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Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study.

Publication ,  Journal Article
Keefe, FJ; Blumenthal, J; Baucom, D; Affleck, G; Waugh, R; Caldwell, DS; Beaupre, P; Kashikar-Zuck, S; Wright, K; Egert, J; Lefebvre, J
Published in: Pain
August 2004

This study tested the separate and combined effects of spouse-assisted pain coping skills training (SA-CST) and exercise training (ET) in a sample of patients having persistent osteoarthritic knee pain. Seventy-two married osteoarthritis (OA) patients with persistent knee pain and their spouses were randomly assigned to: SA-CST alone, SA-CST plus ET, ET alone, or standard care (SC). Patients in SA-CST alone, together with their spouses, attended 12 weekly, 2-h group sessions for training in pain coping and couples skills. Patients in SA-CST + ET received spouse-assisted coping skills training and attended 12-weeks supervised ET. Patients in the ET alone condition received just an exercise program. Data analyses revealed: (1) physical fitness and strength: the SA-CST + ET and ET alone groups had significant improvements in physical fitness compared to SA-CST alone and patients in SA-CST + ET and ET alone had significant improvements in leg flexion and extension compared to SA-CST alone and SC, (2) pain coping: patients in SA-CST + ET and SA-CST alone groups had significant improvements in coping attempts compared to ET alone or SC and spouses in SA-CST + ET rated their partners as showing significant improvements in coping attempts compared to ET alone or SC, and (3) self-efficacy: patients in SA-CST + ET reported significant improvements in self-efficacy and their spouses rated them as showing significant improvements in self-efficacy compared to ET alone or SC. Patients receiving SA-CST + ET who showed increased self-efficacy were more likely to have improvements in psychological disability. An intervention that combines spouse-assisted coping skills training and exercise training can improve physical fitness, strength, pain coping, and self-efficacy in patients suffering from pain due to osteoarthritis.

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Published In

Pain

DOI

ISSN

0304-3959

Publication Date

August 2004

Volume

110

Issue

3

Start / End Page

539 / 549

Location

United States

Related Subject Headings

  • Pain
  • Osteoarthritis, Knee
  • Middle Aged
  • Male
  • Humans
  • Female
  • Exercise Therapy
  • Caregivers
  • Anesthesiology
  • Analysis of Variance
 

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Keefe, F. J., Blumenthal, J., Baucom, D., Affleck, G., Waugh, R., Caldwell, D. S., … Lefebvre, J. (2004). Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study. Pain, 110(3), 539–549. https://doi.org/10.1016/j.pain.2004.03.022
Keefe, Francis J., James Blumenthal, Donald Baucom, Glenn Affleck, Robert Waugh, David S. Caldwell, Pat Beaupre, et al. “Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study.Pain 110, no. 3 (August 2004): 539–49. https://doi.org/10.1016/j.pain.2004.03.022.
Keefe FJ, Blumenthal J, Baucom D, Affleck G, Waugh R, Caldwell DS, et al. Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study. Pain. 2004 Aug;110(3):539–49.
Keefe, Francis J., et al. “Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study.Pain, vol. 110, no. 3, Aug. 2004, pp. 539–49. Pubmed, doi:10.1016/j.pain.2004.03.022.
Keefe FJ, Blumenthal J, Baucom D, Affleck G, Waugh R, Caldwell DS, Beaupre P, Kashikar-Zuck S, Wright K, Egert J, Lefebvre J. Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized controlled study. Pain. 2004 Aug;110(3):539–549.
Journal cover image

Published In

Pain

DOI

ISSN

0304-3959

Publication Date

August 2004

Volume

110

Issue

3

Start / End Page

539 / 549

Location

United States

Related Subject Headings

  • Pain
  • Osteoarthritis, Knee
  • Middle Aged
  • Male
  • Humans
  • Female
  • Exercise Therapy
  • Caregivers
  • Anesthesiology
  • Analysis of Variance