Dr. Smarr has received honoraria (more than $10,000) from the Association of Rheumatology Health Professionals.
RAHelp: An Online Intervention for Individuals With Rheumatoid Arthritis
Article first published online: 24 SEP 2013
Copyright © 2013 by the American College of Rheumatology
Arthritis Care & Research
Volume 65, Issue 10, pages 1573–1581, October 2013
How to Cite
Shigaki, C. L., Smarr, K. L., Siva, C., Ge, B., Musser, D. and Johnson, R. (2013), RAHelp: An Online Intervention for Individuals With Rheumatoid Arthritis. Arthritis Care Res, 65: 1573–1581. doi: 10.1002/acr.22042
ClinicalTrials.gov identifier: NCT00283855.
The views expressed in this manuscript are those of the authors and do not necessarily reflect the position or policy of the United States Department of Veterans Affairs.
- Issue published online: 24 SEP 2013
- Article first published online: 24 SEP 2013
- Accepted manuscript online: 10 MAY 2013 02:31PM EST
- Manuscript Accepted: 19 APR 2013
- Manuscript Received: 5 NOV 2012
- National Institute on Disability and Rehabilitation Research of the Department of Education. Grant Number: H133B031120
To test an intervention for improving self-management in rheumatoid arthritis (RA) using an online, cognitive–behavioral, self-management group program (RAHelp), with weekly telephone support.
A 2-group, randomized study design was used to compare an intervention for RA versus a waiting-list control condition. The intervention used a secure web site (RAHelp.org) to provide a 10-week program with weekly educational modules for improving self-efficacy in self-management of RA, plus tools for group interaction. Weekly telephone contacts were made to encourage use of program tools and apply newly learned skills. A nationwide convenience sample of 106 adult participants (mean age 50 years, 93% women) was recruited primarily through online advertisements. Main outcome measures included the Arthritis Impact Measurement Scales 2 (affective, physical, role, social, and pain/symptom components), Arthritis Self-Efficacy Scale (ASES), Center for Epidemiologic Studies Depression Scale, Quality of Life Scale (QLS), Rapid Assessment of Disease Activity in Rheumatology, Social Provisions Scale, and University of California, Los Angeles Loneliness Scale 3.
Group differences with large and moderate effect sizes (ES) were found immediately postintervention for self-efficacy (ASES; ES 0.92, P = 0.00001) and quality of life (QLS; ES 0.66, P = 0.003), respectively. At 9 months postintervention, differences in self-efficacy (ASES; ES 0.92, P = 0.00001) and quality of life (QLS; ES 0.71, P = 0.004) remained robust.
RAHelp appears to have beneficial effects in terms of self-efficacy and quality of life among individuals with RA who are willing to use an online service format.