Clinical trial NCT06591949: Cognitive Exercise Therapy Approach (BETY) in Childhood Rheumatic Diseases
Official title: Investigation of the Effectiveness of Cognitive Exercise Therapy Approach (BETY) in Childhood Rheumatic Diseases
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Childhood Rheumatic Diseases
Juvenile Idiopathic Arthritis (JIA)
Keywords: Childhood rheumatic diseases
biopsychosocial model
BETY
Cognitive exercise therapy approach
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2024-09-19
Enrollment: 20
Sex: ALL
Minimum age (years): 7
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY), an innovative method developed for adults with rheumatism, aims to develop behavioral change and prevent social isolation by focusing on exercises that provide pain management and functional gains in pediatric rheumatology. BETY also recognizes the importance of family education in achieving these goals. However, there is a need for studies on exercise approaches that fit the biopsychosocial model, such as BETY in childhood rheumatic diseases.

BETY is an innovative exercise approach based on the biopsychosocial model that aims to change the patient\&#39;s cognitions through exercise developed on patients with rheumatism. This approach includes function-oriented trunk stabilization exercises, chronic pain management, and authentic dance therapy training targeting positive cognitive displacement. It is carried out in a routinized structure that continues for years on a face-to-face basis in groups and individually.

Interventions that provide physical and psychosocial support are needed in childhood rheumatic diseases. Learning to exercise the muscles surrounding the joints at the proper traction angle through exercise with BETY, gaining the ability to manage chronic pain during the day, gaining positive cognitive displacement skills, and having the opportunity to socialize through both individual and group exercises constitute the basis of the intervention.


Eligibility criteria: Jia, JSpA, JPsA according to ILAR 2017 classification criteria; FMF according to Özen-Yalçınkaya classification criteria; JSLE according to SLICC 2012 classification criteria; JSSc according to ACR-EULAR 2013 criteria; JDM according to ACR-EULAR 2017 classification; and individuals followed by a pediatric rheumatologist with a diagnosis of CNO and CRMO will be included.

Inclusion Criteria:

* Patients who were followed up with a diagnosis of childhood rheumatic disease in the Division of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine
* 7-18 years old
* Individuals who volunteered to participate in the study will be included.

Exclusion Criteria:

* Advanced heart/lung/liver/kidney disease, neurological disease and malignancies
* Having undergone major orthopedic surgery
* Not volunteering to participate in the study

Primary outcomes:
measure: Juvenile Arthritis Biopsychosocial Questionnaire-JAB-Q-Patient
timeFrame: Three months
measure: Juvenile Arthritis Biopsychosocial Questionnaire-JAB-Q-Family
timeFrame: Three months
measure: Time Up and Go Test
timeFrame: Three months
measure: Stair Climb Test
timeFrame: Three months
measure: 30 Seconds Sit to Stand Test
timeFrame: Three months
measure: 10-Metre Walk Test
timeFrame: Three months
Secondary outcomes:
measure: Pain Catastrophizing Scale - Parent Version (PCS-P)
timeFrame: Three months
measure: Child and Adolescent Scale of Participation (CASP):
timeFrame: Three months
measure: Juvenile Arthritis Quality of Life Questionnaire (JAQQ)
timeFrame: Three months
measure: Childhood Health Assessment Questionnaire (CHAQ)
timeFrame: Three months
measure: Pain Catastrophising Scale-Child (PPS-C)
timeFrame: Three months
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University
state: Altındağ
Study officials:
References: