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dc.creatorRodríguez Sánchez Laulhé, P.es
dc.creatorLuque Romero, Luis Gabrieles
dc.creatorBlanquero, Jesúses
dc.creatorSuero Pineda, Alejandroes
dc.creatorBiscarri Carbonero, Angelaes
dc.creatorBarrero García, Francisco Josées
dc.creatorHeredia Rizo, Alberto Marcoses
dc.date.accessioned2023-05-11T06:30:35Z
dc.date.available2023-05-11T06:30:35Z
dc.date.issued2020
dc.identifier.citationRodríguez Sánchez Laulhé, P., Luque Romero, L.G., Blanquero, J., Suero Pineda, A., Biscarri Carbonero, A., Barrero García, F.J. y Heredia Rizo, A.M. (2020). A mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocol. Trials, 21 (1), 1-12. https://doi.org/10.1186/s13063-020-04713-4.
dc.identifier.issn1745-6215es
dc.identifier.urihttps://hdl.handle.net/11441/145817
dc.description.abstractBackground: Therapeutic exercise is a safe and cost-effective approach to alleviate hand rheumatoid arthritis (RA)- related symptoms. This study aims to investigate the differences in self-management between a smartphone app (CareHand), using hand exercises and educational advices, compared with a standard approach, on hand overall function, pain intensity, stiffness, and grip and pinch strength in patients with hand RA. Methods: The project is a prospective, longitudinal, superiority, randomized controlled trial. Fifty-eight participants with hand RA will be randomly assigned into an experimental group (CareHand app) or a control group (conventional treatment). Control intervention involves a paper sheet with exercises and recommendations, and the experimental group includes the use of a smartphone app, which provides individualized exercise programs, self-management, and educational strategies to promote adherence to treatment. Both intervention protocols will last for 3 months. The principal investigator will conduct an educational session at baseline for all participants. Primary outcome comprises the overall hand function, assessed with the Michigan Hand Outcome Questionnaire (MHQ). Secondary outcomes include self-reported functional ability with the Quick DASH questionnaire, self-reported pain intensity and morning stiffness using a Visual Analogue Scale (VAS), and hand grip and pinch strength (dynamometer). Outcome measures will be collected at baseline, and at 1 month and 3-month follow-up. Discussion: This study will evaluate the effectiveness of a tele-rehabilitation tool, which uses exercise and self-management strategies, compared to a conventional approach, in patients with hand RA. The smartphone app will allow to monitor the patient’s status and to enhance patient-therapist communication. Some limitations may be related to the short follow-up duration and the lack of evaluation of psychosocial factors. Overall, this new way of promoting long-term effects in patients with a chronic rheumatic disease could be feasible and easy to implement in daily life clinical practice and current musculoskeletal care. Trial registration: ClinicalTrials.gov NCT04263974. Registered on 7 March 2020. Date of last update 15 April 2020. Ethics committee code: PI_RH_2018.es
dc.description.sponsorshipJunta de Andalucía, Fundación Progreso y Salud AP-0149-2017es
dc.formatapplication/pdfes
dc.format.extent12es
dc.language.isoenges
dc.publisherBMCes
dc.relation.ispartofTrials, 21 (1), 1-12.
dc.rightsAtribución 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectEducationes
dc.subjectE-healthes
dc.subjectExercise therapyes
dc.subjectMobile applicationses
dc.subjectProtocoles
dc.subjectRandomized controlled triales
dc.subjectRheumatoid arthritises
dc.subjectSelf-managementes
dc.subjectTele-rehabilitationes
dc.titleA mobile app using therapeutic exercise and education for self-management in patients with hand rheumatoid arthritis: a randomized controlled trial protocoles
dc.typeinfo:eu-repo/semantics/articlees
dcterms.identifierhttps://ror.org/03yxnpp24
dc.type.versioninfo:eu-repo/semantics/publishedVersiones
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Citología e Histología Normal y Patológicaes
dc.contributor.affiliationUniversidad de Sevilla. Departamento de Fisioterapiaes
dc.identifier.doi10.1186/s13063-020-04713-4es
dc.contributor.groupUniversidad de Sevilla. CTS1110: Uncertainty, Mindfulness, Self, and Spiritualityes
dc.journaltitleTrialses
dc.publication.volumen21es
dc.publication.issue1es
dc.publication.initialPage1es
dc.publication.endPage12es

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