Rheumatoid Arthritis Clinical Trial
Official title:
A Randomized Controlled Study to Evaluate the Short- and Long-term Effectiveness of an Individualized Resource Oriented Occupational Therapy for Patients With Rheumatoid Arthritis
The purpose of the study is to compare the short- and long-term effectiveness of an individualized, resource-oriented joint protection intervention with the standard, problem-oriented joint protection intervention for patients with rheumatoid arthritis.
Joint Protection (JP)is an important intervention in the management of people with
arthritis. Altering working methods (e.g. use of proximal joints, dynamic activities),
energy conservation (balance between activity and rest) and using assistive devices should
place less strain on joint structures weakened by the disease process. These strategies
ought to decrease pain and stress on joints, improve function, and facilitate maintaining
social roles.
The effectiveness of JP has been evaluated in a number of studies, all in a group setting.
JP has beneficial short-term effects on pain and function in patients with established RA
and moderate functional problems. Using assistive devices reduces pain during task
performance in comparison to normal methods and altering working methods significantly
reduces difficulties in activities of daily living (ADL). However this generally does not
result in significant behavioral changes and a long-term impact on reducing pain and
maintaining function may only be reached if JP is taught using behavioral education methods.
Additionally, adherence of RA patients to different interventions is generally modest, which
may well determine the effectiveness of any given intervention, especially in the long-term.
All previous studies were carried out in group settings, however, in Switzerland, standard
JP education is provided on a one-to-one basis and an individualized education is assumed to
be a promising approach.
This clinical trial aims to test the hypothesis that an individualized, resource-oriented JP
education in RA patients leads to a better therapy success in the short and long-term,
compared to problem-oriented standard JP education in terms of joint protection behavior.
Secondary outcome parameters are self-perception, general and specific self-efficacy and
general and health-related quality of life.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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