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Efficacy of a cognitive-behavioral digital therapeutic on psychosocial outcomes in rheumatoid arthritis: randomized controlled trial

Authors :
Linda T. Betz
Gitta A. Jacob
Johannes Knitza
Michaela Koehm
Frank Behrens
Source :
npj Mental Health Research, Vol 3, Iss 1, Pp 1-11 (2024)
Publication Year :
2024
Publisher :
Nature Portfolio, 2024.

Abstract

Abstract Cognitive behavioral therapy improves psychosocial outcomes in rheumatoid arthritis (RA), but access is limited. We conducted a randomized controlled trial to evaluate the efficacy of a cognitive-behavioral digital therapeutic, reclarit, on psychosocial outcomes in adult RA patients with impaired health-related quality of life. Participants were randomized to reclarit plus treatment as usual (TAU) or TAU plus educational and informational material (active control). The primary outcome was SF-36 mental (MCS) and physical (PCS) component summary scores at 3 months, with additional assessments at 6 months. reclarit significantly improved SF-36 MCS scores compared to control (mean difference 3.3 [95% CI 0.7, 5.9]; p = 0.014), with high user satisfaction and sustained improvements at 6 months. Depression, anxiety, fatigue, and social/work functioning also improved significantly, while SF-36 PCS, pain, and disability scores did not differ. In conclusion, reclarit offers immediate, effective, evidence-based and personalized psychological support for RA patients.

Details

Language :
English
ISSN :
27314251
Volume :
3
Issue :
1
Database :
Directory of Open Access Journals
Journal :
npj Mental Health Research
Publication Type :
Academic Journal
Accession number :
edsdoj.f6c88ff1f1fe4f108bfe1c9f76497cfe
Document Type :
article
Full Text :
https://doi.org/10.1038/s44184-024-00085-8