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Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionApplication for ESRA Abstract PrizesBackground and Aims Rheumatoid arthritis (RA) is a highly inflammatory systemic disorder. We aim to assess the effect of music therapy model Bonny Method of Guided Imagery and Music (BMGIM) on daily activities in patients with RA suffering from chronic pain.Methods This prospective randomized trial( NCT04380129) included adult patients with chronic pain due to RA, who were referred to our Outpatient Pain Clinic. After informed consent, participants were randomized (electronically) either in music therapy sessions (GIM group) or in music listening (control group). ‘Intervention’ was defined as ‘a weekly session of listening to Helen Bonny’s Caring program for 4 weeks’. The main outcome of interest was daily activity levels, as measured by the SF-36 questionnaire. Outcomes were recorded before the initiation of treatment and five weeks later. According to power analysis 37 participants per group were recruited. We used a repeated measures analysis to detect differences between the groups. Tests were two-tailed and statistical significance was established at 5% (p<0.05).Results Our study identified no statistically significant differences in physical functioning (repeated measures t-test, p1 = 0.229, and Wilcoxon Signed-Rank test, p2 = 0.191) and somatic role (p1 = 0.093, and p2 = 0.108). Nevertheless, there was a significant improvement in bodily pain (p1<0.001,p2<0.001), general health perception (p1=0.03, and p2=0.016), vitality (p1<0.001,p2<0.001), social functioning (p1<0.001,p2<0.001), and mental health (p1<0.001,p2<0.001).Conclusions The analyses show significant improvements in health-related quality of life from the first to the second measurement. Notable enhancements were observed in Bodily Pain, Vitality, Social Functioning, and Mental Health, with General Health also showing improvement.