There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA .
Research has shown that people who have rheumatoid arthritis ( RA ) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels , including quality of life , aerobic fitness and disease-related characteristics .
Behaviour change theory underpins the promotion of physical activity .
The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA , focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy .
A dynamic exercise programme to improve patients' disability in rheumatoid arthritis: a prospective randomized controlled trial.
OBJECTIVE To evaluate the functional , clinical , radiological and quality of life outcomes of a 4-week dynamic exercise programme ( DEP ) in RA . METHODS Patients matched on the principal medico-social parameters were r and omly assigned to either the DEP or the conventional joint rehabilitation group . Primary end point for judging effectiveness was functional status assessed by HAQ . Secondary outcomes included Nottingham Health Profile ( NHP ) , Arthritis Impact Measurement Scale 2-Short Form ( AIMS 2-SF ) and radiological worsening measured by Simple Narrowing Erosion Score ( SENS ) . Clinical evaluation consisted of disease activity score ( DAS 28 ) , cycling aerobic fitness and dexterity . Dexterity was measured using Sequential Occupational Dexterity Assessment ( SODA ) and Duruoz H and Index ( DHI ) . Data were collected at baseline 1 , 6 and 12 months . RESULTS Fifty patients were enrolled .  HAQ improved throughout the length of the trial in the DEP group . This improvement was greater in DEP than in the st and ard joint rehabilitation group at 1 month ( -0.2 vs no variation from baseline , P = 0.04 ) , but not at 6 months ( -0.2 vs -0.1 in control group , P = 0.25 ) or 12 months ( -0.1 vs no variation in control group , P = 0.51 ) . DEP improved NHP ( -23 vs + 7 % in control group , P = 0.01 ) and aerobic fitness ( + 0.3 vs + 0.1 km per 5 min in control group , P = 0.02 ) at 1 month but the progress was not statistically significant thereafter . DEP also improved DHI , SODA , DAS 28 and AIMS 2-SF , although not significantly . CONCLUSION DEP was effective on functional status assessed by HAQ , quality of life and aerobic fitness at 1 month
There has been varied success of behaviour change interventions in promoting physical activity behaviour in people who have RA .
Research has shown that people who have rheumatoid arthritis ( RA ) do not usually participate in enough physical activity to obtain the benefits of optimal physical activity levels , including quality of life , aerobic fitness and disease-related characteristics .
Behaviour change theory underpins the promotion of physical activity .
The aim of this systematic review was to explore behaviour change interventions which targeted physical activity behaviour in people who have RA , focusing on the theory underpinning the interventions and the behaviour change techniques utilised using specific behaviour change taxonomy .