Investigation of Effectiveness of a Biopsychosocial Based Exercise Model in Rheumatic Diseases: a Mixed Methods Research
Condition: Rheumatic Diseases
MeSH terms: Rheumatic Diseases; Collagen Diseases
Study type: Interventional

Summary: 
      Biopsychosocial approaches are recommended in rheumatic diseases. Because the nature of these
      diseases is based on the person's ability to cope with their chronic disease. Moreover,
      rheumatic diseases, which are included in chronic diseases; It creates a comprehensive
      picture with loss of function, fatigue, insomnia, sexual reluctance, negative mood, social
      isolation and persistent pain accompanying them. This picture requires comprehensive
      treatments to include the symptoms. For this reason, biopsychosocial models are drawing
      attention day by day and it is underlined that a holistic approach to rheumatic patients is
      necessary. For all these negative conditions, exercise offers treatment as an important
      parameter. However, it seems that no named, exercise-based biopsychosocial models recommended
      for rheumatic diseases have been encountered. Studies show that cognitive behavioral
      therapies play a role when it is necessary to approach this patient group holistically.
      Patients diagnosed with rheumatism, who have applied to Hacettepe University Faculty of
      Health Sciences Physiotherapy and Rehabilitation Department since 2004, were included in
      group training where they could do clinical pilates exercises. Dance therapy-authentic
      movement was added to the exercise program in order to break the physiological connection of
      the vicious circle between the awareness gained in 2009 and the pain and anxiety. In 2010,
      the relationship between anxiety and pain led to the addition of knowledge management in
      sexuality this time. It was published in the form of a rheumatism book in 2014. In 2015, BETY
      received trademark registration. In this process, the patients learned to manage their
      inflammatory pain during the day by applying the pain management strategy individually. The
      exercise program, which was applied for one hour 3 days a week, was created by applying
      scales for the diagnosis of diseases during the evaluation phase.However, the patients stated
      that the relevant scales did not show the change in themselves, and that they experienced
      different changes. During this period, patients were asked to form sentences expressing the
      characteristics of change. The sentences formed were simplified by removing the same ones.
      These sentences were tested on rheumatic patients who did not participate in the BETY group.
      The item pool was formed by making additions related to activities of daily living. The draft
      was sent to rheumatologists and their opinions were taken. The opinions of the
      rheumatologists were shared with the patients, and the final version of the items was given
      in 2017. This scale was started to be applied to individuals with rheumatism who participated
      in the BETY program. It was also used for evaluation purposes for patients who did not
      participate in the exercise group but were given a home program after only the first
      interview. In this process, which formed the basis for the development of a scale, a
      qualitative study was needed that investigated the recovery characteristics of the patients
      and the reasons for their persistence in exercise. This qualitative study aims to reveal in
      detail the change created by an exercise-based biopsychosocial model in patients with
      rheumatism. Putting all these mentioned processes in writing and presenting them to the
      literature will be the efficiency of this study.
    


Intervention name(s): Bilişsel Egzersiz Terapi Yaklaşımı (BETY, Cognitive Exercise Therapy Approach)
Intervention type(s): Other
Intervention description(s): Biopsychosocial approach
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Biopsychosocial Model; Rheumatic diseases; Qualitative Research; Exercise