Gait Rehabilitation in Early RA Trial (GREAT)

This research is funded by the National Institute for Health Research Health Technology Assessment Programme (NIHR HTA). The views expressed are not necessarily those of the NHS, the NIHR or the Department of Health.

@HiderSam @ClydeCloggie @aimie_patience @ProfJimWoodburn @cathsackley @ProfYelizPrior

Big milestone passed this week, we have now recruited over 50% of our internal pilot trial participants. Fabulous work being done at our participating NHS sites KCH, Midlands, Royal Free, Grampian, Ayrshire & Arran, and Lanarkshire. Thank you 😊 @lindsaybearne @Mandy_Sekhon

Our trial of gait rehabilitation tailored for people with a foot problems in early (<2years) #rheumatoid #arthritis is live and recruiting patients at 7 NHS sites across the UK. If your rheumatology service would like to get involved please contact gordon.hendry@gcu.ac.uk 1/2

GREATStrides need NHS sites to host their main trial. This intervention could improve lower limb function. Contact lisa.jolly@ggc.scot.nhs.uk, and learn more here: bit.ly/3NPnAfs @trialGREAT @gordon_hendry

🔬 We have preliminary evidence the #GREATStrides gait rehabilitation intervention for patients with early RA can help preserve walking ability. Sites are needed to host the main trial to prove the treatment works. Learn more: bit.ly/3zwvGp1 @trialGREAT @gordon_hendry

The GREAT feasibility study evaluating gait rehabilitation in early rheumatoid arthritis has been published today in BMC Pilot and Feasibility Studies (open access). Have a read here: tinyurl.com/598z6f2k

Almost 2 years to the day that COVID prevented our trial from commencing, today we have randomised our first 2 participants! Thank you to everyone who has helped get us back on track. Well done to our colleagues at Haywood Hospital and @mpftnhs for getting us off the mark 👏

Please to share (albeit belatedly) that we received the prize for Best Poster presentstion at the recent @scotrheum Autumn21 conference for our feasibility study on gait rehabilitation for early #rheumatoid #arthritis @Gordon_Hendry @ClydeCloggie @aimie_patience @ProfJimWoodburn

Delighted to share that the #Rheumatoid #Arthritis Foot Disease Activity Index-5 (RADAI-F5) patient-reported outcome measure (PROM) is now on the @eular_org Outcome Measures Library. This resource provides access and useful summary information about the tool and its development.

Following on from our feasibility study, the GREAT trial of gait rehab in early rheumatoid arthritis is now open and recruiting!!!

Read this #preprint on @researchsquare: Gait Rehabilitation for Foot and Ankle Impairments in Early Rheumatoid Arthritis: a Feasibility Study of a New Gait Rehabilitation Programme (GREAT Strides) researchsquare.com/article/rs-112… @ClydeCloggie @TrialGreat @aimie_patience @ProfJimWoodburn

@Physio_JJ @physiotalk @TrialGreat Also highlights to me as a researcher how highly skilled the physio profession is in offering individualised care in helping patients to meet their rehab needs #physiotalk

@Physio_JJ @physiotalk @TrialGreat 2) As part of my role I train physios in psychological approaches ( motivational interviewing & behaviour change techniques) to help patients adhere the intervention. Feedback from physios to date has been positive - they enjoying applying the skills outside of the trial setting

➡️ We are looking to recruit more sites for the next phase of our trial - if you are interested please contact a member of the study team for more information! @ClydeCloggie @Gordon_Hendry @Mandy_Sekhon @lindsaybearne @aimie_patience

➡️ The gait rehabilitation programme is simple to set up, conducted at home, tailored to the individual participant, easily adapted and seeks to enhance motivation through behaviour change techniques

Did you know: ➡️ Over 90% of people with #RheumatoidArthritis will experience foot pain? Otter et al., 2010 @ScotVArthritis @VersusArthritis @MSKhealthGCU @NRAS_UK @WeAreARMA

➡️ We are actively recruiting new sites to the pilot phase of the trial so if you are interested or would like more info please visit the website (great-trial.co.uk) or contact a member of the study team: @Gordon_Hendry @aimie_patience @Mandy_Sekhon @lindsaybearne

➡️ The GREAT intervention combines undertaking repetitive tasks (a walking circuit) with behaviour change approaches (including motivational interviewing) and is delivered by trained #physiotherapists and #podiatrists

Did you know: ➡️ The main predictor of walking disability in people with #RheumatoidArthritis is self-reported walking disability at 2 years post-diagnosis? van der Leeden et al., 2010