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      Friday, March 31, 2023
      News & Perspective Drugs & Diseases CME & Education Academy Video Decision Point
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      CME / ABIM MOC / CE

      Lifestyle Management Programs for Arthritis: Test Your Knowledge on Evidence-Based Interventions

      • Authors: Elizabeth A. Joy, MD, MPH
      • CME / ABIM MOC / CE Released: 11/28/2022
      • Valid for credit through: 11/28/2023
      Start Activity

      • Credits Available

        Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™

        ABIM Diplomates - maximum of 0.25 ABIM MOC points

        Nurses - 0.25 ANCC Contact Hour(s) (0 contact hours are in the area of pharmacology)

        You Are Eligible For

        • Letter of Completion
        • ABIM MOC points

      Target Audience and Goal Statement

      This activity is intended for primary care physicians, physical therapists, occupational therapists, community health workers, rheumatologists, orthopedic surgeons, sports medicine physicians, nurses, nurse practitioners (NPs), physician assistants (PAs) and other healthcare practitioners (HCPs) who provide care to patients with arthritis.

      The goal of this activity is for learners to be better able to self assess their learning needs related to non-pharmacologic interventions for patients with arthritis and be better able to incorporate arthritis appropriate evidence-based interventions (AAEBIs) into their patients’ treatment programs.

      Upon completion of this activity, participants will:

      • Have increased knowledge regarding the
        • AAEBIs and other appropriate physical activity opportunities for patients with arthritis
      • Self-assess learning needs related to
        • The benefits of physical activity in managing arthritis symptoms

      Disclosures

      Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

      All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships.

      Faculty

      • Elizabeth A. Joy, MD, MPH

        Senior Medical Director, Wellness and Nutrition
        Intermountain Healthcare
        Family Medicine and Sports Medicine
        Salt Lake City, Utah

        Disclosures

        Elizabeth A. Joy, MD, MPH, has no relevant financial relationships.

      Editor

      • Christina T. Loguidice, BA

        Medical Education Director, Medscape, LLC

        Disclosures

        Christina T. Loguidice, BA, has no relevant financial relationships.

      • Megan Breuer, PhD

        Medical Writer, Medscape, LLC

        Disclosures

        Megan Breuer, PhD, has the following relevant financial relationships:
        Consultant/advisor Paratek Pharmaceuticals, Inc. (former)

      Compliance Reviewer/Nurse Planner

      • Leigh Schmidt, MSN, RN, CNE, CHCP

        Associate Director, Accreditation and Compliance, Medscape, LLC

        Disclosures

        Leigh Schmidt, MSN, RN, CNE, CHCP, has no relevant financial relationships.

      Accreditation Statements

      Developed through a partnership between Medscape and National Association of Chronic Disease Directors.



      In support of improving patient care, Medscape, LLC is jointly accredited with commendation by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

        For Physicians

      • Medscape, LLC designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

        Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Aggregate participant data will be shared with commercial supporters of this activity.

        Contact This Provider

        For Nurses

      • Awarded 0.25 contact hour(s) of nursing continuing professional development for RNs and APNs; 0.00 contact hours are in the area of pharmacology.

        Contact This Provider

      For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

      Instructions for Participation and Credit

      There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

      This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

      Follow these steps to earn CME/CE credit*:

      1. Read about the target audience, learning objectives, and author disclosures.
      2. Study the educational content online or print it out.
      3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

      You may now view or print the certificate from your CME/CE Tracker. You may print the certificate, but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.

      *The credit that you receive is based on your user profile.

      From Medscape Education Family Medicine
      CME / ABIM MOC / CE

      Lifestyle Management Programs for Arthritis: Test Your Knowledge on Evidence-Based Interventions

      Authors: Elizabeth A. Joy, MD, MPHFaculty and Disclosures

      CME / ABIM MOC / CE Released: 11/28/2022

      Valid for credit through: 11/28/2023

      processing....

      References

      1. Theis KA, et al. Prevalence of arthritis and arthritis-attributable activity limitation--United States, 2016-2018. Morbidity and Mortality Weekly Report. 2021;70:1401.
      2. Guglielmo D, et al. Physical activity types and programs recommended by primary care providers treating adults with arthritis, DocStyles 2018. Prev Chronic Dis. 2021;18:210194.
      3. The American College of Sports Medicine: Exercise is Medicine. Health Care Providers’ Action Guide. 2021. Accessed 19 September 2022. https://exerciseismedicine.org/assets/page_documents/
        EIM%20Health%20Care%20Providers%20Action%20Guide%20clickable%20links.pdf.
      4. Lobelo F, et al. The Exercise is Medicine Global Health Initiative: a 2014 update. Br J Sports Med. 2014;48:1627-1633.
      5. Littlejohn EA, et al. Early diagnosis and treatment of rheumatoid arthritis. Prim Care. 2018;45:237-255.
      6. Osteoarthritis Action Alliance. OA Prevalence and Burden. Updated September 9, 2022. Accessed September 19, 2022. https://oaaction.unc.edu/wp-content/uploads/sites/623/2019/08/FINAL-OA-Prevalence-and-Burden-final.pdf.
      7. CDC.gov. Arthritis Data and Statistics: comorbidities. Updated May 17, 2019. Accessed June 8, 2022. https://www.cdc.gov/arthritis/data_statistics/comorbidities.htm
      8. Labuda A, et al. Prevalence of osteoporosis in osteoarthritic patients undergoing total hip or total knee arthroplasty. Arch Phys Med Rehabil. 2008;89:2373-2374.
      9. Simon TA, et al. Prevalence of co-existing autoimmune disease in rheumatoid arthritis: a cross-sectional study. Adv Ther. 2017;34:2481-2490.
      10. Osteoarthritis Action Alliance. OA comorbidities and co-occurring symptoms. Updated September 19, 2019. Accessed September 19, 2022. https://oaaction.unc.edu/wp-content/uploads/sites/623/2019/08/Final-Comorbidities-and-Co-Occurring-Symptoms-final.pdf.
      11. Callahan LF, et al. Racial/ethnic, socioeconomic, and geographic disparities in the epidemiology of knee and hip osteoarthritis. Rheum Dis Clin North Am. 2021;47:1-20.
      12. Arthritis Foundation. Osteoarthritis and falls: how to reduce your risk. Accessed August 28, 2022. https://www.arthritis.org/health-wellness/healthy-living/managing-pain/joint-protection/osteoarthritis-and-falls
      13. Osteoarthritis Action Alliance. Preventing Falls. 2022. Accessed September 19, 2022. https://oaaction.unc.edu/2019/02/preventing-falls/.
      14. O’Neill TW, et al. Update on the epidemiology, risk factors and disease outcomes of osteoarthritis. Best Pract Res Clin Rheumatol. 2018;32:312-326.
      15. Osteoarthritis Action Alliance. OA pathogenesis and risk factors. Updated August 31, 2019. Accessed September 19, 2022. https://oaaction.unc.edu/wp-content/uploads/sites/623/2019/08/OA-Pathogenesis-and-Risk-Factors-final.pdf.
      16. Demmelmaier I, et al. Trajectories of fear-avoidance beliefs on physical activity over two years in people with rheumatoid arthritis. Arthritis Care Res (Hoboken). 2018;70:695-702.
      17. Warsi A, et al. Arthritis self-management education programs: a meta-analysis of the effect on pain and disability. Arthritis Rheum. 2003;48:2207-2213.
      18. The American College of Sports Medicine. Exercise is Medicine: Being active when you have osteoarthritis. 2021. Accessed September 19, 2022. https://www.exerciseismedicine.org/wp-content/uploads/2021/04/EIM_Rx-for-Health_Osteoarthritis.pdf.
      19. Barbour KE, et al. Vital signs: prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation — United States, 2013-2015. MMWR Morb Mortal Wkly Rep. 2017;66:246-253.
      20. CDC.gov. Arthritis pain management without medications. Updated July 5, 2022. Accessed September 19, 2022. https://www.cdc.gov/arthritis/pain/pain-management-no-meds.htm.
      21. CDC.gov. Physical activity for arthritis. Updated January 7, 2022. Accessed June 8, 2022. https://www.cdc.gov/arthritis/basics/physical-activity/index.html
      22. The American College of Sports Medicine: Exercise is Medicine. Rheumatoid Arthritis. Updated February 8, 2021. Accessed June 9, 2022. https://www.exerciseismedicine.org/rheumatoid-arthritis/
      23. Kolasinski SL, et al. 2019 American College of Rheumatology/Arthritis Foundation Guideline for the Management of Osteoarthritis of the Hand, Hip, and Knee. Arthritis Care Res (Hoboken). 2020;72:149-162.
      24. Osteoarthritis Action Alliance. Interpreting the ACR guidelines for the clinical management of osteoarthritis. 2020. Accessed September 19, 2022. https://oaaction.unc.edu/wp-content/uploads/sites/623/2022/01/OAAA_1-Clinical-Management-INFOGRAPHIC_d03.pdf.
      25. American Academy of Orthopedic Surgeons (AAOS). Global Health Measures: PROMIS Global 10. 2022. Accessed 27 October 2022. https://www.codetechnology.com/blog/promis-global-10/.
      26. Wahl E, et al. Validity and responsiveness of a 10-item patient-reported measure of physical function in a rheumatoid arthritis clinic population. Arthritis Care Res (Hoboken). 2017;69:338-346.
      27. MD Interactive. 2022. Accessed July 22, 2022. https://mdinteractive.com/mips_quality_measure/2019-mips-quality-measure-109
      28. Movement is LifeTM Shared Decision-Making Tool: User Guide. Updated May 2020. Accessed June 27, 2022. https://www.movementislifecaucus.com/wp-content/uploads/3109_1-US-en-Movement-Is-Life-User-Guide-FINAL.pdf
      29. Golightly YM, et al. Physical activity as a vital sign: a systematic review. Prev Chronic Dis. 2017;14:E123.
      30. The American College of Sports Medicine. Exercise is Medicine: Physical Activity Vital Sign. 2021. Accessed September 19, 2022. https://www.exerciseismedicine.org/wp-content/uploads/2021/04/EIM-Physical-Activity-Vital-Sign.pdf.
      31. Salis Z, et al. Decrease in body mass index is associated with reduced incidence and progression of the structural defects of knee osteoarthritis: a prospective multi-cohort study. Arthritis Rheumatol. 2022 Aug 16; doi: 10.1002/art.42307. Online ahead of print.
      32. Carroll JK, et al. A 5As communication intervention to promote physical activity in underserved populations. BMC Health Serv Res. 2012;12:374.
      33. Murphy L, et al. A health care provider’s recommendation is the most influential factor in taking an arthritis self-management course (SMC): a national perspective from the arthritis conditions health effects survey (ACHES). Accessed August 3, 2022. https://acr.confex.com/acr/2007/webprogram/Paper7677.html
      34. Osteoarthritis Action Alliance: Arthritis-appropriate, evidence-based interventions (AAEBI). 2021. Accessed September 19, 2022. https://oaaction.unc.edu/aaebi/
      35. Guglielmo D, et al. Walking and other common physical activities among adults with arthritis – United States, 2019. MMWR Morb Mortal Wkly Rep. 2021;70:1408-1414.
      36. Arthritis Foundation: Walk With Ease Program. Accessed August 29, 2022. https://www.arthritis.org/health-wellness/healthy-living/physical-activity/walking/walk-with-ease
      37. Gaught AMH, et al. Evidence for determining the exercise prescription in patients with osteoarthritis. Phys Sportsmed. 2013;41:58-65.
      38. Osteoarthritis Action Alliance: Walk with Ease Registration and Tracking Portal. 2022. Accessed September 19, 2022. https://startwalkwithease.org/.
      « Return to: Lifestyle Management Programs for Arthritis: Test Your Knowledge on Evidence-Based Interventions
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