Trial reportAnnals of the rheumatic diseases2004
A randomised controlled trial of occupational therapy for people with early rheumatoid arthritis.
Trial report in Annals of the rheumatic diseases, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 8 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- EULAR points to consider for the management of difficult-to-treat rheumatoid arthritis.Annals of the rheumatic diseases · 2022Guideline
- The Effects of Patient Education on Psychological Status and Clinical Outcomes in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.Frontiers in psychiatry · 2022Pooled it
- Pooled it
- Measurements of self-efficacy in musculoskeletal rehabilitation: A systematic review.Musculoskeletal care · 2018Pooled it
- Exercise for rheumatoid arthritis of the hand.The Cochrane database of systematic reviews · 2018Pooled it
- A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis.Clinical rheumatology · 2016Pooled it
- Non-pharmacological interventions for preventing job loss in workers with inflammatory arthritis.The Cochrane database of systematic reviews · 2014Pooled it
- EULAR recommendations for the management of early arthritis: report of a task force of the European Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT).Annals of the rheumatic diseases · 2007Guideline
- Non-Pharmacological Pain Management of Rheumatoid Arthritis.Current rheumatology reports · 2025Review
- The Impact of Occupational Therapy on the Self-Management of Rheumatoid Arthritis: A Mixed Methods Systematic Review.ACR open rheumatology · 2024Review
- A virtual platform to deliver ambulatory care for patients with atrial fibrillation.Cardiovascular digital health journal · 2021Article
- I do not want to suppress the natural process of inflammation: new insights on factors associated with non-adherence in rheumatoid arthritis.Arthritis research & therapy · 2018Observational
- The Effect of Educational Program on Self-efficacy of Women with Rheumatoid Arthritis: A Randomized Controlled Clinical Trial.International journal of community based nursing and midwifery · 2018Article
- Identifying the unmet information and support needs of women with autoimmune rheumatic diseases during pregnancy planning, pregnancy and early parenting: mixed-methods study.BMC rheumatology · 2018Article
- [EULAR recommendations for patient education of people with inflammatory arthritis. Translation and evaluation in Germany].Zeitschrift fur Rheumatologie · 2016Article
- Wait times for physical and occupational therapy in the public system for people with arthritis in quebec.Physiotherapy Canada. Physiotherapie Canada · 2013Article
- [Deficits of routine occupational therapy services in rheumatic diseases: results of the RheumaDat study].Zeitschrift fur Rheumatologie · 2010Article
- [Is "going down to the gym" harmful for patients with inflammatory rheumatic disease?].Zeitschrift fur Rheumatologie · 2010Article
- Are indirect utility measures reliable and responsive in rheumatoid arthritis patients?Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2005Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOccupational therapy (OT) aims at improving performance of daily living tasks, facilitating successful adjustments in lifestyle, and preventing losses of function.
objectiveTo evaluate the effects of a pragmatic, comprehensive OT programme on self management and health status of people with early rheumatoid arthritis (RA) (<2.5 years).
methodsA randomised, controlled "assessor blinded" trial was conducted with assessments made at entry, 6, 12, and 24 months. Main outcomes were AIMS2: physical function (PF), pain visual analogue scale (VAS), and Arthritis Self-Efficacy Scale (ASES).
resultsGroups had similar disease duration (9 months OT (n = 162) v 10 months control (n = 164)). The OT group received 7.57 (SD 3.04) hours of therapy. Self management significantly increased in the OT group. Otherwise, there were no significant differences in any outcome measures, or between groups, by ACR functional class: AIMS2: PF (F = 0.04; p = 0.96); pain VAS (F = 0.29; p = 0.74); total ASES score (F = 0.93; p = 0.39).
conclusionsOT improved self management but not health status in early RA. Functional ability remains reasonably good for many in the first five years, so preventive benefits of self management may not yet be apparent and longer follow up is needed. Although many considered the education and therapy useful, insufficient numbers in the OT group used self management sufficiently to make a difference. Behavioural approaches can improve adherence and, potentially, the long term benefits. Future research should evaluate OT as a complex intervention and develop programmes from a theoretical and evidence base.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.