• Susan L Murphy, Angela K Lyden, Dylan M Smith, Qian Dong, and Jessica F Koliba.
• Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, USA. sumurphy@umich.edu
• Am J Occup Ther. 2010 Nov 1;64(6):869-76.

ObjectiveWe examined whether tailored activity pacing intervention was more effective at reducing pain and fatigue than general activity pacing intervention.MethodAdults with knee or hip osteoarthritis (N = 32) stratified by age and gender were randomized to receive either tailored or general pacing intervention. Participants wore an accelerometer for 5 days that measured physical activity and allowed for repeated symptom assessment. Physical activity and symptom data were used to tailor activity pacing instruction. Outcomes at 10-week follow-up were pain (Western Ontario and McMaster Universities Osteoarthritis Index) and fatigue (Brief Fatigue Inventory).ResultsCompared with general intervention, the tailored group had less fatigue interference (p = .02) and trended toward decreased fatigue severity (p = .09) at 10-wk follow-up. No group differences were found in pain reduction.ConclusionTailoring instruction on the basis of recent symptoms and physical activity may be a more effective symptom management approach than general instruction given the positive effects on fatigue.

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