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CBT plus usual care, delivered by clinical rheumatology teams, reduced fatigue impact in rheumatoid arthritis at 26 weeks beyond usual care alone, but with uncertain cost-effectiveness.

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Sarah Hewlett 1,*, Celia Almeida 1, Nicholas Ambler 2, Peter S Blair 3, Ernest Choy 4, Emma Dures 1, Alison Hammond 5, William Hollingworth 3, Bryar Kadir 3, John Kirwan 6, Zoe Plummer 1, Clive Rooke 7, Joanna Thorn 3, Nicholas Turner 3, Jonathan Pollock 8

1 Department of Nursing and Midwifery, University of the West of England Bristol, Bristol, UK
2 Pain Management Centre, Southmead Hospital, Bristol, UK
3 Department of Population Health Sciences, University of Bristol, Bristol, UK
4 Section of Rheumatology, Division of Infection and Immunity, Cardiff University, Cardiff, UK
5 Centre for Health Sciences Research, School of Health Sciences, University of Salford, Salford, UK
6 Academic Rheumatology, Department of Translational Health Sciences, University of Bristol, Bristol, UK
7 Patient Research Partner, Academic Rheumatology, Bristol Royal Infirmary, Bristol, UK
8 Department of Health and Social Sciences, University of the West of England Bristol, Bristol, UK
* Corresponding author Email: Sarah.Hewlett@uwe.ac.uk

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