FASA intervention [35] | SOLAS intervention [36]a | ||
---|---|---|---|
Class structure | |||
 ▪ 12 classes, twice weekly × 60 min × 6 weeks  ▪ 15–20 min: review of participants progress since last session, weekly education topic—introduction by physiotherapist and group discussion ▪ 40–45 min: supervised group exercise |  ▪ 6 classes, once weekly × 90 min × 6 weeks  ▪ 10 min: recap of previous session and review of participants’ progress towards achieving their weekly goal ▪ 25 min: weekly education topic—introduction by physiotherapist and group discussion ▪ 45 min: supervised group exercise ▪ 10 min: after exercises session review and participant action planning for weekly goal | ||
Education and materials | |||
Class | Â | Class | Â |
1 | Education: aims of the programme, cycle of change, review of FASA exercise programme Materials: participant programme handbook | 1 | Education: aims of programme, back pain and OA causes, cycle of change, exercise recommendations, physical activity levels in Ireland, benefits of exercise/physical activity, review of SOLAS exercise programme, and goal setting Materials: participant programme handbook |
2 | Joint pain and benefits of exercise, exercise recommendations | ||
3 | Goal setting and action plans | 2 | Education: activity-rest cycle and pacing activities, use of pedometer, walking technique, understanding pain, physical activity diary, goal setting and action plan Materials: Yamax SW-200 Pedometer |
4 | Activity-rest cycle and pacing activities | ||
5 | Healthy diet | 3 | Education: balanced weight, obesity levels in Ireland, healthy eating, portion size, measuring waist circumference, physical activity diary, goal setting and action plan, food and drink diary Materials: tape measure, Your Guide to Healthy Eating using the Food Pyramid, 101+ Square Meals |
6 | Heat and ice | ||
7 | Mid-way review | 4 | Education: mid-way review, evidence-based pain management with ice/heat, medication, TENS, acupuncture, physical activity diary, goal setting and action plan |
8 | Anxiety, mood and pain | ||
9 | Relaxation techniques | 5 | Education: anxiety, mood and pain, managing flare-ups, pain coping strategies, relaxation techniques and practice, physical activity diary, goal setting and action plan Materials: relaxation CD |
10 | Drug management, dietary supplements, TENS, acupuncture | ||
11 | Managing flare-ups | 6 | Education: discharge planning, maintaining a good exercise routine in the long-term, local resources to support physical activity information, long-term physical activity diary, final goal setting and action plan, programme feedback Materials: local resources to support physical activity leaflet, graduation certificate |
12 | Exercising in the long-term |