六周步行计划对关节炎成年人工作场所活动受限的影响。

Effect of a six-week walking program on work place activity limitations among adults with arthritis.

机构信息

University of North Carolina, Chapel Hill 27599-7280, USA.

出版信息

Arthritis Care Res (Hoboken). 2011 Dec;63(12):1773-6. doi: 10.1002/acr.20604.

Abstract

OBJECTIVE

To conduct an exploratory evaluation of the impact of the Arthritis Foundation's evidence-based Walk With Ease (WWE) program on work place activity limitations of adults with self-reported or doctor-diagnosed arthritis.

METHODS

WWE participants who were self-identified as "employed" completed the Workplace Activity Limitation Scale (WALS) at 6-week (postintervention; n = 94) and 1-year followup (n = 69). Paired t-tests were used to determine whether reduced work place limitations were reported at 6 weeks and maintained at 1-year followup.

RESULTS

Participants were on average age 55 years, 88% women, and 61% white. The mean body mass index was 32 kg/m2 , and 81% had more than a high school education. Overall WALS scores improved significantly from a mean ± SD of 6.7 ± 3.99 at baseline to 5.5 ± 4.20 at 6-week followup (P < 0.001, effect size 0.30). Improvements were maintained at 1-year followup, i.e., no change from 6-week followup (P = 0.87). Work place activities reported by participants as "some" or "a lot" of difficulty at baseline, i.e., "crouch/bend/kneel/work in awkward positions," "stand for long periods," and "lift/carry/move objects," showed some of the highest improvements at 6 weeks. "Concentrate/keep your mind on the job" also improved significantly, although it was not rated as a substantial difficulty at baseline.

CONCLUSION

Our study provides encouraging evidence that WWE, a brief, low-cost, and easy-to-do community-based walking program, may provide both immediate and sustained benefits for people with self-reported arthritis who also report a range of work place limitations related to their arthritis symptoms.

摘要

目的

探索评估关节炎基金会循证步行计划(Walk With Ease,WWE)对自报或医生诊断为关节炎的成年人工作场所活动受限的影响。

方法

自我认定为“在职”的 WWE 参与者在 6 周(干预后;n = 94)和 1 年随访(n = 69)时完成了工作场所活动限制量表(Workplace Activity Limitation Scale,WALS)。采用配对 t 检验确定 6 周时是否报告工作场所限制减少,并在 1 年随访时保持。

结果

参与者平均年龄为 55 岁,88%为女性,61%为白人。平均体重指数为 32 kg/m2,81%受过高中以上教育。总体 WALS 评分从基线时的 6.7 ± 3.99 显著改善至 6 周随访时的 5.5 ± 4.20(P < 0.001,效应量 0.30)。在 1 年随访时,改善保持不变,即与 6 周随访时相比无变化(P = 0.87)。基线时报告“有些”或“很多”困难的工作场所活动,即“下蹲/弯腰/跪地/在不舒服的位置工作”、“长时间站立”和“提/搬/移动物体”,在 6 周时显示出了一些最高的改善。“集中精力/专注于工作”也有显著改善,尽管它在基线时没有被评为严重困难。

结论

我们的研究提供了令人鼓舞的证据,表明 WWE 是一种简短、低成本、易于实施的基于社区的步行计划,可能为自报关节炎且报告与关节炎症状相关的各种工作场所限制的人群提供即时和持续的益处。

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