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The Impact of Occupational Therapy on the Self‐Management of Rheumatoid Arthritis: A Mixed Methods Systematic Review.
- Source :
- ACR Open Rheumatology; Apr2024, Vol. 6 Issue 4, p214-249, 36p
- Publication Year :
- 2024
-
Abstract
- Objective: To determine the impact of occupational therapy (OT) on the self‐management of function, pain, fatigue, and lived experience for people living with rheumatoid arthritis (RA). Methods: Five databases and gray literature were searched up to June 30, 2022. Three reviewers screened titles and abstracts, with two independently extracting and assessing full texts using the Cochrane risk of bias (quantitative) and Critical Appraisal Skills Programme (qualitative) tools to assess study quality. Studies were categorized into four intervention types. Grading of Recommendations, Assessment, Development and Evaluations (GRADE) (quantitative) and GRADE‐ Confidence in Evidence from Reviews of Qualitative research (qualitative) were used to assess the quality of evidence for each intervention type. Results: Of 39 eligible papers, 29 were quantitative (n = 2,029), 4 qualitative (n = 50), and 6 mixed methods (n = 896). Good evidence supports patient education and behavior change programs for improving pain and function, particularly group sessions of joint protection education, but these do not translate to long‐term improvements for RA (>24 months). Comprehensive OT had mixed evidence (limited to home OT and an arthritis gloves program), whereas limited evidence was available for qualitative insights, splints and assistive devices, and self‐management for fatigue. Conclusion: Although patient education is promising for self‐managing RA, no strong evidence was found to support OT programs for self‐managing fatigue or patient experience and long‐term effectiveness. More research is required on lived experience, and the long‐term efficacy of self‐management approaches incorporating OT, particularly timing programs to meet the individual's conditional needs (i.e., early or established RA) to build on the few studies to date. [ABSTRACT FROM AUTHOR]
- Subjects :
- PAIN management
AMED (Information retrieval system)
HEALTH self-care
PATIENT education
COMMUNITY health services
SELF-management (Psychology)
RESEARCH funding
SELF-efficacy
RHEUMATOID arthritis
FATIGUE (Physiology)
CINAHL database
REHABILITATION
TREATMENT effectiveness
FUNCTIONAL status
DESCRIPTIVE statistics
PROBLEM solving
GOAL (Psychology)
BEHAVIOR
GROUP psychotherapy
PSYCHOLOGICAL adaptation
OCCUPATIONAL therapy
EXPERIENCE
SYSTEMATIC reviews
MEDLINE
MUSCLE strength
THEMATIC analysis
DATA analysis software
COGNITIVE therapy
PATIENTS' attitudes
PSYCHOLOGY information storage & retrieval systems
PHYSICAL mobility
ACTIVITIES of daily living
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 25785745
- Volume :
- 6
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- ACR Open Rheumatology
- Publication Type :
- Academic Journal
- Accession number :
- 176608728
- Full Text :
- https://doi.org/10.1002/acr2.11650