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The role of occupational therapy for the self‐management of rheumatoid arthritis: a protocol for a mixed methods systematic review

The role of occupational therapy for the self‐management of rheumatoid arthritis: a protocol for a mixed methods systematic review
The role of occupational therapy for the self‐management of rheumatoid arthritis: a protocol for a mixed methods systematic review

Background: occupational therapists can support people with rheumatoid arthritis to self-manage their disease symptoms and engage in daily activities. This protocol reports a review to broaden understanding of what is known about the role of occupational therapy in the self-management of rheumatoid arthritis. 

Methods: studies involving adults with rheumatoid arthritis, having participated in self-management involving occupational therapy, will be included. Patient involvement will help develop the search strategy by identifying patient-centred interventions and outcomes to complement those identified by researchers. An electronic search will be performed using several bibliographic databases, including grey literature from subject-specific, health-related, and social care databases. Searches will run from the database inception until the date that the search is conducted (December 2021–May 2022). Retrieved studies will be de-duplicated, and the remaining titles and abstracts will be screened by three reviewers. Full texts of all eligible studies will be independently reviewed by the reviewers to select papers for data extraction and quality assessment. Outcomes are function, pain, fatigue and lived experience. For quantitative studies, data will be synthesised using descriptive statistics in text and tables, whereas for qualitative studies, data will be synthesised using thematic synthesis. 

Discussion: this review will synthesise current evidence on how occupational therapy can help the self-management of rheumatoid arthritis. It will include evidence of best practice, including advice, education and training provided by occupational therapists. These findings can inform future research and the selection of strategies to promote quality of life for people with rheumatoid arthritis. Systematic review registration: PROSPERO CRD42022302205.

arthritis, fatigue, function, qualitative research, quantitative research, rheumatology, self-care
1478-2189
Gavin, James P.
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Rossiter, Laura
09f691e1-20ab-4675-98cc-069a27b77320
Fenerty, Vicky
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Leese, Jenny
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Hammond, Alison
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Davidson, Eileen
61168ff3-59f3-48f7-91ce-bac2e2107ef0
Backman, Catherine L.
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Gavin, James P.
e0d9b404-3f63-4855-8e64-bf1692e6cc3f
Rossiter, Laura
09f691e1-20ab-4675-98cc-069a27b77320
Fenerty, Vicky
5edbe55b-e185-4e44-a81d-34065cc28df7
Leese, Jenny
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Hammond, Alison
3f265424-3b2b-4287-97a2-1019449c771b
Davidson, Eileen
61168ff3-59f3-48f7-91ce-bac2e2107ef0
Backman, Catherine L.
9099a732-a349-4c1d-ae65-7529244a2e92

Gavin, James P., Rossiter, Laura, Fenerty, Vicky, Leese, Jenny, Hammond, Alison, Davidson, Eileen and Backman, Catherine L. (2022) The role of occupational therapy for the self‐management of rheumatoid arthritis: a protocol for a mixed methods systematic review. Musculoskeletal Care. (doi:10.1002/msc.1665).

Record type: Article

Abstract

Background: occupational therapists can support people with rheumatoid arthritis to self-manage their disease symptoms and engage in daily activities. This protocol reports a review to broaden understanding of what is known about the role of occupational therapy in the self-management of rheumatoid arthritis. 

Methods: studies involving adults with rheumatoid arthritis, having participated in self-management involving occupational therapy, will be included. Patient involvement will help develop the search strategy by identifying patient-centred interventions and outcomes to complement those identified by researchers. An electronic search will be performed using several bibliographic databases, including grey literature from subject-specific, health-related, and social care databases. Searches will run from the database inception until the date that the search is conducted (December 2021–May 2022). Retrieved studies will be de-duplicated, and the remaining titles and abstracts will be screened by three reviewers. Full texts of all eligible studies will be independently reviewed by the reviewers to select papers for data extraction and quality assessment. Outcomes are function, pain, fatigue and lived experience. For quantitative studies, data will be synthesised using descriptive statistics in text and tables, whereas for qualitative studies, data will be synthesised using thematic synthesis. 

Discussion: this review will synthesise current evidence on how occupational therapy can help the self-management of rheumatoid arthritis. It will include evidence of best practice, including advice, education and training provided by occupational therapists. These findings can inform future research and the selection of strategies to promote quality of life for people with rheumatoid arthritis. Systematic review registration: PROSPERO CRD42022302205.

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More information

Accepted/In Press date: 1 June 2022
e-pub ahead of print date: 19 June 2022
Published date: 19 June 2022
Additional Information: Funding Information: We would like to thank the project advisory group, comprising people with lived experienced of rheumatoid arthritis, academics and a rheumatologist. Our search strategy also benefited from peer‐review from those living with rheumatoid arthritis, who volunteered for a public and patient involvement workshop to inform the strategy. This review was funded by the Royal College of Occupational Therapy (RCOT) Systematic Review grant (REF: RCP014518) awarded in August 2021. The Royal College of Occupational Therapists Research Foundation supported the project financially. Publisher Copyright: © 2022 The Authors. Musculoskeletal Care published by John Wiley & Sons Ltd.
Keywords: arthritis, fatigue, function, qualitative research, quantitative research, rheumatology, self-care

Identifiers

Local EPrints ID: 467959
URI: http://eprints.soton.ac.uk/id/eprint/467959
ISSN: 1478-2189
PURE UUID: 6f7d88f3-cba6-4820-a6fb-158e3991fe86
ORCID for James P. Gavin: ORCID iD orcid.org/0000-0003-0574-0502
ORCID for Vicky Fenerty: ORCID iD orcid.org/0000-0002-1712-5614

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Date deposited: 26 Jul 2022 17:05
Last modified: 17 Mar 2024 03:55

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Contributors

Author: James P. Gavin ORCID iD
Author: Laura Rossiter
Author: Vicky Fenerty ORCID iD
Author: Jenny Leese
Author: Alison Hammond
Author: Eileen Davidson
Author: Catherine L. Backman

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