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FRI0486-HPR Personal causation and spare time use in patients with rheumatoid arthritis and relationship with age and functionality
  1. A. Urbina1,
  2. J.M. Bello1,2,
  3. L. Amador1,
  4. D. Zambrano1,
  5. L. Villarreal1,
  6. P. Santos-Moreno1,2
  1. 1Department of Rheumatology, Biomab, Center for Rheumatoid Arthritis, Bogota
  2. 2Department of Rheumatology, Universidad Militar, Bogota, Colombia

Abstract

Background Personal causation is defined as motivation and desire to do daily life activities and it is affected by disease derived functional decline, psychological and social problems. Spare time utilization is defined as enjoyable and non-remunerated activities that a person realizes through its vital cycle; in rheumatoid arthritis (RA) patients these activities might be altered also by multiple causes as functional deterioration, family and social exclusion. There is no data about this field in RA patients.

Objectives The aim of this study is to describe personal causation, diverse kind of spare time activities and possible relationship with disease activity and functionality in patients with RA.

Methods A descriptive cross sectional study was realized. A revision of medical records of a cohort of RA patients in a specialized center was performed, including occupational therapy records. Each patient was evaluated for DAS28, HAQ and OPHI2 (Occupational Performance History Interview 2). Personal causation was classified in good, moderate and poor and interests check list were made. Descriptive epidemiology was done, percentages and averages were calculated; and Pearson’s statistics was used for by-variated analysis.

Results Of the 120 RA patients included, 21 (17.5%) were men and 99 (82.5%) women. Mean age 58.8 y/o, for women 58.3 and for men 61.2. Average DAS 28 for all patients 3.01, (3.07 for women and 2.73 for men), average HAQ were 0.36 (0.38 for women and 0.3 for men). Good personal causation was found in 50 patients (41.7%, 37 women, 13 men), moderate 1 (0.8%, female) and poor 69 (57.5%, 61 women, 8 men). Correlation made for other variables was: personal causation level (DAS28 for men, HAQ for men, DAS28 for women, HAQ for women, average age). Good (2.6, 0.29, 2.8, 0.25, 57 y/o), middle (no men, 2.4, 0.12, 44 y/o), poor (2.9, 0.31, 3.2, 0.46, 63.7 y/o). Number of interests they referred was: no interests 31 (25.8%) patients, one 28 (23.3%), two 32 (26.7%), three 21 (17.5%), four 8 (5.8%). Most frequent spare time activities and its correlation with DAS28 and HAQ were (percentage, average DAS28 for men, average HAQ for men, average DAS28 for women and average HAQ for women): watch TV 51 (42.5%, 3.0, 0.36, 3.0, 0.40), exercise 15 (12.5%, 2.9, 0.25, 2.6, 0.13), handcrafting 11 (9.2%, no men did it, 3.0, 0.35), babysitting 4 (3.3%, 2.4, 0.12, 1.8, 0.12), other 8 (6.7%, 3.6, 0.12, 3.3, 0.34), none 31 (25.8%, 2.5, 0.35, 3.3, 0.46). It was established a correlation between poor personal causation and functionality (P<0.05), and older age (P<0.05), but not with disease activity.

Conclusions Patients with poor personal causation had the most active disease (moderate by DAS28) and showed worst functionality. Also poor personal causation group had older patients and almost a third of them didn’t make any spare time activity. Most patients in this cohort prefer watching TV as their main spare time activity followed by those who don’t develop any activity. Women that don’t refer any spare time activity had the most active disease (moderate by DAS28) and worst functionality of all.

Disclosure of Interest None Declared

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