Table 2.
Outcome measurement
| Outcome | Scale (weeks 0, 6, 26, 52, 78, 104) |
|---|---|
| Clinical status and quality of life | |
| Fatigue impact* | Bristol RA Fatigue NRS Impact (BRAF-NRS)40 47 |
| Fatigue severity* | Bristol RA Fatigue NRS Severity (BRAF-NRS)40 47 |
| Fatigue coping* | Bristol RA Fatigue NRS Coping (BRAF-NRS)40 47 |
| Fatigue overall and subdimensions* | Bristol RA Fatigue Multi-Dimensional Questionnaire (BRAF-MDQ)40 47 |
| Mood | Hospital Anxiety and Depression scale48 |
| Pain | Visual analogue scale |
| Quality of life | EQ-5D-5L;49 Global question from Arthritis Impact Measurement Scale50 |
| Sleep quality | Single question from Pittsburgh Sleep Quality Index51 |
| Leisure activities | Discretionary activity subscale of Valued Life Activities scale52 |
| Social engagement | Increased seeking of social support (unvalidated question, weeks 52, 104) |
| Disability | Modified Health Assessment Questionnaire54 |
| Disease activity DAS2855† | Protein, Patient global opinion (VAS)Painful joints and swollen joints (clinician assessed); C-Reactive |
| Disease activity PDAS256 | Patient Self-report Disease Activity Score (PDAS2)56 |
| Cost effectiveness | |
| Utility scores | EQ-5D-5L;49 Work Productivity and Activity Impairment scale57 |
| Costs—staff (tutors, trainers) | Time logs, travel forms, materials used (for training, practice and intervention courses); group sizes |
| Costs—NHS primary care | Patient questionnaires for medications, visits (excluding monthly blood monitoring for RA drugs) |
| Costs—NHS secondary care | In/outpatient episodes for rheumatology and orthopaedics, hospital transport (all via hospital computer) |
| Costs – patients | Patient questionnaires for travel related to healthcare, plus RAFT and sick leave where appropriate |
| Processes for behaviour change | |
| Helplessness, Self-efficacy | Arthritis Helplessness Index58 and RA Self-Efficacy scale59 |
| Acceptability and feasibility | |
| RAFT and usual care (booklet) | Satisfaction (unvalidated question) Week 26 only |
| RAFT | Recommending the course to others (unvalidated question) Week 26 only |
| Feasibility of NHS delivery | Monitoring of course scheduling and delivery; tutor experiences via qualitative evaluation after cohort 4 |
*Also measured weeks 10 and 18, 4 weeks either side of consolidation session 7.
†Variables combined using algorithm to form DAS2855 measured at weeks 0 and 26 only as necessitates hospital visit.
RAFT, Reducing Arthritis Fatigue by clinical Teams.