A reexamination of the effectiveness of self‐care education for persons with arthritis

Goeppinger, Jean; Arthur, Michael W.; Baglioni, A. J.; Brunk, Susan E.; Brunner, Carolyn M.

doi:10.1002/anr.1780320608

Cited by 100 publications

(86 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…To date, the limited evidence is that individual education is less effective -improving knowledge and patient satisfaction but not self-efficacy, health behaviours or health status (Riemsma et al, 1997(Riemsma et al, , 2002. Self-study programmes are effective when individualized but require health professional input to support people through change (Goeppinger et al, 1989;Fries et al, 1997). Why: The potential long-term benefits to the person and society of taking responsibility for self-management must be emphasized from an early stage, so that people attend effective group programmes.…”

Section: Effectiveness Of Rehabilitation Interventionsmentioning

confidence: 99%

Rehabilitation in rheumatoid arthritis: a critical review

Hammond

2004

Musculoskeletal Care

View full text Add to dashboard Cite

This article considers the evidence for effectiveness and timing of rehabilitation for people with rheumatoid arthritis (RA). The Cochrane Library, DARE, Medline, Embase, CINAHL and AMED were searched to identify systematic reviews and randomized controlled trials evaluating rehabilitation interventions for people with rheumatoid arthritis. Many trials identified had methodological limitations (e.g. short follow-up periods, small sample sizes). Evidence to date is that symptomatic relief results from thermotherapy, laser therapy, acupuncture and assistive devices. In the short-term, comprehensive occupational therapy (in established rheumatoid arthritis), orthoses, and mind-body approaches can help maintain function. Over at least a one-year period, the following are effective in reducing pain and maintaining function: patient education and joint protection training using behavioural approaches; dynamic exercise therapy, hand exercises and hydrotherapy; and cognitive-behavioural therapy (in people with poorer psychological status). Many trials have recruited people with moderate to severe, established RA and relatively little is known about the long-term effectiveness of early rehabilitation, although this is becoming much more common in practice. Despite the increased availability of guidelines and systematic reviews, most conclude there is insufficient evidence for many areas of rheumatology rehabilitation. Further well-designed clinical trials are needed recruiting people with early disease using patient-centred outcomes.

show abstract

Section: Effectiveness Of Rehabilitation Interventionsmentioning

confidence: 99%

Rehabilitation in rheumatoid arthritis: a critical review

Hammond

2004

Musculoskeletal Care

View full text Add to dashboard Cite

show abstract

“…The relationship of changes in knowledge to long-term improvements in pain and functioning, however, does not appear to be strong. Goeppinger and colleagues [16] found that arthritis education led to improvements in arthritis knowledge, self-care behaviors, and feelings of helplessness. Although these improvements were sustained at 12-months follow-up, concomitant reductions in pain, depression, and function were not evident.…”

Section: Outcomes Of Educational Intervention Alonementioning

confidence: 99%

“…The literature on spousal training in arthritis pain management is, in fact, quite limited. Only three arthritis education studies have included spouses in educational group sessions for arthritis patients [13,16,34]. None of these studies trained spouses to assist patients in their use of pain coping skills.…”

Section: Evaluating Behavioral Interventions For Enhancing Maintenancementioning

confidence: 99%

Cognitive‐behavioral treatment of rheumatoid arthritis pain maintaining treatment gains

Keefe

Horn

1993

Arthritis & Rheumatism

View full text Add to dashboard Cite

(Objective. This paper critically reviews research studies examining the long-term effects of cognitivebehavioral therupy interventions for managing pain in rheumatoid arthritis patients. Methods and Results. The first section of the paper evaluates long-term results obtained in studies of cognitive-behavioral therapy, arthritis education inter vent ions, and combined cognitive-behavioral therapy-arthritis education interventions. These studies :jhor/v that although some rheumatoid arthritis patients lire able to maintain initial improvements in pain and cllisability, other rheumatoid arthritis patients do not. In the second section of this review, a cognitive-behavioral model of maintenance of pain coping skills ,is presented. This model may be useful in increasing our understanding of the relapse process and in plan-.iling interventions to enhance and prolong cognitivebehtrvioral therapy treatment gains. The final section of this paper addresses important future directions jor research. The need for empirical studies of relapse m d maintenance processes is underscored. Conclusions. Controlled studies are needed to test i he utility of new cognitive-behavioral interventions designed to enhance the long-term maintenance of irealment gains in RA patients. We suggest that a focus on issues of relapse and maintenance may be just as important for medical and surgical interventions for rheumatoid arthritis pain, as it is for cognitive-behavioral therapy interventions.

show abstract

“…Several studies have indicated that arthritis education increases knowledge level (3,(8)(9)(10)(11)(12)(13)(14)(15) but have been inconclusive about the relationship between increased knowledge and positive changes in behaviors (3,101. Other studies have indicated that changes in behaviors may substantially improve health status (7,11,16,17).…”

mentioning

confidence: 99%

Evaluation of a community arthritis program in Australia: Dissemination of a developed program

Simeoni

Bauman

Stenmark

et al. 1995

Arthritis & Rheumatism

View full text Add to dashboard Cite

Objective. To evaluate the effectiveness of a community-based arthritis education program conducted in a number of locations throughout the Sydney, Australia, metropolitan area.Methods. The program, based on earlier work, comprised 6 weekly sessions of 2.5 hours' duration. The study sample included 275 men and women with different types of arthritis, divided into intervention (n = 204) and control (n = 71) groups. Five outcome measures were selected to evaluate effectiveness of the program: pain perception, knowledge level, selfefficacy, disability index, and self-management behavior.Results. The results indicated that the program was effective in increasing knowledge level (Ff 2,2221 = 20.3, P = 0.002 at 6 weeks; Ff2,1081 = 7.8, P = 0.006 at 6 months), and a statistically significant difference was found in disability satisfaction 6 months after intervention FfL981 = 5.9, P = 0.011, but no statistically significant difference was found in pain perception, self-efficacy, and disability index.Conclusion. This research supports some of the successful outcomes which follow an arthritis edu-

show abstract

A reexamination of the effectiveness of self‐care education for persons with arthritis

Cited by 100 publications

References 20 publications

Rehabilitation in rheumatoid arthritis: a critical review

Rehabilitation in rheumatoid arthritis: a critical review

Cognitive‐behavioral treatment of rheumatoid arthritis pain maintaining treatment gains

Evaluation of a community arthritis program in Australia: Dissemination of a developed program

Contact Info

Product

Resources

About