your primary care provider; eating healthy (two parts); sleep and aging; injury prevention (two parts: balance problems and falls); oral health; foot care; and mental health (depression). During the 6-month follow-up period, the participants will be contacted briefly by telephone by a registered nurse at weeks 30, 36, and 48 for a general check-up.
Outcome Expectancy at 52 Weeks
Perceived Therapeutic Efficacy Arthritis
67.09 units on a scale
Standard Error 2.83
55.86 units on a scale
Standard Error 3.07
Outcome Expectancy at 52 Weeks
Perceived Therapeutic Efficacy Hypertension
73.40 units on a scale
Standard Error 2.53
67.93 units on a scale
Standard Error 2.44

Adverse Events

STAR Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Attention-Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth A. Schlenk

University of Pittsburgh

Phone: 412-624-4103

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place