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RECRUITINGINTERVENTIONAL

Healthier: Health Coaching for People With Rheumatoid Arthritis to Improve Mental Well-Being

Pilot Randomized Trial of Health Coaching for People With Rheumatoid Arthritis to Improve Mental Well-Being

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this clinical trial is to learn if peer coaching works to reduce levels of anxiety and/or depression in adults diagnosed with Rheumatoid Arthritis (RA). The main questions it aims to answer are: Do people with RA who complete the intervention with a peer coach have lower levels of anxiety and/or depression at 6 months from baseline? Do people with RA who complete the intervention with a peer coach have lower levels of anxiety and/or depression at 6 months compared to those in the control arm? Researchers will compare the peer coaching intervention to an active-control arm (where people without RA coach participants on general health and nutrition topics) to see if peer coaching works to reduce anxiety and/or depression. Participants will meet with a coach every week for 9 weeks and complete several surveys before, during and after the intervention

Who May Be Eligible (Plain English)

Who May Qualify: - Male or Female older than 18 years of age. - Have a diagnosis of Rheumatoid Arthritis by a rheumatologist and currently taking a Disease-Modifying Anti-rheumatic drug ( Conventional Disease-Modifying Anti-rheumatic drug and/or Biological Disease-Modifying Anti-rheumatic drug) - Have high levels of depression defined as PHQ-8 scores between 10 to 20, OR high levels of anxiety based on GAD-7 scores \> 10 - Speaks English or Spanish - Have access to the internet, a computer, and/or a smartphone - Resides or lives in any state of the US, including Puerto Rico - Willing to work with a peer coach or a coach Who Should NOT Join This Trial: - Having a rheumatic disease other than RA (e.g., psoriatic arthritis, gout, lupus) - Nursing home resident - History of dementia or severe cognitive decline - Are currently bedbound - Severe depression defined as PHQ-8 scores of \>20. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Male or Female older than 18 years of age. * Have a diagnosis of Rheumatoid Arthritis by a rheumatologist and currently taking a Disease-Modifying Anti-rheumatic drug ( Conventional Disease-Modifying Anti-rheumatic drug and/or Biological Disease-Modifying Anti-rheumatic drug) * Have high levels of depression defined as PHQ-8 scores between 10 to 20, OR high levels of anxiety based on GAD-7 scores \> 10 * Speaks English or Spanish * Have access to the internet, a computer, and/or a smartphone * Resides or lives in any state of the US, including Puerto Rico * Willing to work with a peer coach or a coach Exclusion Criteria: * Having a rheumatic disease other than RA (e.g., psoriatic arthritis, gout, lupus) * Nursing home resident * History of dementia or severe cognitive decline * Are currently bedbound * Severe depression defined as PHQ-8 scores of \>20.

Treatments Being Tested

BEHAVIORAL

Peer Coach

The method that will be used in this trial will be peer coaching. Peer coaches are lay individuals who themselves have the targeted chronic condition, that for the purpose of this study is people with RA, allowing people to identify with their peers and increase confidence that they too can achieve favorable outcomes. They will use components of CBT, mindfulness, and exercise material that have been effective in improving mental and physical health in patients with RA. The Healthier intervention is distinct from these others because it focuses on a high-priority symptom experienced by people with RA: chronic pain. It mobilizes a behavior that impacts numerous dimensions beyond pain, including mobility, mood, cardiovascular health, and mortality.

BEHAVIORAL

Healthy Horizons

Participants in the active comparator arm will have telephone calls with a coach that does not have rheumatoid arthritis and who will deliver a nine-session intervention on general health topics that are widely available including topics on nutrition and cancer awareness. These coaches will not use CBT, mindfulness or make any references to exercise or physical activity.

Locations (1)

Weill Cornell Medical College
New York, New York, United States