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| Name | Class |
|---|---|
| Hacettepe University | OTHER |
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No study has been found in the literature investigating the effectiveness of an innovative exercise approach defined on a biopsychosocial basis and having its own original scale on individuals with rheumatism over the years. The aim of this retrospective study was to determine the effects of the Cognitive Exercise Therapy Approach on the biopsychosocial conditions related to chronic pain; functionality, mood and quality of life of individuals with rheumatism diagnosis and to examine the effectiveness of BETY as a routine exercise approach by presenting the results compared with the control group.
Cognitive Exercise Therapy Approach (BETY) is an innovative exercise approach developed through the participation of rheumatic individuals in exercise sessions for many years. The main purpose of BETY is to transfer the patient's negative cognitions about their disease to a positive cognition level through functional gains through exercise. Thus, cognitive restructuring will be achieved.
In order to correctly organize the optimum treatment, rheumatic patients need to be evaluated biopsychosocially. Individual-centered scales that evaluate the disease process are currently considered at least as much as objective tests in determining treatment effectiveness and are increasingly used in clinical practice. Due to the multidimensional structure of chronic diseases, there is a need for measurement tools that evaluate individuals in a biopsychosocial context. BETY-Biopsychosocial Scale (BETY-BQ) was developed for this purpose with the feedback of the recovery characteristics of rheumatic individuals who participated in BETY sessions over the years.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY) | Experimental | 3 days a week for 3 months |
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| Home exercise program | Active Comparator | For 3 months |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BETY (Cognitive Exercise Therapy Approach ) | Other | Individuals with rheumatism were included in BETY sessions after the first session, which included functional gain with function-focused trunk stabilization exercises for their complaints and chronic pain management training based on neuroscience. BETY sessions included function-focused trunk stabilization exercises, chronic pain management, mood information management (dance therapy - authentic movement) as innovative. Individuals were included in a separate session of sexual information management and sleep education. 3 days a week for 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| BETY-Biopsychosocial Questionnaire (BETY-BQ): | it is a 30-item Likert-type scale developed through repeated statistics of feedback from rheumatic individuals who have participated in exercise sessions for many years, expressing the healing characteristics. It evaluates the individual from a biopsychosocial perspective with the subheadings of pain, functionality-fatigue, mood, sociability, sexuality and sleep. It is scored between 0 and 120. BETY-BQ evaluates the individual from a holistic perspective with six subheadings: pain (5 items), functionality (9 items), mood (10 items), sociability (3 items), sexuality (2 items) and sleep (1 item). A high score indicates a low biopsychosocial status. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Health Assessment Questionnaire (HAQ) | It is a scale developed to question functional inadequacy in daily living activities. The scale questions a total of 8 activities, including dressing, sitting up, eating, walking, hygiene, reaching out, grasping and daily tasks, and consists of 20 questions. Each question is scored between 0 and 3. High scores indicate a decrease in the individual's functionality. |
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Inclusion Criteria:
- Patients who were diagnosed as Ankylosing spondylitis (1984 modified New York criteria, RA (2010 ACR/EULAR criteria), PsA (2006 CASPAR criteria), SLE (2012 Systemic Lupus International Collaborating Clinics criteria), SSc (2013 ACR/EULAR criteria), pSS (American-European Consensus Group criteria), OA (1986 ACR criteria) and FMS (2016 ACR criteria)
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aykut Ozçadırcı | Hacettepe University | Principal Investigator |
| Nur Banu Karaca, MSc. PT. | Hacettepe University | Principal Investigator |
| Orkun Tüfekçi, MSc. PT. | Hacettepe University | Principal Investigator |
| Aysima Barlak | Hacettepe University | Principal Investigator |
| Ali Akdoğan, Prof. Dr. | Hacettepe University | Study Director |
| Sedat Kiraz, Prof. Dr. | Hacettepe University | Study Director |
| Edibe Unal, Prof. Dr. | Hacettepe University | Study Chair |
| Sevim Oksüz, PhD. PT. | Eastern Mediterranean University | Principal Investigator |
| Şule Apraş Bilgen, Prof. Dr. | Hacettepe University | Study Director |
| Robert D. Gerwin, MD. | Johns Hopkins University |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Samanpazar | 06100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D012216 | Rheumatic Diseases |
| D009043 | Motor Activity |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001519 | Behavior |
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| Home exercise program | Other | Exercises have been shown and a brochure has been given The individuals in this group were mostly individuals from out of town who were given home exercise recommendations directed by a rheumatologist. |
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| 3 months |
| Hospital Anxiety Depression Scale (HADS) | It is a scale consisting of 14 questions (7 questions about depression, 7 questions about anxiety) that the individual is asked to answer by thinking about the last few days, and is scored between 0 and 3. The cut-off values of the scale are 10 for the anxiety subscale and 7 for the depression subscale. High total scores indicate high levels of anxiety or depression | 3 months |
| Short Form - 36 (SF-36) | SF-36, which is widely used in assessing quality of life, is a scale consisting of 8 sub-parameters: physical function (FF), social function (SF), role limitations due to physical problems, role limitations due to emotional problems, pain, energy level-vitality, mental health and general health perception. Each sub-parameter is scored between 0 and 100. High scores indicate good health status (35). | 3 months |
| Study Director |
| Rinnie Geenen, Prof. Dr. | Utrecht University | Study Director |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |