The efficacy of motivational counselling and SMS reminders on daily sitting time in patients with rheumatoid arthritis: a randomised controlled trial.

Autor:	Thomsen, Tanja, Aadahl, Mette, Beyer, Nina, Hetland, Merete Lund, Løppenthin, Katrine, Midtgaard, Julie, Christensen, Robin, Østergaard, Mikkel, Jennum, Poul Jørgen, Esbensen, Bente Appel
Předmět:	CHOLESTEROL metabolism AUTOANTIBODIES BEHAVIOR BLOOD pressure BODY weight COMPARATIVE studies COUNSELING EXERCISE FATIGUE (Physiology) GLYCOSYLATED hemoglobin HEALTH status indicators HIGH density lipoproteins LOW density lipoproteins RESEARCH methodology MEDICAL cooperation MOTIVATION (Psychology) PAIN PEPTIDES QUALITY of life RESEARCH RHEUMATOID arthritis SELF-efficacy TRIGLYCERIDES TEXT messages EVALUATION research BODY mass index RANDOMIZED controlled trials HEALTH care reminder systems WAIST-hip ratio SEDENTARY lifestyles WAIST circumference DISEASE complications
Zdroj:	Annals of the Rheumatic Diseases; Sep2017, Vol. 76 Issue 9, p1603-1606, 4p, 3 Charts
Abstrakt:	Objectives: The aim of this report is to investigate the efficacy of an individually tailored, theory-based behavioural intervention for reducing daily sitting time, pain and fatigue, as well as improving health-related quality of life, general self-efficacy, physical function and cardiometabolic biomarkers in patients with rheumatoid arthritis (RA).Methods: In this randomised controlled trial 150 patients with RA were randomised to an intervention or a no-intervention control group. The intervention group received three individual motivational counselling sessions and short message service or text messages aimed at reduction of sedentary behaviour during the 16-week intervention period. Primary outcome was change in daily sitting time measured objectively by ActivPAL. Secondary outcomes included change in pain, fatigue, physical function, general self-efficacy, quality of life, blood pressure, blood lipids, haemoglobin A1c, body weight, body mass index, waist circumference and waist-hip ratio.Results: 75 patients were allocated to each group. Mean reduction in daily sitting time was -1.61 hours/day in the intervention versus 0.59 hours/day increase in the control group between-group difference -2.20 (95% CI -2.72 to -1.69; p<0.0001) hours/day in favour of the intervention group. Most of the secondary outcomes were also in favour of the intervention.Conclusion: An individually tailored, behavioural intervention reduced daily sitting time in patients with RA and improved patient-reported outcomes and cholesterol levels.Trial Registration Number: NCT01969604; Results. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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