Pain and Stress Management for People With Rheumatoid Arthritis

NCT ID: NCT00088764

Last Updated: 2013-08-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-02-28

Study Completion Date

2009-06-30

Brief Summary

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Self-management of rheumatoid arthritis (RA) symptoms using written emotional disclosure (ED), coping skills training (CST), or a combination of both may benefit people with RA. The purpose of this study is to determine the benefits of ED, CST, or CST and ED together in adults with RA. This study will be conducted at Wayne State University in Detroit, Michigan and Duke University Medical Center in Durham, North Carolina.

Detailed Description

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Two self-management strategies hold promise for improving the health of people with RA: ED (writing about stress, RA, and coping options) and CST (learning six pain and stress coping skills). A strategy integrating ED with CST may be more effective than either intervention alone. This study will compare the effectiveness of ED, CST, ED in combination with CST, and control groups in alleviating the symptoms of RA.

This study will last until May 2009. Participants with RA will be randomly assigned to 1 of 4 treatment groups. Each participant will receive 3 writing sessions and 8 training sessions. Group 1 will receive ED writing followed by CST; Group 2 will receive ED writing followed by arthritis education; Group 3 will receive health behavior writing followed by CST; and Group 4 will receive health behavior writing followed by arthritis education.

Participants will be evaluated at baseline and at Months 1, 4, and 12 for pain, physical disability, psychological impairment, and disease activity. In addition, participants will record daily diaries for 30 days regarding their pain, symptoms, coping, stress, and mood prior to each of the evaluations. Changes in health status over time will be compared among groups.

Conditions

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Rheumatoid Arthritis

Keywords

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Stress Coping Expressive Writing Self-Efficacy Disclosure

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Blinding Strategy

NONE

Study Groups

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1

Education: Either coping skills training or arthritis education interventions

Group Type EXPERIMENTAL

Coping skills training

Intervention Type BEHAVIORAL

8 sessions of pain and stress coping skills training

Arthritis education

Intervention Type BEHAVIORAL

8 sessions of learning about rheumatoid arthritis

2

Writing: Either emotional disclosure writing or health behavior writing

Group Type EXPERIMENTAL

Written emotional disclosure

Intervention Type BEHAVIORAL

4 sessions of writing about stress

Health behavior writing

Intervention Type BEHAVIORAL

4 sessions of writing about various health behaviors

Interventions

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Coping skills training

8 sessions of pain and stress coping skills training

Intervention Type BEHAVIORAL

Written emotional disclosure

4 sessions of writing about stress

Intervention Type BEHAVIORAL

Arthritis education

8 sessions of learning about rheumatoid arthritis

Intervention Type BEHAVIORAL

Health behavior writing

4 sessions of writing about various health behaviors

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Meet American College of Rheumatology (ACR) 1987 criteria for RA

Exclusion Criteria

* Other disorders that would significantly affect function (e.g., lupus, chronic obstructive pulmonary disease \[COPD\], congestive heart failure \[CHF\], cancer)
* Judged by the physician to have cognitive impairment (dementia, retardation, psychosis) or illiteracy
* Has experienced recent (last 6 months) significant stressor resulting in substantial emotional instability
* Currently in psychotherapy or a formal behavioral pain management program
* Unable to walk. Participants who use walking aids are not excluded.
* Physically unable to write
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

NIH

Sponsor Role collaborator

Wayne State University

OTHER

Sponsor Role lead

Responsible Party

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Mark A. Lumley

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mark A. Lumley, PhD

Role: PRINCIPAL_INVESTIGATOR

Wayne State University

Locations

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Wayne State University

Detroit, Michigan, United States

Site Status

Duke University Medical Center

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Kelley JE, Lumley MA, Leisen JC. Health effects of emotional disclosure in rheumatoid arthritis patients. Health Psychol. 1997 Jul;16(4):331-40. doi: 10.1037//0278-6133.16.4.331.

Reference Type BACKGROUND
PMID: 9237085 (View on PubMed)

Somers TJ, Shelby RA, Keefe FJ, Godiwala N, Lumley MA, Mosley-Williams A, Rice JR, Caldwell D. Disease severity and domain-specific arthritis self-efficacy: relationships to pain and functioning in patients with rheumatoid arthritis. Arthritis Care Res (Hoboken). 2010 Jun;62(6):848-56. doi: 10.1002/acr.20127.

Reference Type DERIVED
PMID: 20535796 (View on PubMed)

Other Identifiers

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R01AR049059

Identifier Type: NIH

Identifier Source: secondary_id

View Link

1R01AR049059

Identifier Type: NIH

Identifier Source: secondary_id

View Link

NIAMS-122

Identifier Type: -

Identifier Source: org_study_id