Arthritis, Fatigue
Conditions
Keywords
arthritis, fatigue, cognitive behavioral therapy, group education, older adults, tablet, simple walking
Brief summary
The purpose of this project is to pilot test a long-term effect of Tab-G (tablet-based cognitive behavioral group education intervention). The investigators will evaluate the effect of Tab-G, relative to usual care group, on (a) daily steps, (b) fatigue level, (c) self-efficacy and (d) quality of life. Tab-G participants will receive 4 weekly CBT-based group education focusing on shared goal setting and mutual reinforcement in a group with 5 members. The outcomes will be measured baseline, week 4 (intervention completion) and week 8 (follow-up). The investigators hypothesize that older adults receiving Tab-G will have greater improvements on outcomes compared to those receiving usual care at week 4, the intervention completion and at week 8 follow-up.
Interventions
BEHAVIORALTab-G
Participants receive a tablet preloaded with Tab-G application and an accelerometer.
Sponsors
University of Massachusetts, Amherst
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
The study uses an experimental pre- and post-test repeated measures design. Those satisfying the inclusion and exclusion criteria are randomly assigned to the intervention (Tab-G, n=20) or comparison group (n=20).
Eligibility
Sex/Gender
ALL
Age
55 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. diagnosis of osteoarthritis or rheumatoid arthritis; 2. presence of greater than minimal fatigue scoring ≥13 (T-score\>55) on the Patient Reported Outcomes Measurement Information System (PROMIS) Short Form (SF) v1.0-Fatigue 6a; and 3. having Wi-Fi at home
Exclusion criteria
1. currently engaging in regular exercise; 2. non-ambulatory or presence of a condition that would limit the ability to walk (e.g., foot deformity, lower extremity joint surgery in past 6 months, stroke, severe chronic obstructive pulmonary disease, etc.); and 3. delirium, dementia, or any conditions indicating deteriorating cognitive status as determined by the Mini-Cog.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| daily steps | 24 hours | daily step counts measured by an accelerometer |
| BRICS NINR PROMIS Fatigue Short Form 6a | past 1 week | self-reported fatigue scale measuring both the experience of fatigue and the interference of fatigue on daily activities. Scores can range from 6 to 30, with higher scores indicating greater fatigue. |
| Self-Efficacy for Managing Chronic Disease 6-Item Scale | 24 hours | self-reported self-efficacy scale. Scores can range from 6 to 60, with higher scores indicating higher self-efficacy. |
| Quality of Life-Rheumatoid Arthritis Scale | past 4 weeks | self-reported perception of quality of life. Scores can range from 8 to 80 with higher scores indicating greater quality of life. |
Countries
United States
Outcome results
None listed