Sustained Long-Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long-Term Follow-up of a Randomized, Parallel-Group Trial.
Adult
Aged
Aged, 80 and over
Arthritis, Rheumatoid
/ psychology
Behavior Therapy
/ methods
Exercise
/ psychology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Motivational Interviewing
/ methods
Patient Reported Outcome Measures
Sedentary Behavior
Single-Blind Method
Sitting Position
Text Messaging
Time Factors
Treatment Outcome
Young Adult
Journal
Arthritis care & research
ISSN: 2151-4658
Titre abrégé: Arthritis Care Res (Hoboken)
Pays: United States
ID NLM: 101518086
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
12
03
2019
revised:
19
08
2019
accepted:
03
09
2019
pubmed:
12
9
2019
medline:
15
12
2020
entrez:
12
9
2019
Statut:
ppublish
Résumé
To evaluate the 18-month postintervention efficacy following a 4-month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA). In an observer-blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light-intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient-reported outcomes and cardiometabolic biomarkers. A mixed-effect repeated measures analysis of covariance model in the intent-to-treat population was applied. At 22 months follow-up from baseline, 12 participants were lost to follow-up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between-group difference of -2.43 hours/day (95% confidence interval [95% CI] -2.99, -1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between-group differences favored the intervention: visual analog scale (VAS) pain -15.51 mm (95% CI -23.42, -7.60), VAS fatigue -12.30 mm (95% CI -20.71, -3.88), physical function -0.39 Health Assessment Questionnaire units (95% CI -0.53, -0.26), total cholesterol -0.86 mmoles/liter (95% CI -1.03, -0.68), triglycerides -0.26 mmoles/liter (95% CI -0.43, -0.09), and average glucose -1.15 mmoles/liter (95% CI -1.39, -0.91). The 4-month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient-reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long-term physical activity and health in patients with RA.
Banques de données
ClinicalTrials.gov
['NCT01969604']
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1560-1570Informations de copyright
© 2020, American College of Rheumatology.
Références
Pedersen BK, Saltin B. Exercise as medicine: evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 2015;25 Suppl 3:1-72.
Hurkmans E, van der Giesen FJ, Vliet Vlieland TP, Schoones J, Van den Ende EC. Dynamic exercise programs (aerobic capacity and/or muscle strength training) in patients with rheumatoid arthritis. Cochrane Database Syst Rev 2009;4:CD006853.
Rongen-van Dartel SA, Repping-Wuts H, Flendrie M, Bleijenberg G, Metsios GS, van den Hout WB, et al. Effect of aerobic exercise training on fatigue in rheumatoid arthritis: a meta-analysis. Arthritis Care Res (Hoboken) 2015;67:1054-62.
Cairns AP, McVeigh JG. A systematic review of the effects of dynamic exercise in rheumatoid arthritis. Rheumatol Int 2009;30:147-58.
Prioreschi A, Hodkinson B, Avidon I, Tikly M, McVeigh JA. The clinical utility of accelerometry in patients with rheumatoid arthritis. Rheumatology (Oxford) 2013;52:1721-7.
Huffman KM, Pieper CF, Hall KS, St Clair EW, Kraus WE. Self-efficacy for exercise, more than disease-related factors, is associated with objectively assessed exercise time and sedentary behaviour in rheumatoid arthritis. Scand J Rheumatol 2015;44:106-10.
Sedentary Behaviour Research Network. Standardized use of the terms "sedentary" and "sedentary behaviours" [letter]. Appl Physiol Nutr Metab 2012;37:540-2.
Chau JY, Grunseit A, Midthjell K, Holmen J, Holmen TL, Bauman AE, et al. Sedentary behaviour and risk of mortality from all-causes and cardiometabolic diseases in adults: evidence from the HUNT3 population cohort. Br J Sports Med 2015;49:737-42.
Grontved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA 2011;305:2448-55.
Diaz KM, Howard VJ, Hutto B, Colabianchi N, Vena JE, Safford MM, et al. Patterns of sedentary behavior and mortality in U.S. middle-aged and older adults: a national cohort study. Ann Intern Med 2017;167:465-75.
Fenton SA, Veldhuijzen van Zanten JJ, Kitas GD, Duda JL, Rouse PC, Yu CA, et al. Sedentary behaviour is associated with increased long-term cardiovascular risk in patients with rheumatoid arthritis independently of moderate-to-vigorous physical activity. BMC Musculoskelet Disord 2017;18:131.
Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000;32 Suppl:S498-504.
Hill K, Gardiner PA, Cavalheri V, Jenkins SC, Healy GN. Physical activity and sedentary behaviour: applying lessons to chronic obstructive pulmonary disease. Intern Med J 2015;45:474-82.
Manns PJ, Dunstan DW, Owen N, Healy GN. Addressing the nonexercise part of the activity continuum: a more realistic and achievable approach to activity programming for adults with mobility disability? Phys Ther 2012;92:614-25.
Fenton SA, Kitas GD. Rheumatoid arthritis: Sedentary behaviour in RA: a new research agenda. Nat Rev Rheumatol 2016;12:698-700.
Aadahl M, Linneberg A, Moller TC, Rosenorn S, Dunstan DW, Witte DR, et al. Motivational counseling to reduce sitting time: a community-based randomized controlled trial in adults. Am J Prev Med 2014;47:576-86.
Carr LJ, Karvinen K, Peavler M, Smith R, Cangelosi K. Multicomponent intervention to reduce daily sedentary time: a randomised controlled trial. BMJ Open 2013;3:e003261.
Neuhaus M, Healy GN, Dunstan DW, Owen N, Eakin EG. Workplace sitting and height-adjustable workstations: a randomized controlled trial. Am J Prev Med 2014;46:30-40.
Kozey-Keadle S, Libertine A, Staudenmayer J, Freedson P. The feasibility of reducing and measuring sedentary time among overweight, non-exercising office workers. J Obes 2012;2012:282303.
Chau JY, Daley M, Dunn S, Srinivasan A, Do A, Bauman AE, et al. The effectiveness of sit-stand workstations for changing office workers' sitting time: results from the Stand@Work randomized controlled trial pilot. Int J Behav Nutr Phys Act 2014;11:127.
Esbensen BA, Thomsen T, Hetland ML, Beyer N, Midtgaard J, Loppenthin K, et al. The efficacy of motivational counseling and SMS-reminders on daily sitting time in patients with rheumatoid arthritis: protocol for a randomized controlled trial. Trials 2015;16:23.
Thomsen T, Aadahl M, Beyer N, Hetland ML, Loppenthin K, Midtgaard J, et al. Motivational counselling and SMS-reminders for reduction of daily sitting time in patients with rheumatoid arthritis: a descriptive randomised controlled feasibility study. BMC Musculoskelet Disord 2016;17:434.
Thomsen T, Aadahl M, Beyer N, Hetland ML, Loppenthin K, Midtgaard J, et al. The efficacy of motivational counselling and SMS reminders on daily sitting time in patients with rheumatoid arthritis: a randomised controlled trial. Ann Rheum Dis 2017;76:1603-6.
Hetland ML. DANBIO: powerful research database and electronic patient record. Rheumatology (Oxford) 2011;50:69-77.
Banal F, Dougados M, Combescure C, Gossec L. Sensitivity and specificity of the American College of Rheumatology 1987 criteria for the diagnosis of rheumatoid arthritis according to disease duration: a systematic literature review and meta-analysis. Ann Rheum Dis 2009;68:1184-91.
Epstein LH, Roemmich JN. Reducing sedentary behavior: role in modifying physical activity. Exerc Sport Sci Rev 2001;29:103-8.
Bandura A. Self-efficacy: the exercise of control. New York: Freeman; 1997.
Miller NH. Motivational interviewing as a prelude to coaching in healthcare settings. J Cardiovasc Nurs 2010;25:247-51.
Larkin L, Nordgren B, Purtill H, Brand C, Fraser A, Kennedy N. Criterion validity of the ActivPAL activity monitor for sedentary and physical activity patterns in people who have rheumatoid arthritis. Phys Ther 2016;96:1093-101.
Aadahl M, Jorgensen T. Validation of a new self-report instrument for measuring physical activity. Med Sci Sports Exerc 2003;35:1196-202.
Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56.
Smets EM, Garssen B, Bonke B, De Haes JC. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. J Psychosom Res 1995;39:315-25.
Bruce B, Fries JF. The Stanford Health Assessment Questionnaire: a review of its history, issues, progress, and documentation. J Rheumatol 2003;30:167-78.
Alonso J, Ferrer M, Gandek B, Ware JE Jr, Aaronson NK, Mosconi P, et al. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) project. Qual Life Res 2004;13:283-98.
Luszczynska A, Scholz U, Schwarzer R. The General self-Efficacy Scale: multicultural validation studies. J Psychol 2005;139:439-57.
Vickers A, Altman D. Statistics notes: analysing controlled trials with baseline and follow up measurements. BMJ 2001;323:1123-4.
Bates D, Maechler M, Bolker B, Walker S. Fitting linear mixed-effects models using Ime4. J Stat Software 2015;67:1-48.
Ware JH. Interpreting incomplete data in studies of diet and weight loss. N Engl J Med 2003;348:2136-7.
Thomsen T, Beyer N, Aadahl M, Hetland ML, Loppenthin K, Midtgaard J, et al. Sedentary behaviour in patients with rheumatoid arthritis: a qualitative study. Int J Qual Stud Health Well- being 2015;10:28578.
Klaren RE, Hubbard EA, Motl RW. Efficacy of a behavioral intervention for reducing sedentary behavior in persons with multiple sclerosis: a pilot examination. Am J Prev Med 2014;47:613-6.
Orme MW, Weedon AE, Saukko PM, Esliger DW, Morgan MD, Steiner MC, et al. Findings of the Chronic Obstructive Pulmonary Disease-Sitting and Exacerbations Trial (COPD-SEAT) in reducing sedentary time using wearable and mobile technologies with educational support: randomized controlled feasibility trial. JMIR Mhealth Uhealth 2018;6:e84.
Cheng SW, Alison J, Dennis S, Stamatakis E, Spencer L, McNamara R, et al. A behaviour change intervention to reduce sedentary time in people with chronic obstructive pulmonary disease: protocol for a randomised controlled trial. J Physiother 2017;63:182.
Peddie MC, Bone JL, Rehrer NJ, Skeaff CM, Gray AR, Perry TL. Breaking prolonged sitting reduces postprandial glycemia in healthy, normal-weight adults: a randomized crossover trial. Am J Clin Nutr 2013;98:358-66.
Larsen RN, Kingwell BA, Sethi P, Cerin E, Owen N, Dunstan DW. Breaking up prolonged sitting reduces resting blood pressure in overweight/obese adults. Nutr Metab Cardiovasc Dis 2014;24:976-82.
Duvivier BM, Schaper NC, Hesselink MK, van Kan L, Stienen N, Winkens B, et al. Breaking sitting with light activities vs structured exercise: a randomised crossover study demonstrating benefits for glycaemic control and insulin sensitivity in type 2 diabetes. Diabetologia 2017;60:490-8.
Buman MP, Winkler EA, Kurka JM, Hekler EB, Baldwin CM, Owen N, et al. Reallocating time to sleep, sedentary behaviors, or active behaviors: associations with cardiovascular disease risk biomarkers, NHANES 2005-2006. Am J Epidemiol 2014;179:323-34.
Baillet A, Zeboulon N, Gossec L, Combescure C, Bodin LA, Juvin R, et al. Efficacy of cardiorespiratory aerobic exercise in rheumatoid arthritis: meta-analysis of randomized controlled trials. Arthritis Care Res (Hoboken ) 2010;62:984-92.
Grant PM, Ryan CG, Tigbe WW, Granat MH. The validation of a novel activity monitor in the measurement of posture and motion during everyday activities. Br J Sports Med 2006;40:992-7.
Edwardson CL, Rowlands AV, Bunnewell S, Sanders J, Esliger DW, Gorely T, et al. Accuracy of posture allocation algorithms for thigh- and waist-worn accelerometers. Med Sci Sports Exerc 2016;48:1085-90.