Rheumatoid Arthritis Clinical Trial
Official title:
The Effect of Person-centered Physical Therapy on Fatigue Related Variables in Persons With Rheumatoid Arthritis- Randomized Controlled Trial
Aim: To study if a person-centered physical therapy intervention program contributes to diminished fatigue in people with Rheumatoid Arthritis (RA).
The effect of person-centered physical therapy on fatigue related variables in peoples with
Rheumatoid Arthritis- Randomized controlled trial Aim: To study if a person-centered physical
therapy intervention program contributes to diminished fatigue in people with RA.
Hypothesis: That the person-centered treatment program diminishes fatigue and its
consequences on daily life.
Design: A controlled randomized interventional trial, assessing effectiveness of
intervention.
Methods:
Selection: Seventy persons with diagnosis of RA and fatigue over 50 (0-100) will be recruited
from the rheumatology clinic at Sahlgrenska University Hospital. Participants are randomized
to an intervention group or a waiting list control group.
Intervention: The 12-week intervention period begins with an individual person-centered
meeting to develop an individualized feasible self-care plan for the participant with extra
focus on health-enhancing physical activity, stress management (relaxation exercise training
and modified mindfulness techniques) and balance in daily life. A written consent, aiming to
increase coherence, is signed. The participants will be asked to keep a journal about their
strategies and reflections. Follow up meetings and contacts will be planned according to
personal preferences.
Procedure: The participants are invited to a clinical examination before and after the
12-week intervention and at 6-month follow-up, assessing demographic data, disease activity,
inflammation parameters, physical capacity and questionnaires of health status in RA. Primary
outcome are questionnaires of single item- and multidimensional fatigue.
Analysis: Effects of the interventions will be analyzed using non-parametric statistics for
between-group changes over time. Within-group changes over time will be analyzed for each
group.
Expected results. New knowledge of fatigue is of importance for improvement of overall health
of people with RA, as fatigue influences all aspects of their life, both private life and
employment, thus decreasing the quality of life.
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