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Behavioural Support for PA and Exercise for People with RA - Coggle Diagram
Behavioural Support for PA and Exercise for People with RA
Perceived Barriers to PA in RA
Pain
Fatigue
Mobility
Stiffness
Lack of RA exercise programmes
Perceived Benefits of PA in RA
Symptom management
Pain relief and distraction
Joint function
Independence
Facilitators to PA in RA
Strength and aerobic capacity
Exercise instructors
Health care providers
Family/friends.
Barriers for Active vs. Inactive People with RA
Similar barriers, but different ways of coping with the barriers
(Wilcox et al., 2006)
Only when impact is considered, associations between barriers and PA behaviour appear
(Gyurcsik et al., 2009)
Role of self-efficacy for exercise and barrier self-efficacy.
Clinician's views on PA in RA
(Hurkmans et al., 2011)
Rheumatologists, clinical nurse specialists and physical therapists
agreed
that regard PA was an important goal for patients with RA.
Not sure what to describe or where to refer to.
How to Promote PA in RA
Behaviour change interventions to promote PA.
Only few used behaviour change theories to develop the intervention.
Treatment
Week 1
Small group education sessions - choose fun activities, start with comfortable intensity and duration, increase duration of PA, increase frequency of PA, increase duration of PA.
Week 2
Pros and cons, long-term goals, exercise diary to be discussed in the next session.
Week 4 & 5
Review of diary
Self-regulation :arrow_right: short-term goals, review of goals, barrier identification, problem solving, activating social support, self-reward, reminders to be active.
Week 6, 12 & 18
Follow up phone call to reinforce message.
Intervention to increase PA in RA
Targeting motivation and self-regulation
Looking at intentions but also providing tools to translate these intentions into actual behaviour.
N = 38 treatment
N = 40 control.
Results
(At 32 weeks)
Self-reported PA increased
Days per week reaching 30 mins of PA increased
No changes in disease activity, functional status, depressive symptoms, or fatigue.
Treatment group reported more use of self-regulation skills (goal setting, monitoring, coping/planning) post intervention.
Increases in self-efficacy and autonomous motivation