The Lifestyle Management for Arthritis Programme (LMAP) : long-term follow-up of a randomized controlled trial in inflammatory arthritis

Hammond, A ORCID: and Rayner, J 2013, The Lifestyle Management for Arthritis Programme (LMAP) : long-term follow-up of a randomized controlled trial in inflammatory arthritis , in: 12th Congress of European Forum for Research in Rehabilitation, 11th-14th September 2013, Istanbul, Turkey.

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Objective: The LMAP is a group self-management programme of two modules (weekly meetings: 4 x 2.5h) plus review (2h). Module A includes: arthritis information, joint protection and fatigue management; and module B: exercise (flexibility, strength, walking programme, Tai Chi for Arthritis), foot care, pain and stress management. A randomized parallel group trial (n=167) demonstrated significant improvements at 12m in pain, perceived control, self-efficacy and self-management in people with early inflammatory, rheumatoid or psoriatic arthritis, compared to a standard arthritis education programme (SAEP: 10 hours). In this study, we evaluated the LMAP’s long-term effects. Materials/ Methods: At 6.5y, participants completed the trial postal questionnaire including: pain 10cm scale; Multi-dimensional Health Assessment Questionnaire (MDHAQ: function, psychological status, perceived control), arthritis self-efficacy scales, adherence with self-management. Mean change (SD) scores from 0-6.5y were compared between groups using ANCOVA, with baseline scores as covariates. Data were analysed as a) completers only and b) missing cases’ data imputed (estimation-maximization method, 25 iterations: SPSSv20). Results: 58% responded: 54 (63%) LMAP and 43 SAEP (53%) participants. There were no significant differences in baseline characteristics of responders versus non-responders or response rates between groups. Completers: The LMAP group had better use of joint protection (p = 0.03), with no other significant differences. Multiple imputation: The LMAP group had better: self-efficacy for self-management (p = 0.05); self-reported use of joint protection (p = 0.001) and exercise (although less than at 12m: p = 0.05).

Item Type: Conference or Workshop Item (Speech)
Schools: Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title: Turkish Journal of Physical Medicine and Rehabilitation
Publisher: Turkish Society of Physical Medicine and Rehabilitation
ISSN: 2587-0823
Related URLs:
Funders: Arthritis Research UK
Depositing User: Professor Alison Hammond
Date Deposited: 01 Sep 2020 10:53
Last Modified: 16 Feb 2022 05:28

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