Six and 12 months' effects of individual joint protection education in people with rheumatoid arthritis: A randomized controlled trial

Niedermann, Karin; Büchi, Stefan; Ciurea, Adrian; Kubli, Regula; Steurer-Stey, Claudia; Villiger, Peter M.; Bie, Rob A. de

doi:10.3109/11038128.2011.611820

Cited by 40 publications

(35 citation statements)

References 29 publications

(39 reference statements)

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“…Interactive individual education by rheumatologists improved adherence to medication regimen 19 20. Individual counselling by OTs and PTs led to increased use of self-management strategies, such as hand exercises, joint protection and activity regulation 26 71 72. Individual counselling by psychologists reduced depression, anxiety and total use of healthcare 37 42 69.…”

Section: Resultsmentioning

confidence: 99%

“…The definition emphasises that PE is an interactive learning process , not a one-way delivery of knowledge. Substantial evidence has shown that interactive counselling, either in combination with group sessions or in one-by-one consultations with a competent HP, has beneficial effects in terms of adherence to treatment regimens, behavioural change, use of self-management strategies and well-being 19 37 49 72 108. In order to ensure the application of shared decision-making, HPs need to develop their communication skills, and patient representatives should be involved in all phases of designing, implementing and evaluating the interventions.…”

Section: Discussionmentioning

confidence: 99%

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EULAR recommendations for patient education for people with inflammatory arthritis

et al. 2015

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ObjectivesThe task force aimed to: (1) develop evidence-based recommendations for patient education (PE) for people with inflammatory arthritis, (2) identify the need for further research on PE and (3) determine health professionals' educational needs in order to provide evidence-based PE. Methods A multidisciplinary task force, representing 10 European countries, formulated a definition for PE and 10 research questions that guided a systematic literature review (SLR). The results from the SLR were discussed and used as a basis for developing the recommendations, a research agenda and an educational agenda. The recommendations were categorised according to level and strength of evidence graded from A (highest) to D (lowest). Task force members rated their agreement with each recommendation from 0 (total disagreement) to 10 (total agreement). Results Based on the SLR and expert opinions, eight recommendations were developed, four with strength A evidence. The recommendations addressed when and by whom PE should be offered, modes and methods of delivery, theoretical framework, outcomes and evaluation. A high level of agreement was achieved for all recommendations (mean range 9.4-9.8). The task force proposed a research agenda and an educational agenda. Conclusions The eight evidence-based and expert opinion-based recommendations for PE for people with inflammatory arthritis are intended to provide a core framework for the delivery of PE and training for health professionals in delivering PE across Europe.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

EULAR recommendations for patient education for people with inflammatory arthritis

et al. 2015

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“…In four trials (Ben‐Ami et al, ; Friedrich et al, ; Lonsdale et al, ; Vong et al, ), behavioural counselling was delivered in conjunction with physiotherapy. Behavioural counselling was also delivered alongside a prescribed exercise routine including supervised exercise sessions (Ang et al, ), with occupational therapy (Niedermann et al, , ) and with cognitive behavioural therapy (Kerns et al, ). In all of these trials, the control group also received the adjunct therapies, thus behavioural counselling was the distinguishing feature between both interventions.…”

Section: Resultsmentioning

confidence: 99%

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Martin

Dobson

Hall

et al. 2019

Musculoskeletal Care

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Objective A systematic review and meta‐analysis of controlled trials was carried out to examine the effect of behavioural counselling on determinants of behaviour change in adults with chronic, painful musculoskeletal conditions. Methods Seven databases were searched up to January 2019. Two reviewers independently screened title/abstracts and full texts. Eligible trials included those including participants over 18 years of age with a chronic, painful musculoskeletal condition, a measurement of at least one behavioural determinant and lifestyle behaviour, and where behavioural counselling was the distinguishing intervention. Two reviewers independently extracted data and assessed for risk of bias using the Cochrane Risk of Bias Tool. Meta‐analyses were conducted, using standardized mean differences and 95% confidence intervals (CIs) when at least two trials examined the same outcome. The quality of the evidence was evaluated using the Grades of Recommendation, Assessment, Development and Evaluation approach. Results Fourteen unique trials, reported in 16 publications, were included. Low‐quality evidence showed that behavioural counselling has a small effect on increasing self‐reported physical activity (standardized mean difference 0.26; 95% CI 0.00, 0.53). Very‐low‐quality evidence showed that behavioural counselling has a moderate effect on self‐efficacy related to physical activity (standardized mean difference 0.69; 95% CI 0.19, 1.18). Low‐quality evidence suggested that behavioural counselling has no effect on symptoms of depression and anxiety. Conclusions Behavioural counselling may help to increase self‐reported physical activity levels in adults with chronic painful musculoskeletal conditions. Self‐efficacy may be a behavioural determinant in an underlying causal pathway explaining positive lifestyle change.

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“…41 Além disso, a feitura de atividades para fortalecimento da musculatura periarticular e manutenção da amplitude de movimento articular, sobretudo nos membros superiores, também é um recurso que colabora para a manutenção ou melhoria da capacidade funcional do paciente 42,43 e permite melhor desempenho e preservação das estruturas articulares acometidas pela AR.…”

Section: Tabela 2 -Princípios De Proteção Articular E Conservação De unclassified

Terapia ocupacional na artrite reumatoide: o que o reumatologista precisa saber?

Almeida

Pontes

Matheus

et al. 2015

Revista Brasileira de Reumatologia

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Interventions focusing on education and self-management of rheumatoid arthritis (RA) by the patient improves adherence and effectiveness of early treatment. The combination of pharmacologic and rehabilitation treatment aims to maximize the possibilities of intervention, delaying the appearance of new symptoms, reducing disability and minimizing sequelae, decreasing the impact of symptoms on patient's functionality. Occupational therapy is a health profession that aims to improve the performance of daily activities by the patient, providing means for the prevention of functional limitations, adaptation to lifestyle changes and maintenance or improvement of psychosocial health. Due to the systemic nature of RA, multidisciplinary follow-up is necessary for the proper management of the impact of the disease on various aspects of life. As a member of the health team, occupational therapists objective to improve and maintaining functional capacity of the patient, preventing the progression of deformities, assisting the process of understanding and coping with the disease and providing means for carrying out the activities required for the engagement of the individual in meaningful occupations, favoring autonomy and independence in self-care activities, employment, educational, social and leisure. The objective of this review is to familiarize the rheumatologist with the tools used for assessment and intervention in occupational therapy, focusing on the application of these principles to the treatment of patients with RA.

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Six and 12 months' effects of individual joint protection education in people with rheumatoid arthritis: A randomized controlled trial

Cited by 40 publications

References 29 publications

EULAR recommendations for patient education for people with inflammatory arthritis

EULAR recommendations for patient education for people with inflammatory arthritis

The effects of behavioural counselling on the determinants of health behaviour change in adults with chronic musculoskeletal conditions making lifestyle changes: A systematic review and meta‐analysis

Terapia ocupacional na artrite reumatoide: o que o reumatologista precisa saber?

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