1. The efficacy of motivational counselling and SMS reminders on daily sitting time in patients with rheumatoid arthritis: a randomised controlled trial.
- Author
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Thomsen T, Aadahl M, Beyer N, Hetland ML, Løppenthin K, Midtgaard J, Christensen R, Østergaard M, Jennum PJ, and Esbensen BA
- Subjects
- Aged, Arthritis, Rheumatoid complications, Arthritis, Rheumatoid metabolism, Arthritis, Rheumatoid physiopathology, Autoantibodies immunology, Blood Pressure, Body Mass Index, Body Weight, Cholesterol metabolism, Cholesterol, HDL metabolism, Cholesterol, LDL metabolism, Fatigue etiology, Female, Glycated Hemoglobin metabolism, Health Status, Humans, Male, Middle Aged, Pain etiology, Patient Reported Outcome Measures, Peptides, Cyclic immunology, Rheumatoid Factor immunology, Risk Reduction Behavior, Sedentary Behavior, Self Efficacy, Triglycerides metabolism, Waist Circumference, Waist-Hip Ratio, Arthritis, Rheumatoid rehabilitation, Counseling, Exercise, Fatigue rehabilitation, Motivation, Pain rehabilitation, Quality of Life, Reminder Systems, Text Messaging
- Abstract
Objectives: The aim of this report is to investigate the efficacy of an individually tailored, theory-based behavioural intervention for reducing daily sitting time, pain and fatigue, as well as improving health-related quality of life, general self-efficacy, physical function and cardiometabolic biomarkers in patients with rheumatoid arthritis (RA)., Methods: In this randomised controlled trial 150 patients with RA were randomised to an intervention or a no-intervention control group. The intervention group received three individual motivational counselling sessions and short message service or text messages aimed at reduction of sedentary behaviour during the 16-week intervention period. Primary outcome was change in daily sitting time measured objectively by ActivPAL. Secondary outcomes included change in pain, fatigue, physical function, general self-efficacy, quality of life, blood pressure, blood lipids, haemoglobin A1c, body weight, body mass index, waist circumference and waist-hip ratio., Results: 75 patients were allocated to each group. Mean reduction in daily sitting time was -1.61 hours/day in the intervention versus 0.59 hours/day increase in the control group between-group difference -2.20 (95% CI -2.72 to -1.69; p<0.0001) hours/day in favour of the intervention group. Most of the secondary outcomes were also in favour of the intervention., Conclusion: An individually tailored, behavioural intervention reduced daily sitting time in patients with RA and improved patient-reported outcomes and cholesterol levels., Trial Registration Number: NCT01969604; Results., Competing Interests: Competing interests: None declared., (© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.)
- Published
- 2017
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