NCT00056394

Brief Summary

Rheumatoid arthritis (RA) is the most common inflammatory arthritis and a major health problem. Medical treatments are now being used much earlier in the course of RA, but these treatments do not address the challenges of coping with the early stages of this disease. This study will determine whether a comprehensive coping skills training program can decrease pain, psychological disability, and physical disability in patients with early RA.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
105

participants targeted

Target at P50-P75 for not_applicable rheumatoid-arthritis

Timeline
Completed

Started Feb 2003

Longer than P75 for not_applicable rheumatoid-arthritis

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2003

Completed
1 month until next milestone

First Submitted

Initial submission to the registry

March 11, 2003

Completed
1 day until next milestone

First Posted

Study publicly available on registry

March 12, 2003

Completed
6.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2009

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2009

Completed
Last Updated

October 25, 2018

Status Verified

November 1, 2013

Enrollment Period

6.2 years

First QC Date

March 11, 2003

Last Update Submit

October 24, 2018

Conditions

Keywords

Early Rheumatoid ArthritisCoping Skills TrainingPainPhysical DisabilityPsychological DisabilityDaily Diary Measures

Outcome Measures

Primary Outcomes (3)

  • Pain

    Measured at Week 10

  • Psychological disability

    Measured at Week 10

  • Physical disability

    Measured at Week 10

Secondary Outcomes (5)

  • Erythrocyte sedimentation rate

    Measured at Week 10

  • Joint tenderness count

    Measured at Week 10

  • Grip strength

    Measured at Week 10

  • Physician assessment of disease activity

    Measured at Week 10

  • C reactive protein

    Measured at Week 10

Study Arms (3)

1

EXPERIMENTAL

Participants will receive comprehensive pain coping skills.

Behavioral: Comprehensive Coping Skills Training

2

ACTIVE COMPARATOR

Participants will receive arthritis education.

Behavioral: Arthritis Education Sessions

3

ACTIVE COMPARATOR

Participants will receive standard care.

Behavioral: Standard Care

Interventions

10 weekly, 80-minute coping skills treatment sessions, followed by a series of six biweekly follow-up telephone calls.

1

10 weekly, 80-minute treatment sessions, followed by a series of six biweekly follow-up telephone calls. Participants will learn about the nature and treatment of rheumatoid arthritis as well as the benefits of exercise and joint protection.

2
Standard CareBEHAVIORAL

Usual care from participants' rheumatologists but no treatment sessions.

3

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Meet at least 4 of the 7 criteria for RA classification based on the 1987 American College of Rheumatology criteria
  • Onset of RA symptoms within 2 years of study entry

You may not qualify if:

  • Known organic disease that significantly affects function
  • Rheumatic disorders in addition to RA that significantly affect function

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Duke University

Durham, North Carolina, 27705, United States

Location

Duke University Medical Center

Durham, North Carolina, 27710, United States

Location

MeSH Terms

Conditions

Arthritis, RheumatoidPain

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

ArthritisJoint DiseasesMusculoskeletal DiseasesRheumatic DiseasesConnective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System DiseasesNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Indicators, Health CareQuality of Health CareHealth Services AdministrationHealth Care Quality, Access, and Evaluation

Study Officials

  • Francis J. Keefe, PhD

    Duke University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
OTHER
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 11, 2003

First Posted

March 12, 2003

Study Start

February 1, 2003

Primary Completion

May 1, 2009

Study Completion

May 1, 2009

Last Updated

October 25, 2018

Record last verified: 2013-11

Locations