Cognitive Exercise Therapy Approach (BETY) in JIA

NCT06591949 | Completed

• 1 other identifier: SBA 24/1113
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Cognitive Exercise Therapy Approach (\*Bilişsel Egzersiz Terapi Yaklaşımı\*-BETY), an innovative method developed for adults with rheumatism, aims to promote behavioral change and prevent social isolation by focusing on exercises that provide pain management and functional gains. BETY also recognizes the importance of family education in achieving these goals. However, there is a need for studies on exercise approaches that fit the biopsychosocial model, such as BETY in childhood rheumatic diseases. BETY is an innovative exercise approach based on the biopsychosocial model that aims to change the patient's cognitions through exercise, specifically developed for patients with rheumatism. This approach includes function-oriented trunk stabilization exercises, chronic pain management, and authentic dance therapy training targeting positive cognitive displacement. It is carried out in a routinized structure that continues for years on a face-to-face basis in groups and individually. Interventions that provide physical and psychosocial support are needed in childhood rheumatic diseases. Learning to exercise the muscles surrounding the joints at the proper traction angle through exercise with BETY, gaining the ability to manage chronic pain during the day, gaining positive cognitive displacement skills, and having the opportunity to socialize through both individual and group exercises constitute the basis of the intervention.

Conditions

Childhood Rheumatic Diseases; Juvenile Idiopathic Arthritis (JIA); Exercise

Keywords

Childhood rheumatic diseases; biopsychosocial model; BETY; Cognitive exercise therapy approach; Exercise

Outcome Measures

Primary Outcomes (2)

• Juvenile Arthritis Biopsychosocial Questionnaire-JAB-Q-Patient

  Developed in 2018 in Turkey, it is a patient/parent-centered measurement method that helps to evaluate the biopsychosocial aspects of the patient, such as disease activity, posture, functional and psychosocial status, fatigue, performance at school. The results obtained from a total of 33 questions are used to evaluate the functional status of children, while their psychosocial status is recorded according to their answers to 21 questions. Scored between 0-164. A high score indicates a poor psychosocial status.

  Three months

• Juvenile Arthritis Biopsychosocial Questionnaire-JAB-Q-Family

  JAB-Q is used to assess the biopsychosocial status of patients and their parents. JAB-Q is a multidimensional questionnaire with a parent (family) form. The questionnaire developed in Turkish is completed by one of the parents/persons responsible for the child. The family form assesses the biopsychosocial status of the parent from their perspective and scores between 0 and 38. Higher scores indicate worse biopsychosocial status.

  Three months

Secondary Outcomes (4)

• Pain Catastrophizing Scale - Parent Version (PCS-P)

  Three months

• Child and Adolescent Scale of Participation (CASP):

  Three months

• Childhood Health Assessment Questionnaire (CHAQ)

  Three months

• Pain Catastrophising Scale-Child (PPS-C)

  Three months

Study Arms (2)

BETY session group

ACTIVE COMPARATOR

JIA patients participating in BETY sessions.

Other: BETY

Control Group

ACTIVE COMPARATOR

JIA patients followed up with a home exercise program.

Other: Control group

Interventions

BETY OTHER

The cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY) will be applied for 24 one-hour sessions, two days a week.

BETY session group

Control group OTHER

Control group will be followed up with a home exercise program, and notes will be taken.

Control Group

Eligibility Criteria

• Age: 7 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Diagnosed with JIA,
• Aged between 7 and 18,
• Individuals who volunteered to participate in the study.

You may not qualify if:

• Patients with advanced heart/lung/liver/kidney disease, neurologic disease and malignancies,
• Individuals who have undergone major orthopedic surgery.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Altındağ, 06100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Arthritis, Juvenile; Motor Activity

Interventions

Control Groups

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases; Behavior

Intervention Hierarchy (Ancestors)

Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, PT, PhD(c)

Study Record Dates

• First Submitted: September 9, 2024
• First Posted: September 19, 2024
• Study Start: January 15, 2025
• Primary Completion: June 15, 2025
• Study Completion: September 12, 2025
• Last Updated: September 18, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)