Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial
Objective To evaluate the 18‐month postintervention efficacy following a 4‐month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA). Methods In an observer‐blinded randomized trial, 150 RA patients were included. During 4 months, the interv...
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| Veröffentlicht in: | Arthritis care & research (2010) 2020-11, Vol.72 (11), p.1560-1570 |
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| creator | Thomsen, Tanja Aadahl, Mette Beyer, Nina Hetland, Merete L. Løppenthin, Katrine B. Midtgaard, Julie Christensen, Robin Nielsen, Sabrina M. Østergaard, Mikkel Jennum, Poul Esbensen, Bente A. |
| description | Objective
To evaluate the 18‐month postintervention efficacy following a 4‐month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA).
Methods
In an observer‐blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light‐intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient‐reported outcomes and cardiometabolic biomarkers. A mixed‐effect repeated measures analysis of covariance model in the intent‐to‐treat population was applied.
Results
At 22 months follow‐up from baseline, 12 participants were lost to follow‐up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between‐group difference of –2.43 hours/day (95% confidence interval [95% CI] –2.99, –1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between‐group differences favored the intervention: visual analog scale (VAS) pain –15.51 mm (95% CI –23.42, –7.60), VAS fatigue –12.30 mm (95% CI –20.71, –3.88), physical function –0.39 Health Assessment Questionnaire units (95% CI –0.53, –0.26), total cholesterol –0.86 mmoles/liter (95% CI –1.03, –0.68), triglycerides –0.26 mmoles/liter (95% CI –0.43, –0.09), and average glucose –1.15 mmoles/liter (95% CI –1.39, –0.91).
Conclusion
The 4‐month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient‐reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long‐term physical activity and health in patients with RA. |
| doi_str_mv | 10.1002/acr.24060 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_webofscience_primary_000582954400007</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2288715125</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3880-4e201cded470c62e40dbd7102b57ce5004407042fce8f218c091393bd79211dd3</originalsourceid><addsrcrecordid>eNqNksFuEzEQhlcIRKvSAy-ALHEBQVrba2d3e4tCW5BSgdIguK0cezZx5V0H20sJJx6BV-MVeBImTYgEEhJzsS1_83s8_2TZY0ZPGKX8VOlwwgUd0nvZIWeSDcRQlvf3e_HxIDuO8YZi5Lws8-phdpAzSQtaycPsx3Ufk7IdGDLx3eLnt-8zCC05bxqrlV4T35Arn-xnlazvlCNj33cRnO0WRHWGzOBLIlcQo1oAmUJrOwMhEt-RV8q6Nbm2KW3YmW2B2I68Qx3oUiQfbFqS6RL6ViVvDRmFtAw22Xj2Rx0X3jl_i6d-tSlFkSm-6lv7FcxLFAvKOXB4fRk8ErNglXuUPWiUi3C8W4-y9xfns_HrweTt5ZvxaDLQeVnSgQBOmTZgREH1kIOgZm4KRvlcFhokpUJgiwRvNJQNZ6WmFcurHJmKM2ZMfpQ92-qugv_UQ0x1a6MG51QHvo81x2YX6AGXiD79C73xfcB2IiWkFMOq4AKp51tKBx9jgKZeBduqsK4ZrTdW12h1fWc1sk92iv28BbMnfxuLwIstcAtz30SNXdewx3AWZMkriX_EKJAu_58e23Q3DZtRSJh6uku1Dtb_Lrkejafb2n8BiCnY5A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2455469724</pqid></control><display><type>article</type><title>Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Thomsen, Tanja ; Aadahl, Mette ; Beyer, Nina ; Hetland, Merete L. ; Løppenthin, Katrine B. ; Midtgaard, Julie ; Christensen, Robin ; Nielsen, Sabrina M. ; Østergaard, Mikkel ; Jennum, Poul ; Esbensen, Bente A.</creator><creatorcontrib>Thomsen, Tanja ; Aadahl, Mette ; Beyer, Nina ; Hetland, Merete L. ; Løppenthin, Katrine B. ; Midtgaard, Julie ; Christensen, Robin ; Nielsen, Sabrina M. ; Østergaard, Mikkel ; Jennum, Poul ; Esbensen, Bente A.</creatorcontrib><description>Objective
To evaluate the 18‐month postintervention efficacy following a 4‐month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA).
Methods
In an observer‐blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light‐intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient‐reported outcomes and cardiometabolic biomarkers. A mixed‐effect repeated measures analysis of covariance model in the intent‐to‐treat population was applied.
Results
At 22 months follow‐up from baseline, 12 participants were lost to follow‐up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between‐group difference of –2.43 hours/day (95% confidence interval [95% CI] –2.99, –1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between‐group differences favored the intervention: visual analog scale (VAS) pain –15.51 mm (95% CI –23.42, –7.60), VAS fatigue –12.30 mm (95% CI –20.71, –3.88), physical function –0.39 Health Assessment Questionnaire units (95% CI –0.53, –0.26), total cholesterol –0.86 mmoles/liter (95% CI –1.03, –0.68), triglycerides –0.26 mmoles/liter (95% CI –0.43, –0.09), and average glucose –1.15 mmoles/liter (95% CI –1.39, –0.91).
Conclusion
The 4‐month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient‐reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long‐term physical activity and health in patients with RA.</description><identifier>ISSN: 2151-464X</identifier><identifier>EISSN: 2151-4658</identifier><identifier>DOI: 10.1002/acr.24060</identifier><identifier>PMID: 31507095</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthritis, Rheumatoid - psychology ; Arthritis, Rheumatoid - therapy ; Behavior Therapy - methods ; Cholesterol ; Exercise - psychology ; Female ; Follow-Up Studies ; Humans ; Life Sciences & Biomedicine ; Male ; Middle Aged ; Motivational Interviewing - methods ; Patient Reported Outcome Measures ; Patients ; Physical activity ; Rheumatoid arthritis ; Rheumatology ; Science & Technology ; Sedentary Behavior ; Single-Blind Method ; Sitting Position ; Text Messaging ; Time Factors ; Treatment Outcome ; Triglycerides ; Young Adult</subject><ispartof>Arthritis care & research (2010), 2020-11, Vol.72 (11), p.1560-1570</ispartof><rights>2020, American College of Rheumatology</rights><rights>2020, American College of Rheumatology.</rights><rights>2020 American College of Rheumatology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>24</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000582954400007</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3880-4e201cded470c62e40dbd7102b57ce5004407042fce8f218c091393bd79211dd3</citedby><cites>FETCH-LOGICAL-c3880-4e201cded470c62e40dbd7102b57ce5004407042fce8f218c091393bd79211dd3</cites><orcidid>0000-0002-7112-2318 ; 0000-0001-5331-8221 ; 0000-0002-6600-0631 ; 0000-0003-2857-2484 ; 0000-0003-2381-2127 ; 0000-0001-5904-9747</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Facr.24060$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Facr.24060$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27928,27929,45578,45579</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31507095$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Thomsen, Tanja</creatorcontrib><creatorcontrib>Aadahl, Mette</creatorcontrib><creatorcontrib>Beyer, Nina</creatorcontrib><creatorcontrib>Hetland, Merete L.</creatorcontrib><creatorcontrib>Løppenthin, Katrine B.</creatorcontrib><creatorcontrib>Midtgaard, Julie</creatorcontrib><creatorcontrib>Christensen, Robin</creatorcontrib><creatorcontrib>Nielsen, Sabrina M.</creatorcontrib><creatorcontrib>Østergaard, Mikkel</creatorcontrib><creatorcontrib>Jennum, Poul</creatorcontrib><creatorcontrib>Esbensen, Bente A.</creatorcontrib><title>Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial</title><title>Arthritis care & research (2010)</title><addtitle>ARTHRIT CARE RES</addtitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><description>Objective
To evaluate the 18‐month postintervention efficacy following a 4‐month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA).
Methods
In an observer‐blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light‐intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient‐reported outcomes and cardiometabolic biomarkers. A mixed‐effect repeated measures analysis of covariance model in the intent‐to‐treat population was applied.
Results
At 22 months follow‐up from baseline, 12 participants were lost to follow‐up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between‐group difference of –2.43 hours/day (95% confidence interval [95% CI] –2.99, –1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between‐group differences favored the intervention: visual analog scale (VAS) pain –15.51 mm (95% CI –23.42, –7.60), VAS fatigue –12.30 mm (95% CI –20.71, –3.88), physical function –0.39 Health Assessment Questionnaire units (95% CI –0.53, –0.26), total cholesterol –0.86 mmoles/liter (95% CI –1.03, –0.68), triglycerides –0.26 mmoles/liter (95% CI –0.43, –0.09), and average glucose –1.15 mmoles/liter (95% CI –1.39, –0.91).
Conclusion
The 4‐month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient‐reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long‐term physical activity and health in patients with RA.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Rheumatoid - psychology</subject><subject>Arthritis, Rheumatoid - therapy</subject><subject>Behavior Therapy - methods</subject><subject>Cholesterol</subject><subject>Exercise - psychology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Motivational Interviewing - methods</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatology</subject><subject>Science & Technology</subject><subject>Sedentary Behavior</subject><subject>Single-Blind Method</subject><subject>Sitting Position</subject><subject>Text Messaging</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Triglycerides</subject><subject>Young Adult</subject><issn>2151-464X</issn><issn>2151-4658</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>ARHDP</sourceid><sourceid>EIF</sourceid><recordid>eNqNksFuEzEQhlcIRKvSAy-ALHEBQVrba2d3e4tCW5BSgdIguK0cezZx5V0H20sJJx6BV-MVeBImTYgEEhJzsS1_83s8_2TZY0ZPGKX8VOlwwgUd0nvZIWeSDcRQlvf3e_HxIDuO8YZi5Lws8-phdpAzSQtaycPsx3Ufk7IdGDLx3eLnt-8zCC05bxqrlV4T35Arn-xnlazvlCNj33cRnO0WRHWGzOBLIlcQo1oAmUJrOwMhEt-RV8q6Nbm2KW3YmW2B2I68Qx3oUiQfbFqS6RL6ViVvDRmFtAw22Xj2Rx0X3jl_i6d-tSlFkSm-6lv7FcxLFAvKOXB4fRk8ErNglXuUPWiUi3C8W4-y9xfns_HrweTt5ZvxaDLQeVnSgQBOmTZgREH1kIOgZm4KRvlcFhokpUJgiwRvNJQNZ6WmFcurHJmKM2ZMfpQ92-qugv_UQ0x1a6MG51QHvo81x2YX6AGXiD79C73xfcB2IiWkFMOq4AKp51tKBx9jgKZeBduqsK4ZrTdW12h1fWc1sk92iv28BbMnfxuLwIstcAtz30SNXdewx3AWZMkriX_EKJAu_58e23Q3DZtRSJh6uku1Dtb_Lrkejafb2n8BiCnY5A</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Thomsen, Tanja</creator><creator>Aadahl, Mette</creator><creator>Beyer, Nina</creator><creator>Hetland, Merete L.</creator><creator>Løppenthin, Katrine B.</creator><creator>Midtgaard, Julie</creator><creator>Christensen, Robin</creator><creator>Nielsen, Sabrina M.</creator><creator>Østergaard, Mikkel</creator><creator>Jennum, Poul</creator><creator>Esbensen, Bente A.</creator><general>Wiley</general><general>Wiley Subscription Services, Inc</general><scope>17B</scope><scope>AOWDO</scope><scope>ARHDP</scope><scope>BLEPL</scope><scope>DTL</scope><scope>DVR</scope><scope>EGQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7112-2318</orcidid><orcidid>https://orcid.org/0000-0001-5331-8221</orcidid><orcidid>https://orcid.org/0000-0002-6600-0631</orcidid><orcidid>https://orcid.org/0000-0003-2857-2484</orcidid><orcidid>https://orcid.org/0000-0003-2381-2127</orcidid><orcidid>https://orcid.org/0000-0001-5904-9747</orcidid></search><sort><creationdate>202011</creationdate><title>Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial</title><author>Thomsen, Tanja ; Aadahl, Mette ; Beyer, Nina ; Hetland, Merete L. ; Løppenthin, Katrine B. ; Midtgaard, Julie ; Christensen, Robin ; Nielsen, Sabrina M. ; Østergaard, Mikkel ; Jennum, Poul ; Esbensen, Bente A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3880-4e201cded470c62e40dbd7102b57ce5004407042fce8f218c091393bd79211dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Rheumatoid - psychology</topic><topic>Arthritis, Rheumatoid - therapy</topic><topic>Behavior Therapy - methods</topic><topic>Cholesterol</topic><topic>Exercise - psychology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Motivational Interviewing - methods</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Physical activity</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatology</topic><topic>Science & Technology</topic><topic>Sedentary Behavior</topic><topic>Single-Blind Method</topic><topic>Sitting Position</topic><topic>Text Messaging</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Triglycerides</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Thomsen, Tanja</creatorcontrib><creatorcontrib>Aadahl, Mette</creatorcontrib><creatorcontrib>Beyer, Nina</creatorcontrib><creatorcontrib>Hetland, Merete L.</creatorcontrib><creatorcontrib>Løppenthin, Katrine B.</creatorcontrib><creatorcontrib>Midtgaard, Julie</creatorcontrib><creatorcontrib>Christensen, Robin</creatorcontrib><creatorcontrib>Nielsen, Sabrina M.</creatorcontrib><creatorcontrib>Østergaard, Mikkel</creatorcontrib><creatorcontrib>Jennum, Poul</creatorcontrib><creatorcontrib>Esbensen, Bente A.</creatorcontrib><collection>Web of Knowledge</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science - Social Sciences Citation Index – 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Social Sciences Citation Index</collection><collection>Web of Science Primary (SCIE, SSCI & AHCI)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Arthritis care & research (2010)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Thomsen, Tanja</au><au>Aadahl, Mette</au><au>Beyer, Nina</au><au>Hetland, Merete L.</au><au>Løppenthin, Katrine B.</au><au>Midtgaard, Julie</au><au>Christensen, Robin</au><au>Nielsen, Sabrina M.</au><au>Østergaard, Mikkel</au><au>Jennum, Poul</au><au>Esbensen, Bente A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial</atitle><jtitle>Arthritis care & research (2010)</jtitle><stitle>ARTHRIT CARE RES</stitle><addtitle>Arthritis Care Res (Hoboken)</addtitle><date>2020-11</date><risdate>2020</risdate><volume>72</volume><issue>11</issue><spage>1560</spage><epage>1570</epage><pages>1560-1570</pages><issn>2151-464X</issn><eissn>2151-4658</eissn><abstract>Objective
To evaluate the 18‐month postintervention efficacy following a 4‐month individually tailored behavioral intervention on daily sitting time in patients with rheumatoid arthritis (RA).
Methods
In an observer‐blinded randomized trial, 150 RA patients were included. During 4 months, the intervention group (n = 75) received 3 motivational counseling sessions and tailored text messages aimed at increasing light‐intensity physical activity through reduction of sedentary behavior. The control group (n = 75) maintained their usual lifestyle. The primary outcome was change from baseline to 18 months postintervention in objectively measured daily sitting time (using ActivPAL). Secondary outcomes included changes in clinical patient‐reported outcomes and cardiometabolic biomarkers. A mixed‐effect repeated measures analysis of covariance model in the intent‐to‐treat population was applied.
Results
At 22 months follow‐up from baseline, 12 participants were lost to follow‐up. Compared to baseline, sitting time in the intervention group decreased 1.10 hours/day, whereas it increased by 1.32 hours/day in the control group, a between‐group difference of –2.43 hours/day (95% confidence interval [95% CI] –2.99, –1.86; P < 0.0001) favoring the intervention group. For most secondary outcomes, between‐group differences favored the intervention: visual analog scale (VAS) pain –15.51 mm (95% CI –23.42, –7.60), VAS fatigue –12.30 mm (95% CI –20.71, –3.88), physical function –0.39 Health Assessment Questionnaire units (95% CI –0.53, –0.26), total cholesterol –0.86 mmoles/liter (95% CI –1.03, –0.68), triglycerides –0.26 mmoles/liter (95% CI –0.43, –0.09), and average glucose –1.15 mmoles/liter (95% CI –1.39, –0.91).
Conclusion
The 4‐month postintervention results showed that patients in the intervention reduced their daily sitting time and improved patient‐reported outcomes and total cholesterol levels compared to the control group. Eighteen months after intervention, patients in the intervention group were still significantly less sedentary than controls. Findings suggest that a behavioral approach is beneficial for promoting long‐term physical activity and health in patients with RA.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>31507095</pmid><doi>10.1002/acr.24060</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-7112-2318</orcidid><orcidid>https://orcid.org/0000-0001-5331-8221</orcidid><orcidid>https://orcid.org/0000-0002-6600-0631</orcidid><orcidid>https://orcid.org/0000-0003-2857-2484</orcidid><orcidid>https://orcid.org/0000-0003-2381-2127</orcidid><orcidid>https://orcid.org/0000-0001-5904-9747</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Arthritis, Rheumatoid - psychology Arthritis, Rheumatoid - therapy Behavior Therapy - methods Cholesterol Exercise - psychology Female Follow-Up Studies Humans Life Sciences & Biomedicine Male Middle Aged Motivational Interviewing - methods Patient Reported Outcome Measures Patients Physical activity Rheumatoid arthritis Rheumatology Science & Technology Sedentary Behavior Single-Blind Method Sitting Position Text Messaging Time Factors Treatment Outcome Triglycerides Young Adult |
| title | Sustained Long‐Term Efficacy of Motivational Counseling and Text Message Reminders on Daily Sitting Time in Patients With Rheumatoid Arthritis: Long‐Term Follow‐up of a Randomized, Parallel‐Group Trial |
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