Investigation of the Effectiveness of a Biopsychosocial-Based Exercise Approach in Rheumatic Diseases: A Mixed Methods Research With Patients' Perspectives

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-02-26 DOI:10.1111/jep.70033

Edibe Unal, Nur Banu Karaca, Gunseli Ayca Saldirdak, Hande Albayrak, Aykut Ozcadirci, Nazli Elif Nacar, Orkun Tufekci, Sinan Buran, Sedat Kiraz, Ozlem Cankurtaran

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引用次数: 0

Abstract

Aims and Objectives

To investigate the effectiveness and acceptability, and thus practicability of a biopsychosocial-based exercise model in rheumatic diseases by a mixed method.

Method

This study is within the framework of mixed-method research that combines the strengths of quantitative and qualitative research methodologies. For the quantitative part of the study, 81 patients were divided into two groups Bilişsel Egzersiz Terapi Yaklaşımı (BETY)- (Cognitive Exercise Therapy Approach in English) exercise group (BETY Group-BG) and control group (CG). BG participants engaged in supervised exercise sessions with a physiotherapist for 1 h, three times weekly, over 12-week periods, while CG participants continued only routine medical treatment. Biopsychosocial status (BETY-Biopsychosocial Questionnaire [BETY-BQ]), functionality (Health Assessment Questionnaire [HAQ]), emotional status (Hospital Anxiety and Depression Scale [HADS]), and quality-of-life (Short Form-36 [SF-36]) was evaluated at baseline and 12 weeks. Qualitative data was collected from 20 patients who have acquired the habit of regular exercise by attending the BETY group exercise programme. Individual, semi-structured, face-to-face interviews were recorded, transcribed, and condensed and interpreted based on pre-established themes.

Result

There were differences in the BETY-BQ, HAQ, HADS-D, and SF-36 scores between baseline and 12 weeks in the BG (p < 0.05). Additionally, in post-intervention, the BETY-BQ, HADS-A, and SF-36 scores differences between groups were in favour of the BG (p < 0.05). In qualitative analysis, four sections were investigated, which were subdivided into ‘Biopsychosocial Status’, ‘Functionality’, ‘Emotional Status’ and ‘Quality of Life’.

Conclusion

BETY is an effective and acceptable exercise model for managing the symptoms of patients with rheumatic diseases.

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.