Trial Outcomes & Findings for Effects of a Mobile Application RA Joint Protection and Activity Self-management Program (NCT NCT05570175)

NCT ID: NCT05570175

Last Updated: 2025-01-13

Results Overview

To assess self-management behaviors the researchers developed a joint activity and protection self-management behaviors scale. The scale consists of eight items and ranges from zero for 'never' to four for 'always'. The range of the score will be 0-32, higher scores indicate a better level of use of each of the self-management behavior.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

46 participants

Primary outcome timeframe

12 weeks

Results posted on

2025-01-13

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention Group
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
The control group received general information on rheumatoid arthritis care and follow-up.
Overall Study
STARTED
25
21
Overall Study
COMPLETED
21
21
Overall Study
NOT COMPLETED
4
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Effects of a Mobile Application RA Joint Protection and Activity Self-management Program

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Total
n=46 Participants
Total of all reporting groups
Age, Continuous
55.84 years
STANDARD_DEVIATION 10.54 • n=5 Participants
62.1 years
STANDARD_DEVIATION 16.86 • n=7 Participants
58.70 years
STANDARD_DEVIATION 13.98 • n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
17 Participants
n=7 Participants
39 Participants
n=5 Participants
Sex: Female, Male
Male
3 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
25 Participants
n=5 Participants
21 Participants
n=7 Participants
46 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Taiwan
25 participants
n=5 Participants
21 participants
n=7 Participants
46 participants
n=5 Participants
Duration of RA
9.06 years
STANDARD_DEVIATION 5.33 • n=5 Participants
14.33 years
STANDARD_DEVIATION 12.12 • n=7 Participants
11.47 years
STANDARD_DEVIATION 9.35 • n=5 Participants

PRIMARY outcome

Timeframe: 12 weeks

To assess self-management behaviors the researchers developed a joint activity and protection self-management behaviors scale. The scale consists of eight items and ranges from zero for 'never' to four for 'always'. The range of the score will be 0-32, higher scores indicate a better level of use of each of the self-management behavior.

Outcome measures

Outcome measures
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Self-management Behaviors
13.24 score on a scale
Standard Deviation 5.67
14.76 score on a scale
Standard Deviation 6.71

SECONDARY outcome

Timeframe: 12 weeks

Disease activity was measured using the DAS-28 (Disease Activity Score-28) which evaluated 28 tender and swollen joint counts of rheumatoid arthritis patients. This scale was used to calculate the 28 tender and swollen joint counts. Scores can range from 0 to 9.4. The lower score represent a better RA outcome.

Outcome measures

Outcome measures
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Disease Activity
3.45 score on a scale
Standard Deviation 1.23
3.57 score on a scale
Standard Deviation 0.81

SECONDARY outcome

Timeframe: 12 weeks

We used the arthritis self-efficacy-pain (ASE-pain) to measure RA patients' pain self-efficacy. The ASE-pain used visual analogue scales (0-10), in which 0 means 'very uncertain' and 10 means 'very certain'; a higher score refers to better self-efficacy. This scale have 5 items, therefore, the score range will be 0-50.

Outcome measures

Outcome measures
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Arthritis Self-efficacy- Pain
24.08 score on a scale
Standard Deviation 13.47
24.38 score on a scale
Standard Deviation 16.63

SECONDARY outcome

Timeframe: 12 weeks

We used the arthritis self-efficacy-other (ASE-OS) to measure RA patients' other symptoms self-efficacy. The ASE-OS used visual analogue scales (0-10), in which 0 means 'very uncertain' and 10 means 'very certain'; a higher score refers to better self-efficacy. This scale have 6 items, therefore, the score range will be 0-60.

Outcome measures

Outcome measures
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Arthritis Self-efficacy- Other
30.48 score on a scale
Standard Deviation 15.75
33.00 score on a scale
Standard Deviation 16.51

SECONDARY outcome

Timeframe: 12 weeks

The 8-item Modified Health Assessment Questionnaire (MHAQ) was used to measure the physical functioning for this study. The MHAQ measures eight activities such as dressing and grooming, arising, eating, walking, hygiene, reach grip, and common daily activities. Items are rated from 1 = without difficulty, to 4 = unable to do; a lower score indicates a better ability to conduct daily activities. The range of the score will be 8-32.

Outcome measures

Outcome measures
Measure
Intervention Group
n=25 Participants
The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. Mobile application RA joint protection and activity self-management program: The intervention group received a mobile application RA joint protection and activity self-management program based on self-efficacy theory for 6 weeks. The program was based on self-efficacy theory and proposes that self-efficacy is influenced by four information sources: mastery of experience, social modeling, social persuasion and one's physical and emotional states. To enhance participants' self-management skill, the following strategies were employed: peer story-telling, assessment, family involvement, goal setting, self-monitoring, self-evaluation, and phone calls consultation.
Control Group
n=21 Participants
The control group received general information on rheumatoid arthritis care and follow-up.
Physical Functioning
23.32 score on a scale
Standard Deviation 4.34
23.10 score on a scale
Standard Deviation 2.97

Adverse Events

Intervention Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Su-Hui Chen

Chang Gung University of Science and Technology

Phone: 886-3-2118999

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place