Walking is a Feasible Physical Activity for People with Rheumatoid Arthritis: A Feasibility Randomized Controlled Trial.
Study Goal
The researchers aimed to determine if a designed walking program for people with rheumatoid arthritis (RA) could facilitate regular physical activity without increasing pain levels.
Results Summary
The walking program was feasible, acceptable, and safe, with no reported adverse effects or increased pain. The intervention group showed improvements in self-efficacy and global well-being, though no statistically significant between-group differences were observed.
Population
Thirty-three people with rheumatoid arthritis recruited from rheumatology outpatient clinics.
Effective Dosage
Walking route with three loops, completed 3-4 times per week.
Duration
Six weeks.
Interactions
None mentioned.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
walking programme | increase | regular physical activity | people with RA | - | successfully facilitated regular physical activity | #1 |
walking programme | no change | pain levels | people with RA | - | without detriment to pain levels | #2 |
walking intervention | no change | daily pain levels | walking intervention group | - | did not have higher daily pain levels than the control group | #3 |
walking intervention | increase | self-efficacy | walking intervention group | - | showed a pattern of improvements | #4 |
walking intervention | increase | global well-being | walking intervention group | - | showed a pattern of improvements | #5 |
control group | no change | self-efficacy | control group | - | no changes in these outcomes were noted | #6 |
control group | no change | global well-being | control group | - | no changes in these outcomes were noted | #7 |
walking intervention | no change | all outcome measures | walking intervention group vs control group | - | No outcome measure showed statistically significant between-group differences | #8 |
BACKGROUND: Exercise has been recognized as important in the management of rheumatoid arthritis (RA). Walking is a low-cost and low-impact activity, requiring little supervision. It requires no specialist training, is suited to a variety of environments and is inherently a clinically meaningful measure of independence. The aim of the present study was to determine whether a designed walking programme for people with RA successfully facilitated regular physical activity in participants, without detriment to pain levels. METHODS: Thirty-three people with RA were recruited from Dunedin Hospital rheumatology outpatient clinics and enrolled in a walking randomized controlled trial (RCT) feasibility study. Participants were randomly allocated to the walking intervention (n = 11) or control (n = 22) groups. Control participants received a nutrition education session, and the walking intervention group received instructions on a walking route with three loops, to be completed 3-4 times per week. The walking route shape was designed so that the length of the walk could be tailored by participants. Both groups were assessed at baseline and six weeks later. The primary outcome measures were feasibility, acceptability and safety. The principal secondary outcome was change in walking speed after the intervention. Additional outcome measures were a step-up test, activity limitations (on the Health Assessment Questionnaire), global well-being (on the European Quality of Life Questionnaire), self-efficacy for managing arthritis symptoms, self-efficacy for physical activity, daily pedometer readings and a daily visual analogue scale for pain. RESULTS: Participants successfully completed the walk for the suggested frequency, indicating feasibility and acceptability. There were no reported adverse effects of participation and the walking intervention group did not have higher daily pain levels than the control group, indicating safety. The walking intervention group showed a pattern of improvements in self-efficacy and global well-being; no changes in these outcomes were noted in the control group. No outcome measure showed statistically significant between-group differences. CONCLUSIONS: Walking appears to be a feasible, acceptable and safe intervention for people with RA. These findings inform the design and power requirements of larger trials of structured walking interventions. Copyright © 2015 John Wiley & Sons, Ltd.