A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol

Background: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA)-related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a st...

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Autores: Rodríguez Sánchez-Laulhé, Pablo, Luque Romero, Luis Gabriel, Blanquero, Jesús, Suero Pineda, Alejandro, Biscarri Carbonero, Ángela, Barrero García, Francisco José, Heredia Rizo, Alberto Marcos
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universidad Loyola Andalucía
Repositorio:Brújula
OAI Identifier:oai:repositorio.uloyola.es:20.500.12412/7069
Acceso en línea:https://hdl.handle.net/20.500.12412/7069
Access Level:acceso abierto
Palabra clave:Education
E-health
Exercise therapy
Mobile applications
Protocol
Randomized controlled trial
Rheumatoid arthritis
Self-management
Tele-rehabilitation
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spelling A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocolRodríguez Sánchez-Laulhé, PabloLuque Romero, Luis GabrielBlanquero, JesúsSuero Pineda, AlejandroBiscarri Carbonero, ÁngelaBarrero García, Francisco JoséHeredia Rizo, Alberto MarcosEducationE-healthExercise therapyMobile applicationsProtocolRandomized controlled trialRheumatoid arthritisSelf-managementTele-rehabilitationBackground: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA)-related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA. Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programs, self-management, and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up. Discussion: This study will evaluate the effectiveness of a tele-rehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient's status and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care.Fundación Progreso y Salud de Consejería de Salud y Familias de la Junta de Andalucía2020info:eu-repo/semantics/articlehttps://hdl.handle.net/20.500.12412/7069reponame:Brújulainstname:Universidad Loyola AndalucíaInglésAP-0149-2017http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:repositorio.uloyola.es:20.500.12412/70692026-06-24T12:48:37Z
dc.title.none.fl_str_mv A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
title A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
spellingShingle A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
Rodríguez Sánchez-Laulhé, Pablo
Education
E-health
Exercise therapy
Mobile applications
Protocol
Randomized controlled trial
Rheumatoid arthritis
Self-management
Tele-rehabilitation
title_short A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
title_full A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
title_fullStr A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
title_full_unstemmed A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
title_sort A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol
dc.creator.none.fl_str_mv Rodríguez Sánchez-Laulhé, Pablo
Luque Romero, Luis Gabriel
Blanquero, Jesús
Suero Pineda, Alejandro
Biscarri Carbonero, Ángela
Barrero García, Francisco José
Heredia Rizo, Alberto Marcos
author Rodríguez Sánchez-Laulhé, Pablo
author_facet Rodríguez Sánchez-Laulhé, Pablo
Luque Romero, Luis Gabriel
Blanquero, Jesús
Suero Pineda, Alejandro
Biscarri Carbonero, Ángela
Barrero García, Francisco José
Heredia Rizo, Alberto Marcos
author_role author
author2 Luque Romero, Luis Gabriel
Blanquero, Jesús
Suero Pineda, Alejandro
Biscarri Carbonero, Ángela
Barrero García, Francisco José
Heredia Rizo, Alberto Marcos
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Education
E-health
Exercise therapy
Mobile applications
Protocol
Randomized controlled trial
Rheumatoid arthritis
Self-management
Tele-rehabilitation
topic Education
E-health
Exercise therapy
Mobile applications
Protocol
Randomized controlled trial
Rheumatoid arthritis
Self-management
Tele-rehabilitation
description Background: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA)-related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA. Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programs, self-management, and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up. Discussion: This study will evaluate the effectiveness of a tele-rehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient's status and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care.
publishDate 2020
dc.date.none.fl_str_mv 2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.12412/7069
url https://hdl.handle.net/20.500.12412/7069
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv AP-0149-2017
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Brújula
instname:Universidad Loyola Andalucía
instname_str Universidad Loyola Andalucía
reponame_str Brújula
collection Brújula
repository.name.fl_str_mv
repository.mail.fl_str_mv
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