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Effects of a tailored activity pacing intervention on pain and fatigue for adults with osteoarthritis
Murphy SL, Lyden AK, Smith DM, Dong Q, Koliba JF
The American Journal of Occupational Therapy 2010 Nov-Dec;64(6):869-876
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: We examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general activity pacing intervention. METHOD: Adults with knee or hip osteoarthritis (n = 32) stratified by age and gender were randomized to receive either tailored or general pacing intervention. Participants wore an accelerometer for 5 days that measured physical activity and allowed for repeated symptom assessment. Physical activity and symptom data were used to tailor activity pacing instruction. Outcomes at 10-week follow-up were pain (Western Ontario and McMaster Universities Osteoarthritis Index) and fatigue (Brief Fatigue Inventory). RESULTS: Compared with general intervention, the tailored group had less fatigue interference (p = 0.02) and trended toward decreased fatigue severity (p = 0.09) at 10-wk follow-up. No group differences were found in pain reduction. CONCLUSION: Tailoring instruction on the basis of recent symptoms and physical activity may be a more effective symptom management approach than general instruction given the positive effects on fatigue.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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