Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity
Abstract Background Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue and there is limited evidence of end-user input into interventio...
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doaj-cb42484616af482c8bd12c1caaaf47942020-11-25T02:02:17ZengBMCBMC Musculoskeletal Disorders1471-24742019-05-0120111310.1186/s12891-019-2558-4Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activityVictoria E. Salmon0Sarah Hewlett1Nicola E. Walsh2John R. Kirwan3Maria Morris4Marie Urban5Fiona Cramp6Institute of Health Research, University of Exeter College of Medicine and Health, College HouseFaculty of Health & Applied Sciences, University of the West of EnglandFaculty of Health & Applied Sciences, University of the West of EnglandAcademic Rheumatology, University of Bristol, University of Bristol, Senate HouseBristol Royal Infirmary, University Hospitals Bristol NHS Foundation TrustBristol Royal Infirmary, University Hospitals Bristol NHS Foundation TrustFaculty of Health & Applied Sciences, University of the West of EnglandAbstract Background Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue and there is limited evidence of end-user input into intervention development. The aim of this research was to co-design an intervention to support self-management of RA fatigue through modifying PA. Methods A series of studies used mixed methodological approaches to co-design a fatigue management intervention focused on modifying PA based on UK Medical Research Council guidance, and informed by the Behaviour Change Wheel theoretical framework. Development was based on existing evidence, preferences of RA patients and rheumatology healthcare professionals, and practical issues regarding intervention format, content and implementation. Results The resulting group-based intervention consists of seven sessions delivered by a physiotherapist over 12 weeks. Each session includes an education and discussion session followed by supervised PA chosen by the participant. The intervention is designed to support modification and maintenance of PA as a means of managing fatigue. This is underpinned by evidence-based behaviour change techniques that might support changes in PA behaviour. Intervention delivery is interactive and aims to enhance capability, opportunity and motivation for PA. Conclusion This study outlines stages in the systematic development of a theory-based intervention designed through consultation with RA patients and healthcare professionals to reduce the impact of RA fatigue. The feasibility of future evaluation of the intervention should now be determined.http://link.springer.com/article/10.1186/s12891-019-2558-4FatigueRheumatoid arthritisPhysical activityIntervention developmentSelf-managementPatient and public involvement |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Victoria E. Salmon Sarah Hewlett Nicola E. Walsh John R. Kirwan Maria Morris Marie Urban Fiona Cramp |
spellingShingle |
Victoria E. Salmon Sarah Hewlett Nicola E. Walsh John R. Kirwan Maria Morris Marie Urban Fiona Cramp Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity BMC Musculoskeletal Disorders Fatigue Rheumatoid arthritis Physical activity Intervention development Self-management Patient and public involvement |
author_facet |
Victoria E. Salmon Sarah Hewlett Nicola E. Walsh John R. Kirwan Maria Morris Marie Urban Fiona Cramp |
author_sort |
Victoria E. Salmon |
title |
Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
title_short |
Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
title_full |
Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
title_fullStr |
Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
title_full_unstemmed |
Developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
title_sort |
developing a group intervention to manage fatigue in rheumatoid arthritis through modifying physical activity |
publisher |
BMC |
series |
BMC Musculoskeletal Disorders |
issn |
1471-2474 |
publishDate |
2019-05-01 |
description |
Abstract Background Fatigue is a major symptom of rheumatoid arthritis (RA). There is some evidence that physical activity (PA) may be effective in reducing RA fatigue. However, few PA interventions have been designed to manage fatigue and there is limited evidence of end-user input into intervention development. The aim of this research was to co-design an intervention to support self-management of RA fatigue through modifying PA. Methods A series of studies used mixed methodological approaches to co-design a fatigue management intervention focused on modifying PA based on UK Medical Research Council guidance, and informed by the Behaviour Change Wheel theoretical framework. Development was based on existing evidence, preferences of RA patients and rheumatology healthcare professionals, and practical issues regarding intervention format, content and implementation. Results The resulting group-based intervention consists of seven sessions delivered by a physiotherapist over 12 weeks. Each session includes an education and discussion session followed by supervised PA chosen by the participant. The intervention is designed to support modification and maintenance of PA as a means of managing fatigue. This is underpinned by evidence-based behaviour change techniques that might support changes in PA behaviour. Intervention delivery is interactive and aims to enhance capability, opportunity and motivation for PA. Conclusion This study outlines stages in the systematic development of a theory-based intervention designed through consultation with RA patients and healthcare professionals to reduce the impact of RA fatigue. The feasibility of future evaluation of the intervention should now be determined. |
topic |
Fatigue Rheumatoid arthritis Physical activity Intervention development Self-management Patient and public involvement |
url |
http://link.springer.com/article/10.1186/s12891-019-2558-4 |
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