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Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial
The purpose of this study is to evaluate the effects of targeting both the motivation and action phases of behaviour change in a 5-week intervention to increase physical activity (PA) among patients with rheumatoid arthritis (RA) not meeting current PA recommendations. In a randomised controlled tri...
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Published in: | Clinical rheumatology 2015-02, Vol.34 (2), p.231-238 |
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container_title | Clinical rheumatology |
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creator | Knittle, Keegan De Gucht, Veronique Hurkmans, Emalie Peeters, Andre Ronday, Karel Maes, Stan Vlieland, Thea Vliet |
description | The purpose of this study is to evaluate the effects of targeting both the motivation and action phases of behaviour change in a 5-week intervention to increase physical activity (PA) among patients with rheumatoid arthritis (RA) not meeting current PA recommendations. In a randomised controlled trial, a control group—which received a group-based patient education session led by a physical therapist—was compared to a treatment group which received the education session plus a motivational interview from a physical therapist and two self-regulation coaching sessions from a rheumatology nurse. Outcomes included leisure-time PA, days per week with at least 30 min of moderate-intensity PA, self-efficacy and autonomous motivation (cognitions which predict PA initiation and maintenance), disease activity, functional status, depressive symptoms and fatigue. Effects were assessed using mixed models repeated measures. Of the 78 patients randomised, 76 and 67 completed the post-treatment and follow-up assessments, respectively. Significant treatment effects were found for leisure-time PA (
p
= 0.022), active days/week (
p
= 0.016), self-efficacy (
p
= 0.008) and autonomous motivation (
p
= 0.001). At post-treatment and 6-months follow-up, significantly more treated patients than controls met current PA recommendations. No significant effects were found for disease activity, functional status, depressive symptoms or fatigue. Combining motivation- and action-focused intervention approaches improved PA-related cognitions and led to improved uptake and maintenance of leisure-time PA. However, further research is necessary to identify ways of helping patients with RA transition to—and maintain—more intensive forms of PA which are more likely to improve disease activity and functional status. |
doi_str_mv | 10.1007/s10067-013-2425-x |
format | article |
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p
= 0.022), active days/week (
p
= 0.016), self-efficacy (
p
= 0.008) and autonomous motivation (
p
= 0.001). At post-treatment and 6-months follow-up, significantly more treated patients than controls met current PA recommendations. No significant effects were found for disease activity, functional status, depressive symptoms or fatigue. Combining motivation- and action-focused intervention approaches improved PA-related cognitions and led to improved uptake and maintenance of leisure-time PA. However, further research is necessary to identify ways of helping patients with RA transition to—and maintain—more intensive forms of PA which are more likely to improve disease activity and functional status.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-013-2425-x</identifier><identifier>PMID: 24213780</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Aged ; Arthritis, Rheumatoid - psychology ; Arthritis, Rheumatoid - therapy ; Behavior Therapy - methods ; Exercise - psychology ; Female ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Motivation ; Original Article ; Rheumatology ; Self Efficacy ; Social Control, Informal ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>Clinical rheumatology, 2015-02, Vol.34 (2), p.231-238</ispartof><rights>Clinical Rheumatology 2013</rights><rights>International League of Associations for Rheumatology (ILAR) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-9ed8912a5aea075b9c063aea42faafe143aa785a119a18c831e43120e8f2faec3</citedby><cites>FETCH-LOGICAL-c475t-9ed8912a5aea075b9c063aea42faafe143aa785a119a18c831e43120e8f2faec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24213780$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Knittle, Keegan</creatorcontrib><creatorcontrib>De Gucht, Veronique</creatorcontrib><creatorcontrib>Hurkmans, Emalie</creatorcontrib><creatorcontrib>Peeters, Andre</creatorcontrib><creatorcontrib>Ronday, Karel</creatorcontrib><creatorcontrib>Maes, Stan</creatorcontrib><creatorcontrib>Vlieland, Thea Vliet</creatorcontrib><title>Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>The purpose of this study is to evaluate the effects of targeting both the motivation and action phases of behaviour change in a 5-week intervention to increase physical activity (PA) among patients with rheumatoid arthritis (RA) not meeting current PA recommendations. In a randomised controlled trial, a control group—which received a group-based patient education session led by a physical therapist—was compared to a treatment group which received the education session plus a motivational interview from a physical therapist and two self-regulation coaching sessions from a rheumatology nurse. Outcomes included leisure-time PA, days per week with at least 30 min of moderate-intensity PA, self-efficacy and autonomous motivation (cognitions which predict PA initiation and maintenance), disease activity, functional status, depressive symptoms and fatigue. Effects were assessed using mixed models repeated measures. Of the 78 patients randomised, 76 and 67 completed the post-treatment and follow-up assessments, respectively. Significant treatment effects were found for leisure-time PA (
p
= 0.022), active days/week (
p
= 0.016), self-efficacy (
p
= 0.008) and autonomous motivation (
p
= 0.001). At post-treatment and 6-months follow-up, significantly more treated patients than controls met current PA recommendations. No significant effects were found for disease activity, functional status, depressive symptoms or fatigue. Combining motivation- and action-focused intervention approaches improved PA-related cognitions and led to improved uptake and maintenance of leisure-time PA. However, further research is necessary to identify ways of helping patients with RA transition to—and maintain—more intensive forms of PA which are more likely to improve disease activity and functional status.</description><subject>Aged</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Arthritis, Rheumatoid - therapy</subject><subject>Behavior Therapy - methods</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Original Article</subject><subject>Rheumatology</subject><subject>Self Efficacy</subject><subject>Social Control, Informal</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqFkcFu1DAQhi0EotvCA3BBlrhwCXgcZ2NzQxVQpEpcyjmaOpNdV0m82A7tvgTPzFQpCCEhLvbI_v5_PP6FeAHqDSjVvs28bttKQV1po5vq7pHYgKlN5Zxxj8VGta2qanD2RJzmfKOU0tbBU3HCNNStVRvx4wrTjkqYd3KKJXzHEuIsce5lpnGoEu2WcT0rUYbZJ8JM8rA_5uBxlOhZE8pR4hTZ4sAozSXL21D2Mu1pmbDE0EtMZZ9CCfmdRJnYPk4hUy99nEuK48hlSQHHZ-LJgGOm5w_7mfj68cPV-UV1-eXT5_P3l5U3bVMqRz0PorFBQtU2186rbc210QPiQPwHiK1tEMAhWG9rIFODVmQHJsjXZ-L16ntI8dtCuXT8Hk_jiDPFJXdgLbQNGNf8H9022nAOWjH66i_0Ji5p5kGYMpYx2AJTsFI-xZwTDd0hhQnTsQPV3efarbl2nGt3n2t3x5qXD87L9UT9b8WvIBnQK5D5at5R-qP1P11_AkMVsV4</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Knittle, Keegan</creator><creator>De Gucht, Veronique</creator><creator>Hurkmans, Emalie</creator><creator>Peeters, Andre</creator><creator>Ronday, Karel</creator><creator>Maes, Stan</creator><creator>Vlieland, Thea Vliet</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150201</creationdate><title>Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial</title><author>Knittle, Keegan ; De Gucht, Veronique ; Hurkmans, Emalie ; Peeters, Andre ; Ronday, Karel ; Maes, Stan ; Vlieland, Thea Vliet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-9ed8912a5aea075b9c063aea42faafe143aa785a119a18c831e43120e8f2faec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Arthritis, Rheumatoid - therapy</topic><topic>Behavior Therapy - methods</topic><topic>Exercise - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Original Article</topic><topic>Rheumatology</topic><topic>Self Efficacy</topic><topic>Social Control, Informal</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Knittle, Keegan</creatorcontrib><creatorcontrib>De Gucht, Veronique</creatorcontrib><creatorcontrib>Hurkmans, Emalie</creatorcontrib><creatorcontrib>Peeters, Andre</creatorcontrib><creatorcontrib>Ronday, Karel</creatorcontrib><creatorcontrib>Maes, Stan</creatorcontrib><creatorcontrib>Vlieland, Thea Vliet</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health Medical collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Knittle, Keegan</au><au>De Gucht, Veronique</au><au>Hurkmans, Emalie</au><au>Peeters, Andre</au><au>Ronday, Karel</au><au>Maes, Stan</au><au>Vlieland, Thea Vliet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>34</volume><issue>2</issue><spage>231</spage><epage>238</epage><pages>231-238</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>The purpose of this study is to evaluate the effects of targeting both the motivation and action phases of behaviour change in a 5-week intervention to increase physical activity (PA) among patients with rheumatoid arthritis (RA) not meeting current PA recommendations. In a randomised controlled trial, a control group—which received a group-based patient education session led by a physical therapist—was compared to a treatment group which received the education session plus a motivational interview from a physical therapist and two self-regulation coaching sessions from a rheumatology nurse. Outcomes included leisure-time PA, days per week with at least 30 min of moderate-intensity PA, self-efficacy and autonomous motivation (cognitions which predict PA initiation and maintenance), disease activity, functional status, depressive symptoms and fatigue. Effects were assessed using mixed models repeated measures. Of the 78 patients randomised, 76 and 67 completed the post-treatment and follow-up assessments, respectively. Significant treatment effects were found for leisure-time PA (
p
= 0.022), active days/week (
p
= 0.016), self-efficacy (
p
= 0.008) and autonomous motivation (
p
= 0.001). At post-treatment and 6-months follow-up, significantly more treated patients than controls met current PA recommendations. No significant effects were found for disease activity, functional status, depressive symptoms or fatigue. Combining motivation- and action-focused intervention approaches improved PA-related cognitions and led to improved uptake and maintenance of leisure-time PA. However, further research is necessary to identify ways of helping patients with RA transition to—and maintain—more intensive forms of PA which are more likely to improve disease activity and functional status.</abstract><cop>London</cop><pub>Springer London</pub><pmid>24213780</pmid><doi>10.1007/s10067-013-2425-x</doi><tpages>8</tpages></addata></record> |
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subjects | Aged Arthritis, Rheumatoid - psychology Arthritis, Rheumatoid - therapy Behavior Therapy - methods Exercise - psychology Female Humans Male Medicine Medicine & Public Health Middle Aged Motivation Original Article Rheumatology Self Efficacy Social Control, Informal Surveys and Questionnaires Treatment Outcome |
title | Targeting motivation and self-regulation to increase physical activity among patients with rheumatoid arthritis: a randomised controlled trial |
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