RAHelp.Org: An Online Self Management Program for Adults With Rheumatoid Arthritis

• Primary outcomes will be measured at baseline, 3 months, six months, nine months and twelve months. [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos. ] [ Designated as safety issue: No ]
• Arthritis Impact Measurement Scales [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos. ] [ Designated as safety issue: No ]
• Arthritis Self-Efficacy Scale [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• Rapid Assessment of Disease Activity in Rheumatology [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• Physical Activity Scale for the Elderly [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• Center for Epidemiological Studies - Depression Scale [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• UCLA Loneliness Scale [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• 21-point Box Scale (a pain measure) [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]
• Social Provisions Scale [ Time Frame: baseline, 3 mos., 6 mos., 9 mos., 12 mos ] [ Designated as safety issue: No ]

• Primary outcomes will be measured at baseline, 3 months, six months, nine months and twelve months.
• Arthritis Impact Measurement Scales
• Arthritis Self-Efficacy Scale
• Rapid Assessment of Disease Activity in Rheumatology
• Physical Activity Scale for the Elderly
• Center for Epidemiological Studies – Depression Scale
• UCLA Loneliness Scale
• 21-point Box Scale (a pain measure)
• Social Provisions Scale

The objective of this study is to determine the effects of an arthritis self-management program and an online support community delivered via an encrypted, secure web site on psychological well-being, pain, quality of life, global health status, and social supporting in adults with RA.

Arthritis is the leading cause of disability in the United States. More than 7 million persons in this country report limitations in their daily activities due to arthritis. Rheumatoid arthritis alone affects 1 of every 100 persons in the US. Clinic-based self-management programs have been found to be effective in reducing both pain and disability for persons with RA. However, barriers to participation exist such as distance, time, limited transportation, and declining functional status. The Internet is widely used as a source of information about health issues and may provide an opportunity to reduce these barriers and extend consumer access to self-management approaches. It is necessary to determine the efficacy of Internet-delivered self-management programs.

• No Intervention: Control
• Active Comparator: Online Self-Management
  Intervention: Behavioral: Online self-management program

Inclusion Criteria:

• 18 or more years of age
• Rheumatoid Arthritis diagnosed by a rheumatologist
• Stable medication regimen for 3 months

Exclusion Criteria:

• Previous exposure to arthritis self-management programs
• Uncontrolled psychiatric comorbidity
• Uncontrolled medical comorbidity (e.g. active cancer)