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The purpose of this project is to pilot test a long-term effect of Tab-G (tablet-based cognitive behavioral group education intervention). The investigators will evaluate the effect of Tab-G, relative to usual care group, on (a) daily steps, (b) fatigue level, (c) self-efficacy and (d) quality of life.
Tab-G participants will receive 4 weekly CBT-based group education focusing on shared goal setting and mutual reinforcement in a group with 5 members. The outcomes will be measured baseline, week 4 (intervention completion) and week 8 (follow-up). The investigators hypothesize that older adults receiving Tab-G will have greater improvements on outcomes compared to those receiving usual care at week 4, the intervention completion and at week 8 follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tab-G (tablet-based group CBT education) | Experimental | Tab-G participants will receive 4 weekly CBT(cognitive behavioral therapy)-based group learning sessions to encourage a simple walking activity through videoconferencing meetings in a group of 5 members. The educational materials emphasize shared goal setting and mutual reinforcement. |
|
| Usual care group | No Intervention | A usual care group will receive general arthritis management education. Participant are instructed to maintain usual activity during the study period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tab-G | Behavioral | Participants receive a tablet preloaded with Tab-G application and an accelerometer. |
|
| Measure | Description | Time Frame |
|---|---|---|
| daily steps | daily step counts measured by an accelerometer | 24 hours |
| BRICS NINR PROMIS Fatigue Short Form 6a | self-reported fatigue scale measuring both the experience of fatigue and the interference of fatigue on daily activities. Scores can range from 6 to 30, with higher scores indicating greater fatigue. | past 1 week |
| Self-Efficacy for Managing Chronic Disease 6-Item Scale | self-reported self-efficacy scale. Scores can range from 6 to 60, with higher scores indicating higher self-efficacy. | 24 hours |
| Quality of Life-Rheumatoid Arthritis Scale | self-reported perception of quality of life. Scores can range from 8 to 80 with higher scores indicating greater quality of life. | past 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jeungok Choi, PhD | University of Massachusetts, Amherst | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Massachusetts | Amherst | Massachusetts | 01003 | United States |
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| ID | Term |
|---|---|
| D001168 | Arthritis |
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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The study uses an experimental pre- and post-test repeated measures design. Those satisfying the inclusion and exclusion criteria are randomly assigned to the intervention (Tab-G, n=20) or comparison group (n=20).
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