Reducing arthritis fatigue impact: Two-year randomized controlled trial of cognitive behavioral approaches by rheumatology teams (RAFT)
Annals of Rheumatic Diseases Feb 13, 2019
Hewlett S, et al. - In this multicentre, 2-year randomized controlled trial, researchers analyzed 333 candidates to assess if a group course delivered by rheumatology teams (using cognitive-behavioral approaches plus usual care) overcame the impact of RA fatigue as compared to usual care alone. They noticed that the adjusted difference between arms for fatigue impact change favored RAFT (BRAF-NRS Effect −0.59), BRAF Multidimensional Questionnaire (MDQ) Total −3.42, Living with Fatigue −1.19, Emotional Fatigue −0.91; RA Self-Efficacy (RASE, +3.05) (14 secondary outcomes unchanged) at 26 weeks. The effects continued at 2 years ie, BRAF-NRS Effect −0.49, BRAF MDQ Total −2.98, Living with Fatigue −0.93, Emotional Fatigue −0.90; BRAF-NRS Coping +0.42 (relevance of fatigue impact improvement uncertain). They observed candidates more satisfied with RAFT as compared to usual care alone.
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