Conte Kathleen P, Odden Michelle C, Linton Natalie M, Harvey S Marie
At the time of the study, Kathleen P. Conte was with the College of Public Health and Human Sciences, Oregon State University, Corvallis, and The Australian Prevention Partnership Centre based at The Menzies Centre for Health Policy, University of Sydney, Sydney, Australia. Michelle C. Odden and Natalie M. Linton are with the School of Biological and Population Health Sciences, Oregon State University. S. Marie Harvey is with the College of Public Health and Human Sciences, Oregon State University.
Am J Public Health. 2016 Dec;106(12):2227-2230. doi: 10.2105/AJPH.2016.303478. Epub 2016 Oct 13.
To evaluate the effectiveness of Walk With Ease (WWE), an evidence-based arthritis self-management program that was scaled up in Oregon in 2012 to 2014.
Guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, we collected participant surveys and attendance records and conducted observations. Preprogram and postprogram, participants self-reported pain and fatigue (scale: 0-10 points; high scores indicate more pain and fatigue) and estimated episodes of physical activity per week in the last month.
Recruitment successfully reached the targeted population-sedentary adults with arthritis (n = 598). Participants reported significant reduction in pain (-0.47 points; P = .006) and fatigue (-0.58 points; P = .021) and increased physical activity (0.86 days/week; P < .001). WWE was adopted by workplaces and medical, community, faith, and retirement centers. Most WWE programs were delivered with high fidelity; average attendance was 47%.
WWE is suitable for implementation by diverse organizations. Effect sizes for pain and fatigue were less than those in the original WWE studies, but this is to be expected for a large-scale implementation. Public Health Implications. WWE can be effectively translated to diverse, real-world contexts to help sedentary adults increase physical activity and reduce pain and fatigue.
评估“轻松步行”（WWE）项目的有效性，这是一项循证关节炎自我管理项目，于2012年至2014年在俄勒冈州扩大实施。
在RE-AIM（覆盖范围、有效性、采用率、实施情况、维持情况）框架的指导下，我们收集了参与者的调查问卷和出勤记录，并进行了观察。在项目开始前和结束后，参与者自行报告疼痛和疲劳情况（评分范围：0至10分；高分表示疼痛和疲劳程度更高），并估算过去一个月每周的体育活动次数。
招募成功覆盖了目标人群——久坐不动的患有关节炎的成年人（n = 598）。参与者报告疼痛（-0.47分；P = .006）和疲劳（-0.58分；P = .021）显著减轻，体育活动增加（0.86天/周；P < .001）。工作场所、医疗、社区、宗教和退休中心都采用了WWE项目。大多数WWE项目都能高度保真地实施；平均出勤率为47%。
WWE项目适合由不同组织实施。疼痛和疲劳的效应量小于WWE原始研究中的效应量，但这在大规模实施中是可以预期的。对公共卫生的影响。WWE项目可以有效地应用于各种现实环境，以帮助久坐不动的成年人增加体育活动，减轻疼痛和疲劳。
