Evidence map›Paper›PMID 31829286›Full record

ArticleTrials2019

Effectiveness of an online self-management tool, OPERAS (an On-demand Program to EmpoweR Active Self-management), for people with rheumatoid arthritis: a research protocol.

Johnathan Tam, Diane Lacaille, Teresa Liu-Ambrose, Chris Shaw, Hui Xie, Catherine L Backman, John M Esdaile, Kimberly Miller, Robert Petrella, Linda C Li

2 registry-linked trialsOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03404245 nacompletednot on this map

Empowering Active Self-management of Arthritis: Raising the Bar With OPERAS (an On-demand Program to EmpoweR Active Self-management)

TypeinterventionalSponsorUniversity of British ColumbiaRan2019 to 2023Enrolled132ConditionsJoint Disease, Rheumatoid ArthritisArmsEducation, Fitbit/self-management app, physiotherapist counselling., Same intervention with a 6 month delay
NCT06337370 nacompletednot on this mapstarted 2024, after this paper: background citation

Self-management Nursing Intervention for Women With Rheumatoid Arthritis: A Pragmatic Randomized Clinical Trial

TypeinterventionalSponsorUniversidad Nacional de ColombiaRan2024 to 2025Enrolled44ConditionsArthritis, RheumatoidArmsChronic Disease Self Management Program, Conventional Intervention- Standard care
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Renegotiating dimensions of the self: A systematic review and qualitative evidence synthesis of the lived experience of self-managing rheumatoid arthritis.Health expectations : an international journal of public participation in health care and health policy · 2020
    Pooled it
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  9. Review
  10. Experiences of self-care during the COVID-19 pandemic among individuals with rheumatoid arthritis: A qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Johnathan TamArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada.
Diane LacailleArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada.
Teresa Liu-AmbroseDepartment of Physical Therapy, University of British Columbia, Friedman Building, 212 - 2177 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Chris ShawSchool of Interactive Arts and Technology, Simon Fraser University, 250-13450 102 Avenue, Surrey, BC, V3T 0A3, Canada.
Hui XieArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada.
Catherine L BackmanArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada.
John M EsdaileArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada.
Kimberly MillerDepartment of Physical Therapy, University of British Columbia, Friedman Building, 212 - 2177 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.
Robert PetrellaDepartment of Family Medicine, 3rd Floor David Strangway Building, 5950 University Boulevard, Vancouver, BC, V6T 1Z3, Canada.
Linda C LiArthritis Research Canada, Milan Ilich Arthritis Research Centre, 5591 No. 3 Road, Richmond, BC, V6X 2C7, Canada. lli@arthritisresearch.ca.ORCID http://orcid.org/0000-0001-6280-0511
University of British Columbia · CASimon Fraser University · CAResearch Canada · CAUniversity of British Columbia Hospital · CA

Funding

The Arthritis Society SOG-16-391
6 · The paper itself

Abstract

backgroundActive self-management is a process where patients are fully engaged in managing their health in daily life by having access to contextualized health data and tailored guidance to support a healthy lifestyle. This study aims to determine whether an e-health intervention that incorporates symptom/disease activity monitoring and physical activity counselling can improve self-management ability in patients with rheumatoid arthritis (RA).

methodsThe 'Empowering active self-management of arthritis: Raising the bar with OPERAS (an On-demand Program to EmpoweR Active Self-management)' project is a randomized controlled trial that uses a delayed control design. One hundred thirty-four participants with RA will be randomly assigned to start the intervention either immediately (immediate group) or 6 months later (delayed group). The intervention involves (1) use of a Fitbit-compatible web app to record and monitor their RA disease activity, symptoms, and time spent on physical activity and a Fitbit; (2) group education and individual counselling by a physiotherapist (PT); and (3) six phone calls with a PT. The primary outcome measure is self-management ability measured by the Patient Activation Measure. Secondary outcome measures include disease status, fatigue, pain, depressive symptoms, and characteristics of habitual behavior and also time spent in physical activity and sedentary activity with a wearable multi-sensor device (SenseWear Mini). After the 6-month intervention, we will interview a sample of participants to examine their experiences with the intervention. DISCUSSION: The results of this study will help to determine whether this technology-enhanced self-management intervention improves self-management ability and health outcomes for people living with RA. A limitation of this study is that participants will need to self-report their symptoms, disease status, and treatment use through questionnaires on the OPERAS web app. The user-friendly interface, reminder emails from the research staff, and tailored guidance from PTs will encourage participants to actively engage with the app.

trial registrationDate of last update in ClinicalTrials.gov: January 2, 2019. ClinicalTrials.gov Identifier: NCT03404245.

Indexed as

ActigraphyInternet-Based InterventionPatient ParticipationSelf CareTelemedicineTherapy, Computer-AssistedArthritis, RheumatoidBritish ColumbiaCounselingExerciseFitness TrackersGroup ProcessesHealth StatusHumansPatient Education as TopicRandomized Controlled Trials as Topice-healthPhysical activityRheumatoid arthritisSelf-managementSelf-monitoring

Identifiers

PMID31829286
PMCPMC6907135
OpenAlexW2995615359

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.