Assistive Device for Hand Osteoarthritis

Study Overview
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Brief Summary
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Randomized clinical trial , blind for evaluators, to assess the effectiveness of a self-care program using assistive technology for treatment of hand osteoarthritis.

Detailed Description
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This program aims to: Encourage the use of assistive devices on a daily basis as the main form of joint protection. Encourage individual motivation, from the group in attendance, behavior change, developing the capacity of self-management of individuals of their health problems. Will be held for 4 meetings with an average duration of 90 minutes. Meeting 1: Its proposal address the importance of self-care in the treatment of chronic diseases; knowing the OA of the hands and their main characteristics; recognize the importance of hand function for carrying out activities; understand the meaning of self-care and joint protection; motivation adherence to the program and behavior change. Meeting 2: Present assistive devices as a protection feature; teach joint protection techniques and energy conservation focusing on the assistive device; deliver and demonstrate the use of assistive devices. Meeting 3:Encouraging the adhesion of the techniques presented; making workshop for daily activities; verify the difficulties with devices use by the volunteers. Meeting 4: Strengthening guidance given in previous meetings; make closing with the group to in connection with the program; motivated to continue carrying out the activities at home.

Official Title
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Self-care Program Evaluation With Focus on Assistive Devices for Individuals With Hand Osteoarthritis

Conditions
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Hand Osteoarthritis

Intervention / Treatment
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* Other: Self care program focusing on the assistive device


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Hand OA diagnosis according to the criteria of the American College of Rheumatology (ACR ) Be properly registered in the rheumatology clinic of Hospital das Clínicas Exclusion Criteria: Surgical treatment or infiltration in the hands, in the last 6 months; Treatment of occupational therapy and / or physical therapy, or use of any TA feature (assist device or stent) in the last 6 months; Diagnosis of another rheumatologic disease or musculoskeletal system that compromise the hands associated.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Self care program focusing on the assistive device, For 4 weeks (1 to week lasting 90 minutes). | Other: Self care program focusing on the assistive device<br>* self-heed program focusing on the assistive device will consist of four weekly meetings lasting approximately 90 minutes. it will be stimulated the self-heed through knowledge of pathology and guidelines of protection articulate, and will be supplied, and trained the use of assistive devices to improve the performance of volunteers in their daily activities. Assistive devices are devices, not attached to the body, which help people with limited movements and restrictions on participation in the activities of everyday life. Example: thickening of tableware, tin openers. These volunteers will be evaluated in three stages: 1-initial assessment 2-after completion of the program and 90 days after the initial assessment. The questionnaires that will be used are: EVA; SACRAH; COPM; WHOQOL-Bref.<br>|
| No Intervention: Control group<br>receive only a brochure with orientations of joint protection. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occupational Performance | involvement of daily activities by the Canadian Occupational Performance Measure (COPM) | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of life | Evaluation by WHO-QOL bref | 4 weeks | 
| Manual functional | Evoluation by SACRAH | 4 weeks | 
| Pain | Evaluation by visual analogue pain scale | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hand osteoarthritis, self care program, assistive tecnology