Results of a House-Primarily based Phone-Supported Bodily Exercise Program for Older Grownup Veterans With Power Low Again Ache.
Phys Ther. 2018 Might 01;98(5):369-380
Authors: Goode AP, Taylor SS, Hastings SN, Stanwyck C, Coffman CJ, Allen KD
Background: Power low again ache (CLBP) is very prevalent in older adults, resulting in purposeful decline.
Goal: The target of this examine was to judge bodily exercise (PA) solely and PA plus cognitive-behavioral remedy for ache (CBT-P) amongst older grownup veterans with CLBP.
Design: This examine was a pilot randomized trial evaluating a 12-week telephone-supported PA-only intervention group (PA group) or PA plus CBT-P intervention group (PA + CBT-P group) and a wait-list management group (WL group).
Setting: The examine setting was the Durham Veterans Affairs Well being Care System.
Individuals: The examine contributors have been 60 older adults with CLBP.
Interventions: The PA intervention included stretching, strengthening, and cardio actions; CBT-P coated exercise pacing, leisure strategies, and cognitive restructuring.
Measurements: Feasibility measures included enrollment and completion metrics; acceptability was measured by accomplished telephone calls. Main outcomes included the Timed “Up & Go” Check and the PROMIS Well being Evaluation Questionnaire. Generalized linear blended fashions have been used to estimate adjustments inside and between teams. Impact sizes have been calculated with the Cohen d. Adversarial results have been measured by self-report.
Outcomes: The imply participant age was 70.Three years; 53% weren’t white, and 93% have been males. Eighty-three p.c of contributors accomplished the examine, and the imply variety of accomplished telephone calls was 10 (of 13). In contrast with the outcomes for the WL group, small to medium therapy results have been discovered for the intervention teams within the Timed “Up & Go” Check (PA group: -2.94 [95% CI = -6.24 to 0.35], impact measurement = -Zero.28; PA + CBT-P group: -Three.26 [95% CI = -6.69 to 0.18], impact measurement = -Zero.31) and the PROMIS Well being Evaluation Questionnaire (PA group: -6.11 [95% CI = -12.85 to 0.64], impact measurement = -Zero.64; PA + CBT-P group: -Four.10 [95% CI = -11.69 to 3.48], impact measurement = -Zero.43). Small therapy results favored PA over PA + CBT-P. No adversarial results have been famous.
Limitations: This was a pilot examine, and a bigger examine is required to confirm the outcomes.
Conclusions: This pilot trial demonstrated that home-based telephone-supported PA interventions have been possible, acceptable, and secure for older grownup veterans. The outcomes present help for a bigger trial investigating these interventions.
PMID: 29669086 [PubMed – in process]