The Centers for Disease Control and Prevention (CDC) and APTA support the use of community-based activity programs to manage arthritis and related chronic conditions outside a therapeutic setting. Go to the Arthritis Management Through Community-Based Programs webpage to learn more, or explore the following organizations.
These articles form the core of the evidence base for the physical activity programs discussed at the Arthritis Management Through Community-Based Programs webpage. They consist of published journal articles or written evaluation reports, focusing on studies with at least 75 participants in the treatment group and at least a 6-month follow-up period.
Review the abstracts linked below for more detailed information on programs of interest. In some cases, free full-text articles may be available.
Brady TJ, Jernick SL, Hootman JM, et al. Public health interventions for arthritis: expanding the toolbox of evidence-based interventions.Journal of Women's Health. 2009;18(12):1905-1917.
Centers for Disease Control and Prevention Arthritis Program. Arthritis Appropriate Physical Activity and Self-Management Education Interventions: A Compendium of Implementation Information. August 2012.
Arthritis Foundation Aquatic Program
Patrick DL, Ramsey SD, Spencer AC, et al. Economic evaluation of aquatic exercise for persons with osteoarthritis. Medical Care. 2001;39(5):413-424.
Belza B, Topolski T, Kinne S, et al. Does adherence make a difference? Results from a community-based aquatic exercise program. Nursing Research. 2002;51(5):285-291.
Wang TJ, Belza B, Thompson FE, et al. Effects of aquatic exercise on flexibility, strength and aerobic fitness in adults with osteoarthritis of the hip or knee. Journal of Advanced Nursing. 2007;57(2):141-152.
Arthritis Foundation Exercise Program
Minor MA, Prost E, Nigh M, et al. Outcomes from the Arthritis Foundation exercise program: a randomized controlled trial. Arthritis and Rheumatism. 2007;56(suppl):S309 [abstract 724].
Callahan LF, Mielenz T, Freburger J, et al. A randomized controlled trial of the People with Arthritis Can Exercise Program: symptoms, function, physical activity, and psychosocial outcomes. Arthritis and Rheumatism. 2008;59(1):92-101.
Active Living Every Day
Wilcox S, Dowda M, Leviton LC, et al. Active for Life: final results from the translation of two physical activity programs. American Journal of Preventive Medicine. 2008;35(4):340-351.
Baruth M, Wilcox S. Effectiveness of two evidence-based programs in participants with arthritis: findings from the Active for Life initiative. Arthritis Care & Research. 2011;63(7):1038-1047.
Wilcox S, Dowda M, Wegley S, et al. Maintenance of change in the Active-for-Life initiative. American Journal of Preventive Medicine. 2009;37(6):501-504.
Callahan L, Cleveland R, Shreffler R, et al. Evaluation of Active Living Every Day in adults with arthritis. Journal of Physical Activity & Health. 2014; 11(2), 285-295.
Callahan LF, Schoster B, Hootman J, et al. Modifications to the Active Living Every Day (ALED) course for adults with arthritis. Preventing Chronic Disease. 2007;4(3):A58.
Wallace JI, Buchner DM, Grothaus L, et al. Implementation and effectiveness of a community-based health promotion program for older adults. Journal of Gerontology: Medical Sciences. 1998;53(4):M301-M306.
Ackermann RT, Cheadle A, Sandhu N, et al. Community exercise program use and changes in healthcare costs for older adults. American Journal of Preventive Medicine. 2003;25(3):232-237.
Belza B, Shumway-Cook A, Phelan EA, et al. The effects of a community-based exercise program on function and health in older adults: the EnhanceFitness program. Journal of Applied Gerontology. 2006;25(4):291-306.
Ackermann RT, Williams B, Nguyen HQ,, et al. Healthcare cost differences with participation in a community-based group physical activity benefit for Medicare managed care health plan members. Journal of the American Geriatrics Society. 2008;56(8):1459-1465.
Fit & Strong!
Hughes SL, Seymour RB, Campbell R, et al. Impact of the Fit & Strong! intervention on older adults with osteoarthritis. Gerontologist. 2004;44(2):217-228.
Hughes SL, Seymour RB, Campbell RT, et al. Long-term impact of Fit & Strong! on older adults with osteoarthritis. Gerontologist. 2006;46(6):801-814.
Seymour RB, Hughes SL, Campbell RT, et al. Comparison of two methods of conducting the Fit & Strong! Program. Arthritis and Rheumatism. 2009;61(7):876-884.
Hughes SL, Seymour RB, Campbell RT, et al. Fit and Strong!: bolstering maintenance of physical activity among older adults with lower-extremity osteoarthritis. American Journal of Health Behavior. 2010;34(6):750-763.
Walk With Ease
Callahan LF, Shreffler J, Altpeter M, et al. Evaluation of group and self-directed formats of the Arthritis Foundation's Walk With Ease Program. Arthritis Care & Research. 2011;63(8):1098-1107.