%0 Journal Article
%T Evaluation of the self
%A A Love
%A B -B Gordon
%A J Walker
%A K Kaufman
%A L F Callahan
%A R J Cleveland
%A S Hicks
%A S Z Sheikh
%J Lupus
%@ 1477-0962
%D 2019
%R 10.1177/0961203319846387
%X To conduct a proof-of-concept pilot evaluation of the self-directed format of Walk With Ease (WWE), a 6-week walking program developed for adults with arthritis, in patients with systemic lupus erythematosus (SLE). This was a single arm, 6-week pre- and post-evaluation of the self-directed WWE program to assess feasibility, tolerability, safety, acceptability, and effectiveness. Adult patients with physician-diagnosed SLE were recruited to participate during regularly scheduled visits to an academic rheumatology clinic. Self-reported outcomes of pain, stiffness, and fatigue were assessed by visual analog scales (VAS) and the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-fatigue) scale at baseline and at completion of the 6-week program. Patients also completed a satisfaction survey at the end of the program. Multivariate linear regression models were used to calculate mean changes between baseline and 6-week follow-up scores, adjusting for covariates. Mean change scores were used to estimate effect sizes (ES). At 6 weeks, 48 of the 75 recruited participants completed the WWE program. Participants experienced modest improvements in stiffness and fatigue (ES£¿=£¿0.12 and ES£¿=£¿0.23, respectively, for VAS scores; ES£¿=£¿0.16 for FACIT-fatigue score) following the intervention. The majority of participants reported satisfaction with the program (98%) and benefitted from the workbook (96%). The self-directed format of WWE appears to reduce stiffness and fatigue in patients with SLE. It also seems to be a feasible and acceptable exercise program to patients with SLE. Larger studies are needed to confirm these findings
%K Systemic lupus erythematosus
%K Walk With Ease (WWE)
%K self-directed exercise
%K physical activity
%K fatigue
%K pain
%K stiffness
%U https://journals.sagepub.com/doi/full/10.1177/0961203319846387