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Efficacy of a Physical Activity Counselling Program with Use of Wearable Tracker in People with Inflammatory Arthritis : A Randomized Controlled Trial Li, Linda C.; Feehan, Lynne M.; Xie, Hui; Lu, Na; Shaw, Chris; Gromala, Diane; Aviña-Zubieta, J. Antonio; Koehn, Cheryl; Hoens, Alison; English, Kelly; Tam, Johnathan; Therrien, Stephanie; Townsend, Anne F.; Noonan, Greg; Backman, Catherine
Abstract
Objectives. To assess the efficacy of a multi-faceted counselling intervention at improving physical activity participation and patient outcomes. Methods. We recruited people with rheumatoid arthritis (RA) or systemic lupus erythematosus (SLE). In Weeks 1-8, the Immediate Group received education and counselling by a physiotherapist (PT), used a Fitbit and a web-application to obtain feedback about their physical activity, and received 4 follow-up calls from the PT. The Delay Group received the same intervention in Weeks 10-17. Participants were assessed at baseline, Week 9, 18 and 27. Primary outcome was time spent in moderate/vigorous physical activity (MVPA; in bouts of >10 mins) measured with a SenseWear. Secondary outcomes included step count, time in sedentary behaviour, pain, fatigue, mood, self management capacity, and habitual behaviours. Results. 118 participants enrolled. The adjusted mean difference in MVPA was 9.4 mins/day (95% CI: -0.5, 19.3, P=0.06). A significant effect was found in pain (-2.45; 95% CI: -4.78, -0.13, P=0.04), and perceived walking habit (0.54; 95% CI: 0.08, 0.99, P=0.02). The remaining secondary outcomes improved, but were not statistically significant. Post-hoc analysis revealed a significant effect in MVPA (14.3 mins/day; 95% CI: 2.3, 26.3) and pain (-4.05; 95% CI: -6.73, -1.36) in participants with RA, but not those with SLE. Conclusion. Counselling by a PT has potential to improve physical activity in people with inflammatory arthritis, but further study is needed to understand the intervention effect on different diseases. We found a significant improvement in pain, suggesting the intervention might have a positive effect on symptom management.
Item Metadata
Title |
Efficacy of a Physical Activity Counselling Program with Use of Wearable Tracker in People with Inflammatory Arthritis : A Randomized Controlled Trial
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Creator | |
Contributor | |
Publisher |
Arthritis Care & Research
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Date Issued |
2020-04-05
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Description |
Objectives. To assess the efficacy of a multi-faceted counselling intervention at improving physical
activity participation and patient outcomes.
Methods. We recruited people with rheumatoid arthritis (RA) or systemic lupus erythematosus
(SLE). In Weeks 1-8, the Immediate Group received education and counselling by a physiotherapist
(PT), used a Fitbit and a web-application to obtain feedback about their physical activity, and received
4 follow-up calls from the PT. The Delay Group received the same intervention in Weeks 10-17.
Participants were assessed at baseline, Week 9, 18 and 27. Primary outcome was time spent in
moderate/vigorous physical activity (MVPA; in bouts of >10 mins) measured with a SenseWear.
Secondary outcomes included step count, time in sedentary behaviour, pain, fatigue, mood, self management capacity, and habitual behaviours. Results. 118 participants enrolled. The adjusted mean difference in MVPA was 9.4 mins/day (95%
CI: -0.5, 19.3, P=0.06). A significant effect was found in pain (-2.45; 95% CI: -4.78, -0.13, P=0.04),
and perceived walking habit (0.54; 95% CI: 0.08, 0.99, P=0.02). The remaining secondary outcomes
improved, but were not statistically significant. Post-hoc analysis revealed a significant effect in MVPA (14.3 mins/day; 95% CI: 2.3, 26.3) and pain (-4.05; 95% CI: -6.73, -1.36) in participants with
RA, but not those with SLE.
Conclusion. Counselling by a PT has potential to improve physical activity in people with
inflammatory arthritis, but further study is needed to understand the intervention effect on different
diseases. We found a significant improvement in pain, suggesting the intervention might have a
positive effect on symptom management.
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Subject | |
Genre | |
Type | |
Language |
eng
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Date Available |
2021-04-05
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Provider |
Vancouver : University of British Columbia Library
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Rights |
Attribution-NonCommercial-NoDerivatives 4.0 International
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DOI |
10.14288/1.0395651
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URI | |
Affiliation | |
Citation |
Li, L.C., Feehan, L.M., Xie, H., Lu, N., Shaw, C., Gromala, D., Aviña‐Zubieta, J.A., Koehn, C., Hoens, A.M., English, K., Tam, J., Therrien, S., Townsend, A.F., Noonan, G. and Backman, C.L. (2020), Efficacy of a Physical Activity Counseling Program With Use of a Wearable Tracker in People With Inflammatory Arthritis: A Randomized Controlled Trial. Arthritis Care Res, 72: 1755-1765.
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Publisher DOI |
10.1002/acr.24199
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Peer Review Status |
Reviewed
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Scholarly Level |
Faculty; Researcher; Postdoctoral
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Rights URI | |
Aggregated Source Repository |
DSpace
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Item Citations and Data
Rights
Attribution-NonCommercial-NoDerivatives 4.0 International