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rheumatoid arthritis; influence of patient education on exercise compliance Article Summary

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Influence of patient education on exercise compliance in rheumatoid arthritis: A prospective 12-month randomized controlled trial
Journal of Rheumatology, 02/13/08
Print     Email This Article     Save in My Library   Free Abstract
Mayoux-Benhamou A et al. - Education of patients with rheumatoid arthritis (RA) may increase compliance especially with leisure physical activity (PA), but these effects are limited and short-term.

Methods
  • An evaluation of the effect of education on the exercise habits of pts with RA after 6 and 12 mos
  • A prospective controlled randomized trial that enrolled 208 outpatients
  • The active group received a multidisciplinary education program, home-based exercises and guidelines for leisure PA
  • The control group received a booklet added to usual medical care
  • Compliance with home-based exercises was defined as a practice rate >=30% of the prescribed training
  • Compliance with leisure PA was defined as >=20% increase in Baecke questionnaire score
  • Additional assessments involved possible predictors of compliance and changes with regard to the compliance

Results
  • At 6-month f/u home-based exercise and leisure PA were higher but were not at 12 mos
  • Predictors of leisure PA compliance at 6 mos included participating in the active group and previous low leisure PA, with decreased fatigue and improved psychological status

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