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Promoting engagement in physical activity in early rheumatoid arthritis: A proof‐of‐concept intervention study

Cramp, Fiona; Thomas, Rachel; Haase, Anne M.; Domaille, Melissa; Manns, Sarah; Swales, Caroline; Hurfurt, Judy; Walsh, Nicola E.

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Authors

Fiona Cramp Fiona.Cramp@uwe.ac.uk
Professor in Long Term Conditions

Anne M. Haase

Melissa Domaille

Sarah Manns

Caroline Swales

Judy Hurfurt

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Nicola Walsh Nicola.Walsh@uwe.ac.uk
Professor in Knowledge Mobilisation & Muscul



Abstract

Objective(s): The aim of this study is to test the feasibility and acceptability of promoting engagement in physical activity in early rheumatoid arthritis (PEPA-RA) to inform a future trial.
Design: A ‘proof of concept’ study was carried out.
Setting: This study was conducted in community hospitals delivered by musculoskeletal primary care physiotherapists.
Participants: Participants were 12 adults with rheumatoid arthritis (RA) diagnosed 6–24 months previously (nine females, three males; mean age 58 years, range 23–79).
Intervention: The intervention consisted of five sessions, that is, four group sessions and one individual session facilitated by a physiotherapist over 12 weeks including patient education and support for behaviour change as well as supervised practical exercise.
Main outcomes: The main outcomes were attendance, completion of outcome measures, adverse events, and participant and physiotherapist feedback views relating to the intervention.
Results: Overall attendance was 85%, with sessions missed due to illness or RA flare. Outcome measure completion ranged from 83% to 100%. There were no clinically meaningful changes in pain or function at 12 weeks, but mean 6-min walk distance improved from 394 to 440m. No serious adverse events were reported, and participants
were generally positive about the intervention. Suggested minor modifications for the group sessions included venue accessibility and ensuring that physical activity time was protected. Several participants indicated that they would have liked to receive the intervention earlier following diagnosis.
Conclusions: PEPA-RA and the outcomes appear feasible and acceptable. Overall, small beneficial effects were noted at 12 weeks for most outcomes. Challenges to recruitment resulted in a smaller than anticipated sample size, and the majority of participants were active at baseline indicating that future recruitment needs to target
less active individuals.

Citation

Cramp, F., Thomas, R., Haase, A. M., Domaille, M., Manns, S., Swales, C., …Walsh, N. E. (2020). Promoting engagement in physical activity in early rheumatoid arthritis: A proof‐of‐concept intervention study. Musculoskeletal Care, 18(4), 487-500. https://doi.org/10.1002/msc.1493

Journal Article Type Article
Acceptance Date Jun 5, 2020
Online Publication Date Jul 14, 2020
Publication Date Dec 1, 2020
Deposit Date Jul 15, 2020
Publicly Available Date Jul 15, 2020
Journal Musculoskeletal Care
Print ISSN 1478-2189
Electronic ISSN 1557-0681
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 18
Issue 4
Pages 487-500
DOI https://doi.org/10.1002/msc.1493
Keywords Chiropractics; Physical therapy, sports therapy and rehabilitation; Rehabilitation; Rheumatology; Nursing (miscellaneous); Orthopedics and sports medicine; Musculoskeletal; Physical activity; Physical therapy; Primary care; Rheumatoid arthritis; Self‐mana
Public URL https://uwe-repository.worktribe.com/output/6248088
Publisher URL wileyonlinelibrary.com/journal/msc

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Copyright Statement
© 2020 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.







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