Arthritis Foundation Exercise Program & 10 Keys to Healthy Aging--Prevention Research Center

Study Overview
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Brief Summary
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Older adults are at high risk for loss of independence because of age-related chronic health conditions. Of these chronic conditions, arthritis accounts for the largest proportion of the disability in the community. The investigators propose to target older adults who have self-reported arthritis or joint pain for dissemination of a disability prevention program. The program will be a collaborative effort of the Arthritis Foundation, the investigators Prevention Research Center staff and other key partners in the community. The project will develop information needed to provide guidance for implementation of the investigators intervention by other agencies and organizations. As a major thrust of the investigators CDC Prevention Research Center, the investigators have developed a comprehensive program focused on preventing disease and disability in older adults: the 10 Keys to Healthy Aging. Each of the 10 Keys disseminates proven approaches and current recommendations for prevention in older adults, focusing on age 65+ but also addressing age 50-65 years. The overall objective is to determine if an integrated evidence based exercise intervention (AFEP) combined with health education on preventive practices for older adults (10 Keys) is more effective for improving mobility and risk factors for mobility disability and use of preventive services compared to exercise alone (AFEP). The investigators will also propose to evaluate the impact of geographic location on outcomes and overall sustainability of the program.

Official Title
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Arthritis Foundation Exercise Program & 10 Keys to Healthy Aging

Conditions
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Arthritis, Diabetes, Hypertension, Preventive Behaviors

Intervention / Treatment
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* Behavioral: AFEP
* Behavioral: 10 Keys to Healthy Aging


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 50+ years old Attends at last one exercise class in a 10 week program Exclusion Criteria: On oxygen Hospitalized for cardiac event in past 6 months (at least 1 overnight) Had major surgery in past 6 months

Ages Eligible for Study
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Minimum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Arthritis Foundation Exercise Program<br> | Behavioral: AFEP<br>* Arthritis Foundation Exercise Program (10 weeks, twice a week, 60 minutes per session)<br>* Other names: Arthritis Foundation Exercise Program (10 weeks, twice a week, 60 minutes per session);|
| Experimental: AFEP + 10 Keys to Healthy Aging<br>Arthritis Foundation Exercise Program integrated with the 10 Keys to Healthy Aging | Behavioral: 10 Keys to Healthy Aging<br>* 10 Keys to Healthy Aging. 10 week program, twice a week, 75 minutes per session.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Preventive Behaviors | Measuring preventive behaviors emphasized by the 10 Keys to Healthy Aging, such as cancer screenings, controlling blood pressure, immunizations, etc. | 1 year | 
| Joint Pain & Stiffness | Self-reported joint pain and stiffness, as measured by the WOMAC. | 1 year | 
| Cholesterol (LDL) | LDL cholesterol | 1 year | 
| Glucose | Fasting glucose | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Arthritis, Preventive Behaviors