Table 1.
Inclusion and exclusion criteria
In order to be considered eligible for participation in the study they must: | |
Criterion | Characteristics of eligible participants |
1. | Be male or female aged ≥18 years at the time of consent. |
2. | Have been diagnosed with an IRD such as RA, SLE or AxSpA by a consultant rheumatologist. |
3. | Report fatigue to be a persistent problem as evidenced by answering both questions:
|
4. | Have access to a telephone landline or mobile telephone and/or internet-based audio/video calls. |
5. | Give permission for researchers to access their hospital medical notes. |
6. | Have stable disease as evidenced by no change in immunomodulatory therapy within the last 3 months based on hospital medical records. |
7. | Currently be under the care of a secondary care physician. |
Participants will be excluded if: | |
Criterion | Characteristics of ineligible participants |
1. | There are significant abnormalities in thyroid function (TSH levels) in the most recent blood test done within the last 3 months. |
2. | There is evidence of severe anaemia (haemoglobin levels) in the most recent blood test done within the last 3 months. |
3. | There is evidence of severe renal dysfunction (eGFR) in the most recent blood test done within the last 3 months. |
4. | They have a medical condition which would make the proposed interventions unsuitable, for example, significant heart disease. |
5. | They are pregnant. |
6. | They are unable to understand English sufficiently to take part in the intervention. |
7. | They are unable to provide written informed consent. |
8. | They are not willing to be randomised. |
9. | They are currently participating in an interventional clinical trial. |
AxSpA, axial spondyloarthritis; eGFR, estimated glomerular filtration rate; IRD, inflammatory rheumatic disease; RA, rheumatoid arthritis; SLE, systemic lupus erythematosus; TSH, thyroid stimulating hormone.