Evidence map›Paper›PMID 40012067›Full record

ArticleJournal of evaluation in clinical practice2025

Investigation of the Effectiveness of a Biopsychosocial-Based Exercise Approach in Rheumatic Diseases: A Mixed Methods Research With Patients' Perspectives.

Edibe Unal, Nur Banu Karaca, Gunseli Ayca Saldirdak, Hande Albayrak, Aykut Ozcadirci, Nazli Elif Nacar, Orkun Tufekci, Sinan Buran, Sedat Kiraz, Ozlem Cankurtaran

Abstract read
In one paragraph

Article in Journal of evaluation in clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. 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.

Edibe UnalDepartment of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.ORCID 0000-0003-2992-0698
Nur Banu KaracaDepartment of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.ORCID 0000-0001-9025-4722
Gunseli Ayca SaldirdakDepartment of Sociology, Faculty of Arts and Sciences, Kirsehir Ahi Evran University, Kirsehir, Turkey.ORCID 0000-0002-7843-1359
Hande AlbayrakDepartment of Social Work, Faculty of Health Sciences, Kocaeli University, Kocaeli, Turkey.ORCID 0000-0002-2972-9490
Aykut OzcadirciDepartment of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-0882-1298
Nazli Elif NacarDepartment of Physiotherapy and Rehabilitation, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.ORCID 0000-0002-0860-8091
Orkun TufekciDepartment of Physiotherapy and Rehabilitation, Graduate School of Health Sciences, Hacettepe University, Ankara, Turkey.ORCID 0000-0001-7913-2580
Sinan BuranDepartment of Physiotherapy and Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.ORCID 0000-0003-1378-9584
Sedat KirazDepartment of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0000-0003-2802-6061
Ozlem CankurtaranDepartment of Social Work, Faculty of Economics and Administrative Sciences, Hacettepe University, Ankara, Turkey.ORCID 0000-0003-2243-0274

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS AND

objectivesTo investigate the effectiveness and acceptability, and thus practicability of a biopsychosocial-based exercise model in rheumatic diseases by a mixed method.

methodThis study is within the framework of mixed-method research that combines the strengths of quantitative and qualitative research methodologies. For the quantitative part of the study, 81 patients were divided into two groups Bilişsel Egzersiz Terapi Yaklaşımı (BETY)- (Cognitive Exercise Therapy Approach in English) exercise group (BETY Group-BG) and control group (CG). BG participants engaged in supervised exercise sessions with a physiotherapist for 1 h, three times weekly, over 12-week periods, while CG participants continued only routine medical treatment. Biopsychosocial status (BETY-Biopsychosocial Questionnaire [BETY-BQ]), functionality (Health Assessment Questionnaire [HAQ]), emotional status (Hospital Anxiety and Depression Scale [HADS]), and quality-of-life (Short Form-36 [SF-36]) was evaluated at baseline and 12 weeks. Qualitative data was collected from 20 patients who have acquired the habit of regular exercise by attending the BETY group exercise programme. Individual, semi-structured, face-to-face interviews were recorded, transcribed, and condensed and interpreted based on pre-established themes.

resultThere were differences in the BETY-BQ, HAQ, HADS-D, and SF-36 scores between baseline and 12 weeks in the BG (p < 0.05). Additionally, in post-intervention, the BETY-BQ, HADS-A, and SF-36 scores differences between groups were in favour of the BG (p < 0.05). In qualitative analysis, four sections were investigated, which were subdivided into 'Biopsychosocial Status', 'Functionality', 'Emotional Status' and 'Quality of Life'.

conclusionBETY is an effective and acceptable exercise model for managing the symptoms of patients with rheumatic diseases.

Indexed as

Cognitive Behavioral TherapyExercise TherapyRheumatic DiseasesAdultAgedFemaleHumansMaleMiddle AgedQualitative ResearchQuality of LifeSurveys and Questionnairesbiopsychosocial modelhealth‐related quality of lifepatient‐reported outcome measurepsychosocial interventionqualitative research

Identifiers

PMID40012067
PMCPMC11865290

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Registered trials

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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.