Physical Activity in Rheumatoid Arthritis: a randomised controlled multi-centre study

ISRCTN ISRCTN88886304
DOI https://doi.org/10.1186/ISRCTN88886304
Secondary identifying numbers N/A
Submission date
21/12/2006
Registration date
28/12/2006
Last edited
25/09/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Prof Christina Opava
Scientific

Department Of NSV
Division of Physiotherapy
ANA 23100
Huddinge
SE-14183
Sweden

Phone +46 (0)85 24 88 880
Email christina.opava@ki.se

Study information

Study designSingle blind randomised controlled trial with intervention group and control group.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titlePhysical Activity in Rheumatoid Arthritis: a randomised controlled multi-centre study
Study acronymPARA study
Study hypothesis1. A one-year support program for healthy physical activity will:
a. increase/maintain physical activity levels
b. improve health-related quality of life and functioning
c. be cost-effective
2. Improvements will sustain one year after end of intervention.
3. Clusters of characteristics (demographic, disease-related, cognitive-behavioural and body functions) can be distinguished and related to health-related quality of life and physical activity behavior respectively.
Ethics approval(s)Regional Research Ethics committee, Karolinska Institutet (ref: d.nr. 00-010).
ConditionRheumatoid arthritis according to American College of Rheumatology criteria
InterventionAll participants in both groups had access to, but were not specifically encouraged to participate in, 'ordinary physical therapy treatment' including patient education, treatment with physical modalities, and organised exercise a maximum of twice per week. This was the treatment generally offered to patients with RA, which seldom resulted in regular physical activity in daily life.

Those randomised to intervention furthermore underwent a one-year program aiming at implementing healthy physical activity (moderately intensive, 30 minutes/day, more than four days/week). They were individually coached by a physical therapist and were informed about the benefits of physical activity. Their thoughts about their body function and their possibilities for physical activity were discussed. Goal setting for their physical activity behaviours were formulated and documented according to a structured manual based on the principles of graded activity training.

Perceived obstacles to a successful implementation were discussed and problem-solving strategies to help overcome present and future barriers were discussed and documented. Continuous telephone support was given after one week and then once monthly by the physical therapist. Tests of body functions were performed every third month as part of the intervention and oral and written feedback given about the test results. Activity logs were used two weeks prior to each test occasion to support adherence. Goals related to physical activity behaviour were systematically evaluated and adjusted whenever required.
Intervention typeOther
Primary outcome measureThe EuroQoL 5 dimensions (EQ-5D)
Secondary outcome measures1. The Grippit for maximum grip strength
2. The Timed Stands Test for lower extremity function
Overall study start date01/01/2000
Overall study end date31/12/2006

Eligibility

Participant type(s)Patient
Age groupNot Specified
SexNot Specified
Target number of participants91 per group (beta=0.2, alfa=0.05)
Participant inclusion criteria1. Rheumatoid arthritis according to American College of Rheumatology criteria
2. Less than two years since diagnosis
3. Ability to undergo body function testing and answer questionnaires
Participant exclusion criteriaNot applicable
Recruitment start date01/01/2000
Recruitment end date31/12/2006

Locations

Countries of recruitment

  • Sweden

Study participating centre

Department Of NSV
Huddinge
SE-14183
Sweden

Sponsor information

Karolinska Institutet (Sweden)
Hospital/treatment centre

-
Stockholm
SE-17177
Sweden

Phone +46 (0)852 480 000
Email admin@ki.se
Website http://ki.se/ki/jsp/polopoly.jsp?d=130&l=sv
ROR logo "ROR" https://ror.org/056d84691

Funders

Funder type

Research council

The Swedish Research Council (Sweden)

No information available

The Vårdal Foundation (Sweden)

No information available

The Swedish Rheumatism Association (Sweden)

No information available

The Västerbotten County Council Research Fund (Sweden)

No information available

The Stockholm County Council (EXPO) (Sweden)

No information available

The Health Care Science Postgraduate School at Karolinska Institutet (Sweden)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article sub-study results 01/12/2018 25/09/2019 Yes No

Editorial Notes

25/09/2019: Publication reference added.