Pain coping skills training and lifestyle behavioral weight management in patients with knee osteoarthritis: A randomized controlled study
Pain, 04/18/2012Somers TJ et al.
Interventions teaching overweight and obese osteoarthritis (OA) patients pain coping skills and weight management simultaneously may provide the more comprehensive long–term benefits.
This study examined the long–term efficacy of a combined pain coping skills training (PCST) and lifestyle behavioral weight management (BWM) intervention in overweight and obese OA patients.
Patients (n=232) were randomized to a 6–month program of:
Or standard care control.
Assessments of pain, physical disability (Arthritis Impact Measurement Scales [AIMS] physical disability, stiffness, activity, and gait), psychological disability (AIMS psychological disability, pain catastrophizing, arthritis self–efficacy, weight self–efficacy), and body weight were collected at 4 time points (pretreatment, posttreatment, and 6months and 12months after the completion of treatment).
Patients randomized to PCST+BWM demonstrated significantly better treatment outcomes (average of all 3 posttreatment values) in terms of pain, physical disability, stiffness, activity, arthritis self–efficacy, weight self–efficacy, and weight when compared to the other 3 conditions (Ps<0.05).
PCST+BWM also did significantly better than at least one of the other conditions (ie, PCST–only, BWM–only, or standard care) in terms of psychological disability and pain catastrophizing.
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