Schlenk Elizabeth A, Bilt Joni Vander, Lo-Ciganic Wei-Hsuan, Jacob Mini E, Woody Sarah E, Conroy Molly B, Kwoh C Kent, Albert Steven M, Boudreau Robert, Newman Anne B, Zgibor Janice C
Res Gerontol Nurs. 2016 May 1;9(3):123-32. doi: 10.3928/19404921-20151019-04. Epub 2015 Oct 26.
Older adults with arthritis or joint pain were targeted for a pilot program enhancing the Arthritis Foundation Exercise Program with the 10 Keys™ to Healthy Aging Program. Using a one-group, pre-post design, feasibility was examined and improvements in preventive behaviors, arthritis outcomes, and cardiometabolic outcomes were explored. A 10-week program was developed, instructors were recruited and trained, and four sites and 51 participants were recruited. Measures included attendance, adherence, satisfaction, preventive behaviors, Western Ontario and McMaster Universities Osteoarthritis Index (pain and stiffness), glucose, and cholesterol. Three fourths of participants attended >50% of the sessions. At 6 and 12 months, more than one half performed the exercises 1 to 2 days per week, whereas 28% and 14% exercised 3 to 7 days per week, respectively. Participants (92%) rated the program as excellent/very good. Nonsignificant changes were observed in expected directions. Effect sizes were small for arthritis and cardiometabolic outcomes. This program engaged community partners, demonstrated feasibility, and showed improvements in some preventive behaviors and health risk profiles. [Res Gerontol Nurs. 2016; 9(3):123-132.].
患有关节炎或关节疼痛的老年人被纳入一项试点项目，该项目将关节炎基金会运动项目与“健康老龄化的10把钥匙”项目相结合进行强化。采用单组前后测设计，检验了项目的可行性，并探讨了预防行为、关节炎结局和心脏代谢结局方面的改善情况。制定了一个为期10周的项目，招募并培训了指导员，还招募了4个地点的51名参与者。测量指标包括出勤率、依从性、满意度、预防行为、西安大略和麦克马斯特大学骨关节炎指数（疼痛和僵硬程度）、血糖和胆固醇。四分之三的参与者参加了超过50%的课程。在6个月和12个月时，超过一半的参与者每周进行1至2天的锻炼，而分别有28%和14%的参与者每周锻炼3至7天。参与者（92%）对该项目的评价为优秀/非常好。在预期方向上观察到无显著变化。关节炎和心脏代谢结局的效应量较小。该项目吸引了社区合作伙伴，证明了可行性，并在一些预防行为和健康风险状况方面有所改善。[《老年护理研究》。2016年；9（3）：123 - 132。]
