基于计算机的电话咨询对老年膝骨关节炎患者长期坚持力量训练的疗效：一项随机试验。
Efficacy of Computer-Based Telephone Counseling on Long-Term Adherence to Strength Training in Elderly Patients With Knee Osteoarthritis: A Randomized Trial.
作者信息
Baker Kristin, LaValley Michael P, Brown Carrie, Felson David T, Ledingham Aileen, Keysor Julie J
机构信息
Boston University, Boston, Massachusetts.
MGH Institute of Health Professions, Boston, Massachusetts.
出版信息
Arthritis Care Res (Hoboken). 2020 Jul;72(7):982-990. doi: 10.1002/acr.23921.
OBJECTIVE
To determine whether the Boston Overcoming Osteoarthritis through Strength Training Telephone-Linked Communication (BOOST-TLC) program, a novel telephone-based, motivational, strength-training exercise-adherence counseling intervention, improved adherence to a strength-training exercise program over 2 years.
METHODS
Participants were recruited for this 2-year, single-blind, parallel-arm randomized controlled trial from knee osteoarthritis patient registries, community newspapers, and online websites in Massachusetts. Eligibility criteria included age 50 years or older, painful knee osteoarthritis, and ability to use a telephone. Exclusion criteria included medical conditions precluding exercise, inflammatory arthritis, current regular strength training, planned knee replacement surgery, dementia, inability to follow exercise instructions, and inability to use the TLC system. After participating in a group exercise class, participants were randomized to receiving motivational telephone calls through the BOOST-TLC program for 24 months or the control. Both control and intervention participants received a monthly automated phone message reminder to continue the program. Exercise adherence was ascertained by a single self-report item scored 0-10, where 10 represented complete adherence. Outcomes were evaluated at 6, 12, 18, and 24 months.
RESULTS
A total of 104 subjects were randomized, and 89 subjects (44 control, 45 TLC) completed the 24-month follow-up. There was no significant difference in adherence at 24 months between groups (mean for control group 4.01 [95% confidence interval (95% CI) 3.03, 4.99], mean for TLC subjects 3.63 [95% CI 2.70, 4.56]; P = 0.57).
CONCLUSION
In those with knee osteoarthritis who had participated in an exercise program, frequent motivational telephone reminders did not increase adherence to strength-training exercise.
目的
确定“通过力量训练电话联系沟通克服骨关节炎”（BOOST-TLC）项目，一种基于电话的新型激励性力量训练运动依从性咨询干预措施，在两年内是否能提高对力量训练运动项目的依从性。
方法
从马萨诸塞州的膝关节骨关节炎患者登记处、社区报纸和网站招募参与者参加这项为期两年的单盲、平行组随机对照试验。纳入标准包括年龄50岁及以上、膝关节骨关节炎疼痛以及会使用电话。排除标准包括妨碍运动的医疗状况、炎性关节炎、当前定期进行力量训练、计划进行膝关节置换手术、痴呆、无法遵循运动指导以及无法使用TLC系统。在参加一次集体运动课程后，参与者被随机分为通过BOOST-TLC项目接受24个月激励性电话呼叫组或对照组。对照组和干预组参与者均每月收到一条自动语音电话提醒以继续该项目。运动依从性通过一个0至10分的单项自我报告项目确定，其中10分表示完全依从。在6个月、12个月、18个月和24个月时评估结果。
结果
共有104名受试者被随机分组，89名受试者（44名对照组，45名TLC组）完成了24个月的随访。两组在24个月时的依从性无显著差异（对照组均值4.01[95%置信区间（95%CI）3.03，4.99]，TLC组受试者均值3.63[95%CI 2.70，4.56]；P = 0.57）。
结论
在参加了运动项目的膝关节骨关节炎患者中，频繁的激励性电话提醒并未提高对力量训练运动的依从性。
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