RAHelp: An Online Intervention for Individuals With Rheumatoid Arthritis

Abstract

Objective. To test an intervention for improving self-management in rheumatoid arthritis (RA) using an online, cognitive-behavioral, self-management group program (RAHelp), with weekly telephone support. Methods. A 2-group, randomized study design was used to compare an intervention for RA versus a waiting-list control condition. The intervention used a secure web site (RAHelp.org) to provide a 10-week program with weekly educational modules for improving self-efficacy in self-management of RA, plus tools for group interaction. Weekly telephone contacts were made to encourage use of program tools and apply newly learned skills. A nationwide convenience sample of 106 adult participants (mean age 50 years, 93% women) was recruited primarily through online advertisements. Main outcome measures included the Arthritis Impact Measurement Scales 2 (affective, physical, role, social, and pain/ symptom components), Arthritis Self-Efficacy Scale (ASES), Center for Epidemiologic Studies Depression Scale, Quality of Life Scale (QLS), Rapid Assessment of Disease Activity in Rheumatology, Social Provisions Scale, and University of California, Los Angeles Loneliness Scale 3. Results. Group differences with large and moderate effect sizes (ES

A Systematic Review of Technology-assisted Self-Management Interventions for Chronic Pain

“…20,[39][40][41]47,51,54,55 Six of the studies had moderate effects, 2 for pain intensity (d = 0.64 to 0.72) 39,46 and 4 for physical functioning (d = 0.51 to 0.64). 38,[42][43][44] Two studies demonstrated large treatment effects, 1 on pain intensity (d = 0.85) 40 and 1 on physical functioning (d = 0.88).…”

Internet-based interventions for pain management: A systematic review of randomised controlled trial (RCTs) conducted from 2010 to 2014

“…Elander, Stinson and Danial reported reduction in pain in intervention group (Stinson et al, 2010, Elander et al, 2011, Bossen et al, 2013. While Shigaki and Bossen also reported positive psychological effects (Bossen et al, 2013, Shigaki et al, 2013. Bossen also reported improved physical activity in intervention group (Bossen et al, 2013).…”

“…Most of the studies included in our review had scored 3 (Gerber, 2006;Lamb et al, 2010, Stinson et al, 2010Elander et al, 2011;Bromberg et al, 2012;Carpenter et al, 2012;Krein et al, 2013;Kroenke et al, 2012;Law et al, 2012;Martorella et al, 2012;Ruehlman et al, 2012) as blinding was not possible in most of the studies. Only two studies scored less on Jadad score (Miller et al, 2011;Shigaki et al, 2013) ( Table 2). (Table 3).…”

“…Shigaki used online, cognitive-behavioral, selfmanagement group program (RAHelp), with weekly telephone support (Shigaki et al, 2013). Bossen used fully automated Web-based intervention (Bossen et al, 2013).…”

Intégrer l’éducation thérapeutique en pratique quotidienne : une médecine centrée sur le patient

“…Les nouvelles possibilités d'utilisation du Web sont susceptibles de diversifier les programmes d'ETP qui peuvent être réalisés entièrement sur Internet par des équipes médicales [27] ou paramédicales avec l'aide de patients [27][28][29] ou d'associations. L'accès des patients à Internet permet la mise à disposition de documents (brochures, outils interactifs, vidéos, serious games, objets connectés) pour entretenir les connaissances et les compétences d'adaptation ou d'outils de décision médicale partagée.…”