The Lifestyle Management for Arthritis Programme (LMAP) : long-term follow-up of a randomized controlled trial in inflammatory arthritis

Hammond, A; Rayner, J

Abstract

Objective: The LMAP is a group self-management programme of two modules (weekly meetings: 4 x 2.5h) plus review (2h). Module A includes: arthritis information, joint protection and fatigue management; and module B: exercise (flexibility, strength, walking programme, Tai Chi for Arthritis), foot care, pain and stress management. A randomized parallel group trial (n=167) demonstrated significant improvements at 12m in pain, perceived control, self-efficacy and self-management in people with early inflammatory, rheumatoid or psoriatic arthritis, compared to a standard arthritis education programme (SAEP: 10 hours). In this study, we evaluated the LMAP’s long-term effects.

Materials/ Methods: At 6.5y, participants completed the trial postal questionnaire including: pain 10cm scale; Multi-dimensional Health Assessment Questionnaire (MDHAQ: function, psychological status, perceived control), arthritis self-efficacy scales, adherence with self-management. Mean change (SD) scores from 0-6.5y were compared between groups using ANCOVA, with baseline scores as covariates. Data were analysed as a) completers only and b) missing cases’ data imputed (estimation-maximization method, 25 iterations: SPSSv20).
Results: 58% responded: 54 (63%) LMAP and 43 SAEP (53%) participants. There were no significant differences in baseline characteristics of responders versus non-responders or response rates between groups.
Completers: The LMAP group had better use of joint protection (p = 0.03), with no other significant differences.
Multiple imputation: The LMAP group had better: self-efficacy for self-management (p = 0.05); self-reported use of joint protection (p = 0.001) and exercise (although less than at 12m: p = 0.05).

• Presentation Conference Type: Presentation / Talk
• Conference Name: 12th Congress of European Forum for Research in Rehabilitation
• End Date: Sep 14, 2013
• Publication Date: Jan 1, 2013
• Deposit Date: Sep 1, 2020
• Publicly Available Date: Sep 1, 2020
• Publisher URL: http://www.ftrdergisi.com/pdf.php?&id=2723
• Related Public URLs: http://www.ftrdergisi.com/
• Additional Information: Event Type : Conference