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mHealth-Based Self-Management Program for Patients With Rheumatoid Arthritis: A Pilot Randomized Controlled Study
Hyunjin Oh1, Chang-Hee Suh2, Ji-Won Kim2
1College of Nursing, Gachon University, Incheon, South Korea.
Nursing & Health Sciences
|November 5, 2024
Summary
This pilot study shows that an 8-week mobile health (mHealth) program can improve rheumatoid arthritis (RA) self-management. The mHealth intervention enhanced patients' knowledge, mood, and physical activity levels.
Area of Science:
- Rheumatology
- Digital Health
- Health Psychology
Background:
- Rheumatoid arthritis (RA) is a chronic autoimmune condition impacting physical function and quality of life (QOL).
- Effective self-management strategies are crucial for improving health outcomes in RA patients.
- Mobile health (mHealth) interventions offer a promising avenue for delivering scalable self-management support.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of an 8-week mHealth-based self-management program for individuals with RA.
- To assess the program's impact on physical and psychological health, self-efficacy, physical activity, and QOL.
- To determine if mHealth interventions can enhance self-management capacities in RA.
Main Methods:
- A pilot randomized controlled trial involving 142 participants (73 experimental, 69 control).
- The intervention group received an 8-week mHealth program including educational modules, cognitive training, and motivational support via mobile messages and phone calls.
- Outcomes including RA knowledge, disease activity, perceived health, depression, self-efficacy, physical activity, and QOL were measured pre-, post-intervention, and at 4-week follow-up.
Main Results:
- The mHealth program was found to be feasible for RA patients.
- Significant improvements were observed in patients' knowledge of RA, depression symptoms, self-efficacy for symptom control, physical activity levels, and perceived health.
- No significant changes were noted in disease activity or quality of life.
Conclusions:
- The mHealth-based self-management program shows potential as an effective tool for improving various health aspects in RA patients.
- The intervention successfully enhanced self-management capacities, particularly in knowledge, mood, and physical activity.
- Further research with larger sample sizes is warranted to confirm effects on disease activity and QOL.
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