Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study
- 1 August 2004
- journal article
- clinical trial
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 110 (3), 539-549
- https://doi.org/10.1016/j.pain.2004.03.022
Abstract
This study tested the separate and combined effects of spouse-assisted pain coping skills training (SA-CST) and exercise training (ET) in a sample of patients having persistent osteoarthritic knee pain. Seventy-two married osteoarthritis (OA) patients with persistent knee pain and their spouses were randomly assigned to: SA-CST alone, SA-CST plus ET, ET alone, or standard care (SC). Patients in SA-CST alone, together with their spouses, attended 12 weekly, 2-h group sessions for training in pain coping and couples skills. Patients in SA-CST + ET received spouse-assisted coping skills training and attended 12-weeks supervised ET. Patients in the ET alone condition received just an exercise program. Data analyses revealed: (1) physical fitness and strength: the SA-CST + ET and ET alone groups had significant improvements in physical fitness compared to SA-CST alone and patients in SA-CST + ET and ET alone had significant improvements in leg flexion and extension compared to SA-CST alone and SC, (2) pain coping: patients in SA-CST + ET and SA-CST alone groups had significant improvements in coping attempts compared to ET alone or SC and spouses in SA-CST + ET rated their partners as showing significant improvements in coping attempts compared to ET alone or SC, and (3) self-efficacy: patients in SA-CST + ET reported significant improvements in self-efficacy and their spouses rated them as showing significant improvements in self-efficacy compared to ET alone or SC. Patients receiving SA-CST + ET who showed increased self-efficacy were more likely to have improvements in psychological disability. An intervention that combines spouse-assisted coping skills training and exercise training can improve physical fitness, strength, pain coping, and self-efficacy in patients suffering from pain due to osteoarthritis.Keywords
This publication has 48 references indexed in Scilit:
- Effectiveness of exercise in patients with osteoarthritis of hip or knee: nine months' follow upAnnals Of The Rheumatic Diseases, 2001
- Exercise Prescription for Older Adults With Osteoarthritis Pain: Consensus Practice RecommendationsJournal of the American Geriatrics Society, 2001
- The Increasing Need for Nonoperative Treatment of Patients With OsteoarthritisPublished by Ovid Technologies (Wolters Kluwer Health) ,2001
- The Role of Analgesics in the Management of Osteoarthritis PainClinical Journal of Sport Medicine, 2000
- Effectiveness of exercise therapy in patients with osteoarthritis of the hip or knee: A systematic review of randomized clinical trialsArthritis & Rheumatism, 1999
- Beyond disability: measuring the social and personal consequences of osteoarthritisOsteoarthritis and Cartilage, 1999
- Empirically supported couple and family interventions for marital distress and adult mental health problems.Journal of Consulting and Clinical Psychology, 1998
- A computer-assisted observational method for assessing spouses' ratings of osteoarthritis patients' painPsychology, Health & Medicine, 1997
- Long-term Effects of Exercise on Psychological Functioning in Older Men and WomenJournal of Gerontology, 1991
- Exercise training in healthy type A middle-aged men: effects on behavioral and cardiovascular responses.Psychosomatic Medicine, 1988