Motivational counselling and SMS reminders reduced daily sitting time by 2.20 hours/day compared to control (95% CI -2.72 to -1.69; p<0.0001) in patients with rheumatoid arthritis.
RCT (n=150)
randomised
Does an individually tailored behavioural intervention with motivational counselling and SMS reminders reduce daily sitting time in patients with rheumatoid arthritis?
An individually tailored behavioural intervention using motivational counselling and SMS reminders significantly reduced daily sitting time and improved patient-reported outcomes and cholesterol levels in patients with rheumatoid arthritis.
Mean Difference: -2.2 (95% CI -2.72–-1.69)
Absolute Event Rate: -1.61% vs 0.59%
p-value: p=<0.0001
OBJECTIVES: The aim of this report is to investigate the efficacy of an individually tailored, theory-based behavioural intervention for reducing daily sitting time, pain and fatigue, as well as improving health-related quality of life, general self-efficacy, physical function and cardiometabolic biomarkers in patients with rheumatoid arthritis (RA). METHODS: In this randomised controlled trial 150 patients with RA were randomised to an intervention or a no-intervention control group. The intervention group received three individual motivational counselling sessions and short message service or text messages aimed at reduction of sedentary behaviour during the 16-week intervention period. Primary outcome was change in daily sitting time measured objectively by ActivPAL. Secondary outcomes included change in pain, fatigue, physical function, general self-efficacy, quality of life, blood pressure, blood lipids, haemoglobin A1c, body weight, body mass index, waist circumference and waist-hip ratio. RESULTS: 75 patients were allocated to each group. Mean reduction in daily sitting time was -1.61 hours/day in the intervention versus 0.59 hours/day increase in the control group between-group difference -2.20 (95% CI -2.72 to -1.69; p<0.0001) hours/day in favour of the intervention group. Most of the secondary outcomes were also in favour of the intervention. CONCLUSION: An individually tailored, behavioural intervention reduced daily sitting time in patients with RA and improved patient-reported outcomes and cholesterol levels. TRIAL REGISTRATION NUMBER: NCT01969604; Results.
Thomsen et al. (Tue,) conducted a rct in rheumatoid arthritis (n=150). motivational counselling and SMS reminders vs. no-intervention control was evaluated on change in daily sitting time (MD -2.20, 95% CI -2.72 to -1.69, p=<0.0001). Motivational counselling and SMS reminders reduced daily sitting time by 2.20 hours/day compared to control (95% CI -2.72 to -1.69; p<0.0001) in patients with rheumatoid arthritis.