Effect of BETY on Biopsychosocial States Associated With Chronic Pain in Rheumatic Individuals.

NCT ID: NCT06702839

Last Updated: 2025-12-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 300 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-08-01
• Study Completion Date: 2023-08-01

Brief Summary

No study has been found in the literature investigating the effectiveness of an innovative exercise approach defined on a biopsychosocial basis and having its own original scale on individuals with rheumatism over the years. The aim of this retrospective study was to determine the effects of the Cognitive Exercise Therapy Approach on the biopsychosocial conditions related to chronic pain; functionality, mood and quality of life of individuals with rheumatism diagnosis and to examine the effectiveness of BETY as a routine exercise approach by presenting the results compared with the control group.

Detailed Description

Cognitive Exercise Therapy Approach (BETY) is an innovative exercise approach developed through the participation of rheumatic individuals in exercise sessions for many years. The main purpose of BETY is to transfer the patient's negative cognitions about their disease to a positive cognition level through functional gains through exercise. Thus, cognitive restructuring will be achieved.

In order to correctly organize the optimum treatment, rheumatic patients need to be evaluated biopsychosocially. Individual-centered scales that evaluate the disease process are currently considered at least as much as objective tests in determining treatment effectiveness and are increasingly used in clinical practice. Due to the multidimensional structure of chronic diseases, there is a need for measurement tools that evaluate individuals in a biopsychosocial context. BETY-Biopsychosocial Scale (BETY-BQ) was developed for this purpose with the feedback of the recovery characteristics of rheumatic individuals who participated in BETY sessions over the years.

Conditions

Rheumatic Diseases

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY)

3 days a week for 3 months

Group Type: EXPERIMENTAL

BETY (Cognitive Exercise Therapy Approach )

Intervention Type: OTHER

Individuals with rheumatism were included in BETY sessions after the first session, which included functional gain with function-focused trunk stabilization exercises for their complaints and chronic pain management training based on neuroscience. BETY sessions included function-focused trunk stabilization exercises, chronic pain management, mood information management (dance therapy - authentic movement) as innovative. Individuals were included in a separate session of sexual information management and sleep education.

3 days a week for 3 months

Home exercise program

For 3 months

Group Type: ACTIVE_COMPARATOR

Home exercise program

Intervention Type: OTHER

Exercises have been shown and a brochure has been given The individuals in this group were mostly individuals from out of town who were given home exercise recommendations directed by a rheumatologist.

Interventions

BETY (Cognitive Exercise Therapy Approach )

Individuals with rheumatism were included in BETY sessions after the first session, which included functional gain with function-focused trunk stabilization exercises for their complaints and chronic pain management training based on neuroscience. BETY sessions included function-focused trunk stabilization exercises, chronic pain management, mood information management (dance therapy - authentic movement) as innovative. Individuals were included in a separate session of sexual information management and sleep education.

3 days a week for 3 months

Intervention Type: OTHER

Home exercise program

Exercises have been shown and a brochure has been given The individuals in this group were mostly individuals from out of town who were given home exercise recommendations directed by a rheumatologist.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients who were diagnosed as Ankylosing spondylitis (1984 modified New York criteria, RA (2010 ACR/EULAR criteria), PsA (2006 CASPAR criteria), SLE (2012 Systemic Lupus International Collaborating Clinics criteria), SSc (2013 ACR/EULAR criteria), pSS (American-European Consensus Group criteria), OA (1986 ACR criteria) and FMS (2016 ACR criteria)

Exclusion Criteria

• Patients who had severe cognitive problems

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 75 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Hacettepe University

OTHER

Sponsor Role: collaborator

Eastern Mediterranean University

OTHER

Sponsor Role: lead

Responsible Party

Sevim Öksüz

Asst. Prof. Dr.

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Aykut Ozçadırcı

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Nur Banu Karaca, MSc. PT.

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Orkun Tüfekçi, MSc. PT.

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Aysima Barlak

Role: PRINCIPAL_INVESTIGATOR

Hacettepe University

Ali Akdoğan, Prof. Dr.

Role: STUDY_DIRECTOR

Hacettepe University

Sedat Kiraz, Prof. Dr.

Role: STUDY_DIRECTOR

Hacettepe University

Edibe Unal, Prof. Dr.

Role: STUDY_CHAIR

Hacettepe University

Sevim Oksüz, PhD. PT.

Role: PRINCIPAL_INVESTIGATOR

Eastern Mediterranean University

Şule Apraş Bilgen, Prof. Dr.

Role: STUDY_DIRECTOR

Hacettepe University

Robert D. Gerwin, MD.

Role: STUDY_DIRECTOR

Johns Hopkins University

Rinnie Geenen, Prof. Dr.

Role: STUDY_DIRECTOR

Utrecht University

Locations

Hacettepe University

Ankara, Samanpazar, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

SBA 23/196

Identifier Type: -

Identifier Source: org_study_id