Article

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 = .02) and trended toward
decreased fatigue severity (p = .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.

Langue : ANGLAIS