Tablet-based Cognitive Behavioral Intervention for Older Adults With Arthritis Fatigue
Study Details
Study Description
Brief Summary
The purpose of this project is to pilot test a long-term effect of Tab-G (tablet-based cognitive behavioral group education intervention). The investigators will evaluate the effect of Tab-G, relative to usual care group, on (a) daily steps, (b) fatigue level, (c) self-efficacy and (d) quality of life.
Tab-G participants will receive 4 weekly CBT-based group education focusing on shared goal setting and mutual reinforcement in a group with 5 members. The outcomes will be measured baseline, week 4 (intervention completion) and week 8 (follow-up). The investigators hypothesize that older adults receiving Tab-G will have greater improvements on outcomes compared to those receiving usual care at week 4, the intervention completion and at week 8 follow-up.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Tab-G (tablet-based group CBT education) Tab-G participants will receive 4 weekly CBT(cognitive behavioral therapy)-based group learning sessions to encourage a simple walking activity through videoconferencing meetings in a group of 5 members. The educational materials emphasize shared goal setting and mutual reinforcement. |
Behavioral: Tab-G
Participants receive a tablet preloaded with Tab-G application and an accelerometer.
Other Names:
|
No Intervention: Usual care group A usual care group will receive general arthritis management education. Participant are instructed to maintain usual activity during the study period. |
Outcome Measures
Primary Outcome Measures
- daily steps [24 hours]
daily step counts measured by an accelerometer
- BRICS NINR PROMIS Fatigue Short Form 6a [past 1 week]
self-reported fatigue scale measuring both the experience of fatigue and the interference of fatigue on daily activities. Scores can range from 6 to 30, with higher scores indicating greater fatigue.
- Self-Efficacy for Managing Chronic Disease 6-Item Scale [24 hours]
self-reported self-efficacy scale. Scores can range from 6 to 60, with higher scores indicating higher self-efficacy.
- Quality of Life-Rheumatoid Arthritis Scale [past 4 weeks]
self-reported perception of quality of life. Scores can range from 8 to 80 with higher scores indicating greater quality of life.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
diagnosis of osteoarthritis or rheumatoid arthritis;
-
presence of greater than minimal fatigue scoring ≥13 (T-score>55) on the Patient Reported Outcomes Measurement Information System (PROMIS) Short Form (SF) v1.0-Fatigue 6a; and
-
having Wi-Fi at home
Exclusion Criteria:
-
currently engaging in regular exercise;
-
non-ambulatory or presence of a condition that would limit the ability to walk (e.g., foot deformity, lower extremity joint surgery in past 6 months, stroke, severe chronic obstructive pulmonary disease, etc.); and
-
delirium, dementia, or any conditions indicating deteriorating cognitive status as determined by the Mini-Cog.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of Massachusetts | Amherst | Massachusetts | United States | 01003 |
Sponsors and Collaborators
- University of Massachusetts, Amherst
Investigators
- Principal Investigator: Jeungok Choi, PhD, University of Massachusetts, Amherst
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2130