TitleEffectiveness of a Scaled-Up Arthritis Self-Management Program in Oregon: Walk With Ease.
Publication TypeJournal Article
Year of Publication2016
AuthorsConte, KP, Odden, MC, Linton, NM, Harvey, SM
JournalAm J Public Health
Date Published2016 Dec
KeywordsAged, Aged, 80 and over, Arthritis, Female, Health Promotion, Humans, Male, Middle Aged, Oregon, Patient Education as Topic, Program Evaluation, Self Care, Walking

OBJECTIVES: To evaluate the effectiveness of Walk With Ease (WWE), an evidence-based arthritis self-management program that was scaled up in Oregon in 2012 to 2014.

METHODS: Guided by the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework, we collected participant surveys and attendance records and conducted observations. Preprogram and postprogram, participants self-reported pain and fatigue (scale: 0-10 points; high scores indicate more pain and fatigue) and estimated episodes of physical activity per week in the last month.

RESULTS: Recruitment successfully reached the targeted population-sedentary adults with arthritis (n = 598). Participants reported significant reduction in pain (-0.47 points; P = .006) and fatigue (-0.58 points; P = .021) and increased physical activity (0.86 days/week; P < .001). WWE was adopted by workplaces and medical, community, faith, and retirement centers. Most WWE programs were delivered with high fidelity; average attendance was 47%.

CONCLUSIONS: WWE is suitable for implementation by diverse organizations. Effect sizes for pain and fatigue were less than those in the original WWE studies, but this is to be expected for a large-scale implementation. Public Health Implications. WWE can be effectively translated to diverse, real-world contexts to help sedentary adults increase physical activity and reduce pain and fatigue.

Alternate JournalAm J Public Health
PubMed ID27736216