{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:31:43Z","timestamp":1786977103081,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2009,10,29]],"date-time":"2009-10-29T00:00:00Z","timestamp":1256774400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis & Rheumatism"],"published-print":{"date-parts":[[2009,11,15]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n Work disability is a serious consequence of rheumatoid arthritis (RA). We conducted a 6\u2010month, prospective randomized controlled trial comparing assessments of function, work, coping, and disease activity in employed patients with RA receiving occupational therapy intervention versus usual care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Employed patients with RA with increased perceived work disability risk were identified by the RA Work Instability Scale (WIS; score \u226510). Patients were stratified into medium\u2010 (score \u226510 and <17) and high\u2010risk (\u226517) groups, then randomized into occupational therapy or usual care groups. Assessments were conducted at baseline and 6 months. The primary outcome was the Canadian Occupational Performance Measure (COPM), a standardized patient self\u2010report of function. Other outcomes included the disability index (DI) of the Health Assessment Questionnaire (HAQ); Disease Activity Score in 28 joints (DAS28); RA WIS; EuroQol Index; visual analog scales (VAS) for pain, work satisfaction, and work performance; and days missed\/month. Independent sample\n t<\/jats:italic>\n \u2010tests and Mann\u2010Whitney U tests were used.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n We recruited 32 employed patients with RA. At baseline the groups were well matched. At 6 months the improvement in the occupational therapy group was significantly greater than that in the usual care group for all functional outcomes (COPM performance\n P<\/jats:italic>\n < 0.001, COPM satisfaction\n P<\/jats:italic>\n < 0.001, HAQ DI\n P<\/jats:italic>\n = 0.02) and most work outcomes (RA WIS [\n P<\/jats:italic>\n = 0.04], VAS work satisfaction [\n P<\/jats:italic>\n < 0.001], VAS work performance [\n P<\/jats:italic>\n = 0.01]). Additionally, Arthritis Helplessness Index (\n P<\/jats:italic>\n = 0.02), Arthritis Impact Measurement Scales II pain subscale (\n P<\/jats:italic>\n = 0.03), VAS pain (\n P<\/jats:italic>\n = 0.007), EuroQol Index (\n P<\/jats:italic>\n = 0.02), EuroQol global (\n P<\/jats:italic>\n = 0.02), and DAS28 (\n P<\/jats:italic>\n = 0.03) scores significantly improved.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Targeted, comprehensive occupational therapy intervention improves functional and work\u2010related outcomes in employed RA patients at risk of work disability.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/art.24563","type":"journal-article","created":{"date-parts":[[2009,10,29]],"date-time":"2009-10-29T17:18:03Z","timestamp":1256836683000},"page":"1522-1530","source":"Crossref","is-referenced-by-count":95,"title":["Functional and work outcomes improve in patients with rheumatoid arthritis who receive targeted, comprehensive occupational therapy"],"prefix":"10.1002","volume":"61","author":[{"given":"Alyssa M.","family":"Macedo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen P.","family":"Oakley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel S.","family":"Panayi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce W.","family":"Kirkham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,10,29]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002281-200403000-00014"},{"key":"e_1_2_6_3_2","first-page":"44","article-title":"Effect of rheumatoid arthritis on work status and social and leisure time activities in patients followed 8 years from onset","volume":"25","author":"Fex E","year":"1998","journal-title":"J Rheumatol"},{"key":"e_1_2_6_4_2","first-page":"223","article-title":"Deficiencies in rehabilitation measures in the course of early chronic polyarthritis","volume":"55","author":"Mau W","year":"1996","journal-title":"J Rheumatol"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlr.0000204257.25875.04"},{"key":"e_1_2_6_6_2","first-page":"42","article-title":"Arthritis and employment research: where are we? Where do we need to go?","volume":"72","author":"Lacaille D","year":"2005","journal-title":"J Rheumatol Suppl"},{"key":"e_1_2_6_7_2","first-page":"1372","article-title":"Worker productivity outcome measures in arthritis","volume":"34","author":"Escorpizo R","year":"2007","journal-title":"J Rheumatol"},{"key":"e_1_2_6_8_2","first-page":"1","article-title":"The prevalence and incidence of work disability in rheumatoid arthritis, and the effect of anti\u2010tumor necrosis factor on work disability","volume":"34","author":"Wolfe F","year":"2007","journal-title":"J Rheumatol"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002281-200103000-00001"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2002.001511"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.11114"},{"key":"e_1_2_6_12_2","volume-title":"Canadian occupational performance measure","author":"Law M","year":"1998"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2003.019034"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.21661"},{"key":"e_1_2_6_15_2","volume-title":"Enabling occupation: an occupational therapy perspective","author":"Canadian Association of Occupational Therapists","year":"1997"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780310302"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.11403"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780230202"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.21405"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780350102"},{"key":"e_1_2_6_21_2","first-page":"427","article-title":"Factor structure of the Arthritis Helplessness Index","volume":"15","author":"Stein M","year":"1988","journal-title":"J Rheumatol"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780380107"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2004.025015"},{"key":"e_1_2_6_25_2","first-page":"40","article-title":"Value of Disease Activity Score 28 (DAS28) and DAS28\u20133 compared to American College of Rheumatology\u2010defined remission in rheumatoid arthritis","volume":"31","author":"Balsa A","year":"2004","journal-title":"J Rheumatol"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keh297"},{"key":"e_1_2_6_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780390105"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.20716"},{"key":"e_1_2_6_29_2","first-page":"42","article-title":"Arthritis and employment research: where are we? 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