The role of helplessness, outcome expectation for exercise and literacy in predicting disability and symptoms in older adults with arthritis

Anita Ashok Bhat, Darren A. DeWalt, Catherine R. Zimmer, Bruce J. Fried, Leigh F. Callahan

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Objective: To examine the effect of outcome expectation for exercise (OEE), helplessness, and literacy on arthritis outcomes in 2 community-based lifestyle randomized controlled trials (RCTs) conducted in urban and rural communities with older adults with arthritis. Methods: Data from 391 participants in 2 RCTs were combined to examine associations of 2 psychosocial variables: helplessness and OEE, and literacy with arthritis outcomes. Arthritis outcomes namely, the Health Assessment Questionnaire-Disability Index (HAQ-DI) and arthritis symptoms pain, fatigue and stiffness Visual Analogue Scales (VAS), were measured at baseline and at the end of the interventions. Complete baseline and post-intervention data were analyzed using STATA version 9. Results: Disability after intervention was not predicted by helplessness, literacy, or OEE in the adjusted model. Arthritis symptoms after the intervention were all significantly predicted by helplessness at various magnitudes in adjusted models, but OEE and literacy were not significant predictors. Conclusion: When literacy, helplessness, and OEE were examined as predictors of arthritis outcomes in intervention trials, they did not predict disability. However, helplessness predicted symptoms of pain, fatigue, and stiffness, but literacy did not predict symptoms. Practice implications: Future sustainable interventions may include self-management components that address decreasing helplessness to improve arthritis outcomes.

Original languageEnglish (US)
Pages (from-to)73-78
Number of pages6
JournalPatient Education and Counseling
Volume81
Issue number1
DOIs
StatePublished - Oct 1 2010

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Arthritis
Fatigue
Randomized Controlled Trials
Pain
Literacy
Rural Population
Self Care
Visual Analog Scale
Life Style
Health

Keywords

  • Arthritis outcomes
  • Helplessness
  • Literacy
  • Outcome expectation for exercise

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The role of helplessness, outcome expectation for exercise and literacy in predicting disability and symptoms in older adults with arthritis. / Bhat, Anita Ashok; DeWalt, Darren A.; Zimmer, Catherine R.; Fried, Bruce J.; Callahan, Leigh F.

In: Patient Education and Counseling, Vol. 81, No. 1, 01.10.2010, p. 73-78.

Research output: Contribution to journalArticle

Bhat, Anita Ashok ; DeWalt, Darren A. ; Zimmer, Catherine R. ; Fried, Bruce J. ; Callahan, Leigh F. / The role of helplessness, outcome expectation for exercise and literacy in predicting disability and symptoms in older adults with arthritis. In: Patient Education and Counseling. 2010 ; Vol. 81, No. 1. pp. 73-78.
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