EVALUATION OF A SELF-DIRECTED PACKAGED PHYSICAL ACTIVITY PROGRAM
FOR ADULTS WITH ARTHRITIS

FUNDING SOURCE: CDC 2009-2012

PRINCIPAL INVESTIGATOR:

CO-INVESTIGATORS:

STEPS to Health was a three-year study funded by the Centers for Disease Control and Prevention. A total of 400 adults with arthritis were be enrolled in the study and were asked to complete a 12-week self-directed multicomponent exercise program (First Step to Active Health®) or a 12-week self-directed nutrition program (Steps to Healthy Eating). Participants completed measures of physical activity, diet, symptoms of arthritis, lower and upper body strength, functional aerobic capacity, flexibility, balance, and psychosocial functioning before they begin the program, at the end of the program (12-weeks), and six months later. At the last measurement visit, participants who started with the exercise program received the nutrition program and vice versa. If shown to be effective, these programs could be widely disseminated for a very low cost, thus having the potential to make a tremendous public health impact on the burden of arthritis.

PUBLICATIONS:

Baruth M., Wilcox S., McClenaghan B., Becofsky K., Schoffman D.E. (2016) Clinically meaningful changes in functional performance resulting from self-directed interventions in individuals with arthritis. 2016 Apr;133:116-23. doi: 10.1016/j.puhe.2016.01.004

Sharpe, P.A., Wilcox, S., Schoffman, D.E., Hutto, B., Ortaglia, A. (2015). Association of complementary and alternative medicine use with symptoms and physical functional performance among adults with arthritis. Disability Health Journal, 9, 37-45.

Wilcox S., McClenaghan B., Sharpe P.A., Baruth M., Hootman J.M., Leith K., Dowda M. The steps to health randomized trial for arthritis: A self-directed exercise versus nutrition control program." American Journal of Preventive Medicine. 2015. 48(1): 1-12.

Baruth, M., Wilcox, S., Sharpe, P.A., *Schoffman, D.E., Becofsky, K. (in press). Baseline predictors of physical activity in a sample of adults with arthritis participating in a self-directed exercise program.  Public Health.

Wilcox, S., Schoffman, D.E., Dowda, M., Sharpe, P.A. (2014). Psychometric properties of the 8-item English Arthritis Self-Efficacy Scale in a diverse sample.  Arthritis, 2014, Article ID 385256.  doi:10.1155/2014/385256 PMID: 25215233. PMCID: 4158258.

Baruth, M., Wilcox, S., Schoffman, D.E., Becofsky, K. (2013). Factors associated with disability in a sample of adults with arthritis.  Disability and Health Journal, 6(4), 377-384. PMID: 24060261

Schoffman, D.E., Wilcox, S., Baruth, M. (2013). Association of body mass index with physical function and health-related quality of life in adults with arthritis. Arthritis, 2013,  Article ID 190868. http://dx.doi.org/10.1155/2013/190868   PMID:  24392226

Becofsky, K., Baruth, M., Wilcox, S. (2013). Physical functioning, perceived disability, and depressive symptoms in adults with arthritis. Arthritis, 2013, Article ID 525761. http://dx.doi.org/10.1155/2013/525761   PMID: 24093063