Effect of BETY on Biopsychosocial States Associated With Chronic Pain in Rheumatic Individuals.

NCT06702839 | Completed

• 1 other identifier: SBA 23/196
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

Brief Summary

No study has been found in the literature investigating the effectiveness of an innovative exercise approach defined on a biopsychosocial basis and having its own original scale on individuals with rheumatism over the years. The aim of this retrospective study was to determine the effects of the Cognitive Exercise Therapy Approach on the biopsychosocial conditions related to chronic pain; functionality, mood and quality of life of individuals with rheumatism diagnosis and to examine the effectiveness of BETY as a routine exercise approach by presenting the results compared with the control group.

Conditions

Rheumatic Diseases

Keywords

biopsychosocial; holistic; exercise; functioning; sleep; chronic pain

Outcome Measures

Primary Outcomes (1)

• BETY-Biopsychosocial Questionnaire (BETY-BQ):

  it is a 30-item Likert-type scale developed through repeated statistics of feedback from rheumatic individuals who have participated in exercise sessions for many years, expressing the healing characteristics. It evaluates the individual from a biopsychosocial perspective with the subheadings of pain, functionality-fatigue, mood, sociability, sexuality and sleep. It is scored between 0 and 120. BETY-BQ evaluates the individual from a holistic perspective with six subheadings: pain (5 items), functionality (9 items), mood (10 items), sociability (3 items), sexuality (2 items) and sleep (1 item). A high score indicates a low biopsychosocial status.

  3 months

Secondary Outcomes (3)

• Health Assessment Questionnaire (HAQ)

  3 months

• Hospital Anxiety Depression Scale (HADS)

  3 months

• Short Form - 36 (SF-36)

  3 months

Study Arms (2)

Cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY)

EXPERIMENTAL

3 days a week for 3 months

Other: BETY (Cognitive Exercise Therapy Approach )

Home exercise program

ACTIVE COMPARATOR

For 3 months

Other: Home exercise program

Interventions

BETY (Cognitive Exercise Therapy Approach ) OTHER

Individuals with rheumatism were included in BETY sessions after the first session, which included functional gain with function-focused trunk stabilization exercises for their complaints and chronic pain management training based on neuroscience. BETY sessions included function-focused trunk stabilization exercises, chronic pain management, mood information management (dance therapy - authentic movement) as innovative. Individuals were included in a separate session of sexual information management and sleep education. 3 days a week for 3 months

Cognitive Exercise Therapy Approach (Bilişsel Egzersiz Terapi Yaklaşımı-BETY)

Home exercise program OTHER

Exercises have been shown and a brochure has been given The individuals in this group were mostly individuals from out of town who were given home exercise recommendations directed by a rheumatologist.

Home exercise program

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Patients who were diagnosed as Ankylosing spondylitis (1984 modified New York criteria, RA (2010 ACR/EULAR criteria), PsA (2006 CASPAR criteria), SLE (2012 Systemic Lupus International Collaborating Clinics criteria), SSc (2013 ACR/EULAR criteria), pSS (American-European Consensus Group criteria), OA (1986 ACR criteria) and FMS (2016 ACR criteria)

You may not qualify if:

• Patients who had severe cognitive problems

Sponsors & Collaborators

• Eastern Mediterranean University: lead
• Hacettepe University: collaborator

Study Sites (1)

Hacettepe University

Ankara, Samanpazar, 06100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Rheumatic Diseases; Motor Activity; Chronic Pain

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Behavior; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Aykut Ozçadırcı

  Hacettepe University

  PRINCIPAL INVESTIGATOR

• Nur Banu Karaca, MSc. PT.

  Hacettepe University

  PRINCIPAL INVESTIGATOR

• Orkun Tüfekçi, MSc. PT.

  Hacettepe University

  PRINCIPAL INVESTIGATOR

• Aysima Barlak

  Hacettepe University

  PRINCIPAL INVESTIGATOR

• Ali Akdoğan, Prof. Dr.

  Hacettepe University

  STUDY DIRECTOR

• Sedat Kiraz, Prof. Dr.

  Hacettepe University

  STUDY DIRECTOR

• Edibe Unal, Prof. Dr.

  Hacettepe University

  STUDY CHAIR

• Sevim Oksüz, PhD. PT.

  Eastern Mediterranean University

  PRINCIPAL INVESTIGATOR

• Şule Apraş Bilgen, Prof. Dr.

  Hacettepe University

  STUDY DIRECTOR

• Robert D. Gerwin, MD.

  Johns Hopkins University

  STUDY DIRECTOR

• Rinnie Geenen, Prof. Dr.

  Utrecht University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Asst. Prof. Dr.

Study Record Dates

• First Submitted: November 22, 2024
• First Posted: November 25, 2024
• Study Start: August 1, 2017
• Primary Completion: August 1, 2023
• Study Completion: August 1, 2023
• Last Updated: December 2, 2025

Record last verified: 2025-12

Locations

TU (1)