In:
Arthritis Care & Research, Wiley, Vol. 70, No. 11 ( 2018-11), p. 1576-1586
Abstract:
To evaluate patient‐reported health effects of an add‐on structured goal‐planning and supportive telephone follow‐up rehabilitation program compared with traditional rehabilitation programs in patients with rheumatic diseases. Methods In this pragmatic stepped‐wedge, cluster‐randomized, controlled trial, 389 patients with rheumatic diseases recruited from 6 rehabilitation centers received either traditional rehabilitation or traditional rehabilitation extended with an add‐on program tailored to individual needs. The add‐on program comprised a self‐management booklet, motivational interviewing in structured individualized goal planning, and 4 supportive follow‐up phone calls after discharge. Data were collected by questionnaires on admission and discharge from rehabilitation stay, and at 6 months and 12 months after discharge. The primary outcome was health‐related quality of life ( HRQ oL) measured by the Patient Generated Index (range 0–100, where 0 = low). Secondary outcomes included patient‐reported health status, self‐efficacy, pain, fatigue, global disease activity, and motivation for change. The main statistical analysis was a linear repeated measures mixed model performed on the intent‐to‐treat population using all available data. Results A significant treatment effect of the add‐on intervention on HRQ oL was found on discharge (mean difference 3.32 [95% confidence interval 0.27, 6.37]; P = 0.03). No significant between‐group differences were found after 6 or 12 months. Both groups showed positive changes in HRQ oL following rehabilitation, which gradually declined, although the values remained at higher levels after 6 and 12 months compared with baseline values. Conclusion The add‐on program enhanced the short‐term effect of rehabilitation with respect to patient‐specific HRQ oL, but it did not prolong the effect as intended.
Type of Medium:
Online Resource
ISSN:
2151-464X
,
2151-4658
DOI:
10.1002/acr.2018.70.issue-11
Language:
English
Publisher:
Wiley
Publication Date:
2018
detail.hit.zdb_id:
2016713-1
Bookmarklink