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Impact of a resilience-building energy management intervention for people with systemic sclerosis: a mixed methods study.
Chen, Yen T; Harper, Alexandra E; Phanhdone, Tiffany; Alore, Mary; Hicks, Sheri; Pape, Adam; Jay, Gina M; Bolde, Shannen; Feldpausch, Jennie; Guetterman, Timothy C; Khanna, Dinesh; Murphy, Susan L.
Afiliación
  • Chen YT; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Harper AE; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
  • Phanhdone T; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
  • Alore M; Rush University Medical Center, Chicago, IL, USA.
  • Hicks S; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Pape A; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Jay GM; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Bolde S; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
  • Feldpausch J; Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
  • Guetterman TC; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Khanna D; Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
  • Murphy SL; Division of Rheumatology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI, USA.
Rheumatol Adv Pract ; 8(2): rkae040, 2024.
Article en En | MEDLINE | ID: mdl-38618141
ABSTRACT

Objectives:

People with SSc often experience fatigue, which significantly affects daily life functioning and quality of life. We aimed to explore participants' experiences of a peer health-coached resilience-building energy management to enhance well-being (RENEW) intervention on symptoms and well-being and to use mixed methods to compare how SSc duration influenced the experiences of participants who had clinically significant fatigue improvement vs those who did not.

Methods:

Semi-structured interviews were conducted with 21 participants from the parent clinical trial randomized to the RENEW intervention. Data were analysed using the rigorous and accelerated data reduction technique combined with thematic content analysis. A mixed methods approach used a joint display to identify themes related to the impact of SSc duration on fatigue improvement status. Participants were categorized into short/improvement, short/limited improvement, long/improvement, and long/limited improvement.

Results:

Our team generated four themes participant and peer health-coach relationship, physical and psychological well-being improvement, need for a tailored approach and easy program access through technology. Mixed methods analysis revealed that, regardless of SSc duration, participants with improved fatigue reported increasing self-awareness of SSc-related symptoms and learning coping strategies to manage fatigue. Participants in the short/improvement group reported preferences for slower pacing of the program and pairing with a coach with similar symptom severity. Participants in the long/limited improvement group sought SSc-specific symptom management information.

Conclusion:

Incorporating peer health coaches and technology is beneficial for self-management interventions for people with SSc. Future tailoring of RENEW based on SSc duration and symptom severity is needed. Clinical trial registration number clinicatrials.gov, NCT04908943.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Rheumatol Adv Pract Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Rheumatol Adv Pract Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido