Clinical trial NCT02667145: Assistive Device for Hand Osteoarthritis
Official title: Self-care Program Evaluation With Focus on Assistive Devices for Individuals With Hand Osteoarthritis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Hand Osteoarthritis
Keywords: hand osteoarthritis
self care program
assistive tecnology
Lead sponsor: Universidade Federal de Pernambuco
Sponsor class: OTHER
First posted: 2016-01-28
Enrollment: 39
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Occupational Performance
timeFrame: 4 weeks
Secondary outcomes:
measure: Quality of life
timeFrame: 4 weeks
measure: Manual functional
timeFrame: 4 weeks
measure: Pain
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Recife
country: Brazil
facility: Hospital das Clínicas - Universidade Federal de Pernambuco
state: PE
Study officials:
affiliation: Universidade Federal de Pernambuco
name: Claudia DL Marques, PhD
role: STUDY_CHAIR
References:
citation: Amaral DS, Duarte ALBP, Barros SS, Cavalcanti SV, Ranzolin A, Leite VMM, Dantas AT, Oliveira ASCRC, Santos PS, Silva JCA, Marques CDL. Assistive devices: an effective strategy in non-pharmacological treatment for hand osteoarthritis-randomized clinical trial. Rheumatol Int. 2018 Mar;38(3):343-351. doi: 10.1007/s00296-017-3892-1. Epub 2017 Nov 28.