Reshaping daily life: An observational study on the impact of rheumatoid arthritis on occupational repertoire
Bibliographic record
Abstract
Introduction: Rheumatoid arthritis (RA) restricts function and limits participation in everyday activities. While functional impairments are well-documented, RA’s impact on occupational repertoire, particularly in leisure activities, remains underexplored. Objective: To examine pre–post changes in occupational repertoire following RA onset and explore associations with functional status and disease activity. Methods: In this cross-sectional study, 32 adults with RA (28 women) from a tertiary rheumatology clinic completed the DAS-28, HAQ-DI, and Activity Card Sort – Brazil (ACS-BR) rating changes in their occupational repertoire before and after disease onset. Results: Post-onset participation fell in all ACS-BR domains ( p < 0.01), most sharply in Instrumental ( r = 0.73), High-Demand leisure ( r = 0.75), and Social activities ( r = 0.63), with an ICF mapping showing increased participation in health-management tasks ( p < 0.01, r = 0.40). Functional disability, not disease activity, correlated with reduced Instrumental (ρ = −0.57) and Social (ρ = −0.39) participation. Conclusion: RA causes broad occupational disruptions, beyond self-care and productivity activities. Routine mapping of occupational repertoire can help occupational therapists detect early withdrawal from leisure and social roles, set client-centered goals, and monitor outcomes. Interventions that protect leisure and social participation, alongside self-management, may help sustain meaningful participation and quality of life.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".