Evidence map›Paper›PMID 41184965›Full record

Trial reportBMC complementary medicine and therapies2025

Adapted emotional freedom techniques (EFT) for managing kinesiophobia in patients with rheumatoid arthritis: a feasibility study.

Yan Li You, Vimala Ramoo, Nor Aziyan Yahaya, Fariz Yahya, Xiao Fei Shi, Xue Ying Shang, DanDan Jiao

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yan Li YouDepartment of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
Vimala RamooDepartment of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, 50603, Malaysia. vimala@um.edu.my.
Nor Aziyan YahayaDepartment of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, 50603, Malaysia.
Fariz YahyaRheumatology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Xiao Fei ShiRheumatology Unit, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, Henan, PR China.
Xue Ying ShangRheumatology Unit, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, Henan, PR China.
DanDan JiaoRheumatology Unit, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, Henan, PR China. jdd201304@163.com.

Funding

Luoyang Science and Technology Plan Project, China 2302011Y
6 · The paper itself

Abstract

backgroundUp to 70% of patients with rheumatoid arthritis (RA) experience kinesiophobia, a debilitating fear of movement that exacerbates physical limitations and psychological stress. However, effective interventions remain limited, particularly in resource-constrained settings. This study evaluated the feasibility, safety, and acceptability of an adapted Emotional Freedom Techniques (EFT) intervention for Chinese patients with RA.

methodsA two-phase design was used. Phase 1 involved protocol validation and adaptation through the Delphi method. Phase 2 was a single-arm feasibility study involving 20 RA patients with kinesiophobia. The 4-week intervention included a 2-week supervised inpatient phase and a 2-week self-practice phase supported via WeChat. Feasibility (adherence, safety, satisfaction) and secondary outcomes (kinesiophobia, pain, pain anxiety, patient activation, and quality of life) were assessed. Data analysis included paired t-tests and thematic analysis of patient feedback.

resultsThe adapted EFT protocol achieved expert consensus (I-CVI ≥ 0.80). Among participants, 80% met adherence criteria, no adverse events were reported, and 75-85% expressed satisfaction with the intervention. EFT was perceived as simple and accessible. Kinesiophobia scores decreased by 6.5 points (a 12.7% reduction; Hedges' g = 1.36), with moderate to large effects also seen for pain and anxiety.

conclusionsThis adapted EFT intervention proved feasible, safe, and acceptable for Chinese RA patients with kinesiophobia. These findings support the potential for larger randomized controlled trials to rigorously evaluate effectiveness and long-term impact. CLINICAL

trial registrationChinese Clinical Trial Registry, ChiCTR2300076013. Date of registration: 21 September 2023.

Indexed as

Arthritis, RheumatoidFearPhobic DisordersAdultAgedChinaEmotionsFeasibility StudiesFemaleHumansKinesiophobiaMaleMiddle AgedQuality of LifeChronic painCultural adaptationDelphi methodEmotional freedom techniques (EFT)Feasibility studyKinesiophobiaRheumatoid arthritis

Identifiers

PMID41184965
PMCPMC12581302

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.