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Effects of a self‐determination theory‐based physical activity programme for postmenopausal women with rheumatoid arthritis: A randomized controlled trial.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2023, Vol. 29 Issue 6, p1-15, 15p
- Publication Year :
- 2023
-
Abstract
- Aims: The study aimed to develop and evaluate the effects of a self‐determination theory‐based, nurse‐led, physical activity programme for postmenopausal women with rheumatoid arthritis. Methods: Between December 2019 and April 2020, this randomized controlled trial recruited 62 postmenopausal women with rheumatoid arthritis from a university‐affiliated hospital in South Korea. The intervention group participated in a self‐determination theory‐based, nurse‐led, physical activity programme that consisted of Tai Chi‐based physical activity, a supportive psychosocial strategy, and interactive counselling for 16 weeks, and the control group continued to undergo their usual care. Results: There were statistically significant group‐by‐time interactions in physical activity and perceived sarcopenia, which favoured the intervention group. Additionally, the intervention group showed significant improvements in the perceived therapeutic efficacy of physical activity, grip strength, walking speed, disease activity score, and health‐related quality of life. Conclusions: The programme developed in this study can be an effective and feasible approach for postmenopausal women with rheumatoid arthritis in improving physical activity, selected osteosarcopenic outcomes, and health‐related quality of life. Further research is required to investigate the long‐term effects of this theory‐based programme for postmenopausal women in diverse settings. Summary statement: What is already known about this topic? Tai Chi‐based physical activity has been known to be a component of self‐management for rheumatoid arthritis. What this paper adds? It highlights the efficacy of a theory‐based, nurse‐led, physical activity programme to improve the quality of life of postmenopausal women with rheumatoid arthritis.The evidenced‐based programme could be transferred to postmenopausal women with rheumatoid arthritis in clinical settings. The implications of this paper: The self‐determination theory‐based, nurse‐led, physical activity programme can improve physical and psychosocial outcomes in postmenopausal women with rheumatoid arthritis.Importantly, this nurse‐led and theory‐based programme is expected to be applicable to postmenopausal women with rheumatoid arthritis in clinical settings, including both hospitals and communities. [ABSTRACT FROM AUTHOR]
- Subjects :
- RHEUMATOID arthritis treatment
GRIP strength
WALKING speed
STATISTICAL power analysis
EXERCISE tests
EVALUATION of human services programs
ACADEMIC medical centers
COUNSELING
SOCIAL support
PATIENT autonomy
PHOTON absorptiometry
MUSCLE contraction
ANALYSIS of variance
SELF-perception
SELF-management (Psychology)
MOTIVATION (Psychology)
PSYCHOLOGY
FISHER exact test
MANN Whitney U Test
SARCOPENIA
RANDOMIZED controlled trials
TAI chi
PRE-tests & post-tests
CRONBACH'S alpha
T-test (Statistics)
THEORY
EXERCISE
RHEUMATOID arthritis
POSTMENOPAUSE
RESEARCH funding
QUALITY of life
QUESTIONNAIRES
CHI-squared test
REPEATED measures design
ANALYSIS of covariance
STATISTICAL hypothesis testing
HEALTH behavior
STATISTICAL sampling
BONE density
DATA analysis software
PATIENT compliance
WOMEN'S health
OUTPATIENT services in hospitals
EVIDENCE-based nursing
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 29
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 174181442
- Full Text :
- https://doi.org/10.1111/ijn.13199