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Peer-led symptom management intervention to enhance resilience in people with systemic sclerosis: Mediation analysis from a randomized clinical trial. Arthritis Care and Research.
NARIC Accession Number: J94072.
What's this?ISSN:0893-7524.
Author(s): Chen, Yen T.,
Hassett, Afton L.,
Huang, Suiyuan,
Khanna, Dinesh,
Murphy, Susan L..
Project Number: 90ARCP0003,
90DPHF0004.
Publication Year: 2024.
Number of Pages: 9.
Abstract: Study examined whether resilience is a mediator of improving physical and psychological symptoms for people with systemic sclerosis (SSc) who participated in a 12-week online peer-led symptom management intervention. A secondary analysis was conducted of data from a randomized control trial comparing a peer health-coached intervention group to a waitlist control group. One hundred seventy-three eligible participants were enrolled. Intervention-group participants received a total of nine coaching sessions over 12 weeks, starting with weekly meetings via Zoom for the first six weeks and transitioning to biweekly meetings for the remaining six weeks. All participants completed the Connor-Davidson Resilience Scale, the Functional Assessment of Chronic Illness Therapy-Fatigue scale, and the Patient Reported Outcomes Measurement Information System measures of pain interference and depressive symptoms at the baseline and at weeks 6 and 12. Linear mixed effect regression models were used to assess the effect of intervention on changes in resilience. Causal mediation analyses were conducted to examine whether changes in resilience at week 12 mediated intervention effects on changes in fatigue, pain interference, and depressive symptoms at week 12. Results revealed that, at 12 weeks, the intervention group reported clinically significant improvements in resilience, fatigue, pain interference, and depressive symptoms when compared to those in the waitlist control group. For participants in the intervention who had positive improvements in their physical and psychological symptoms, increased resilience was a mechanism for these improvements. These findings support the importance of addressing resilience to improve symptoms in similar SSc interventions.
Descriptor Terms: ADJUSTMENT, AUTOIMMUNE DISORDERS, CHRONIC FATIGUE SYNDROME, DEPRESSION, HEALTH PROMOTION, INTERNET, INTERVENTION, PAIN, PEER COUNSELING, PROGRAM EVALUATION.
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Get this Document: https://doi.org/10.1002/acr.25352.
Citation: Chen, Yen T., Hassett, Afton L., Huang, Suiyuan, Khanna, Dinesh, Murphy, Susan L.. (2024.)
Peer-led symptom management intervention to enhance resilience in people with systemic sclerosis: Mediation analysis from a randomized clinical trial. Arthritis Care and Research Retrieved 5/10/2026, from REHABDATA database.
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More information about this publication: Arthritis Care and Research.