Health status, adherence with health recommendations, self-efficacy and social support in patients with rheumatoid arthritis

Taal, Erik; Rasker, Johannes J.; Seydel, E.R.; Wiegman, O.

doi:10.1016/0738-3991(93)90122-d

Cited by 154 publications

(116 citation statements)

References 34 publications

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“…It is concerned not with the skills one has but with judgements of what one can do with whatever skills one possesses" (13). In a previous study, we found that among patients with RA, perceived selfefficacy is an important determinant of compliance with health recommendations and of such health outcomes as pain and disability (14). Other studies have also found associations between perceived self-efficacy and health status among arthritis patients (9,(15)(16)(17)(18).…”

Section: Introductionmentioning

confidence: 78%

Group education for patients with rheumatoid arthritis and their partners

Riemsma

Taal

Rasker

2003

Arthritis & Rheumatism

Self Cite

102

126

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Objective. To determine the effects of group education followed by booster sessions for people with rheumatoid arthritis (RA), and to determine whether participation of a significant other influenced the effects. Methods. A total of 218 RA patients, each of them with a partner, took part in the study. Two-thirds of the patients received a 5-week group self-management education program, with booster sessions after 3, 6, and 9 months; half of them received the intervention with a partner, and half without. One-third of the patients received the same educational materials without group sessions. Data were collected 1 week before the group sessions began and 2, 6, and 12 months later. The assessments included health behavior, arthritis self-efficacy, health status, and social interactions. Results. After 12 months, self-efficacy scores for coping with other symptoms were significantly higher for patients participating in the group education without a partner and significantly lower for patients participating in the group education with a partner. Fatigue increased in patients participating in the group education with a significant other and decreased in patients participating in the group education without a significant other. No other effects were found on health status, health behavior, or social interactions. Conclusion. Our findings suggest that participation of a significant other in psychoeducational programs does not have only positive effects. Instead of stimulating patients to adopt beneficial health behaviors and increase their self-efficacy expectations, participation of a significant other led in our program to decreases in self-efficacy and increased fatigue, whereas patients participating in group education without partners showed increases in self-efficacy and decreased fatigue. Booster sessions did not seem to influence results. KEY WORDS. Rheumatoid arthritis; Spouses; Patient education; Self management. INTRODUCTIONRheumatoid arthritis (RA) is a chronic, disabling disease characterized by chronic inflammation of joints, in most patients resulting in progressive joint destruction with deformities and various degrees of incapacitation (1). Disease activity can vary considerably, even from day to day. The unpredictable and painful course of the disease causes a lot of stress for patients, which has great impact on their quality of life (2).People with arthritis can play an important part in the management of their disease. Patient education can help them to develop the necessary self-management skills and prepare them to make decisions about adjustments in their treatment regimen (3,4). Several studies have shown that patient education can increase knowledge and lead to improvements in self management practices and health status (3,5-10). However, a review of group education for RA patients showed that benefits were limited. Group education interventions for RA patients less often showed beneficial effects on health behavior and physical and psychosocial health status than group interventions for popu...

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Section: Introductionmentioning

confidence: 78%

Group education for patients with rheumatoid arthritis and their partners

Riemsma

Taal

Rasker

2003

Arthritis & Rheumatism

Self Cite

102

126

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“…For example, one item asks, "How certain are you that you can reduce your pain a small amount without taking extra medications?" It has been used in other patient education studies and has been found to predict future actions and outcomes (12)(13)(14)(15). We added 2 items (items 3 and 5, see Appendix), which have been found to be useful in subsequent studies conducted by the investigators.…”

Section: Methodsmentioning

confidence: 99%

Translation and validation of arthritis outcome measures into spanish

González

Stewart

Ritter

et al. 1995

Arthritis & Rheumatism

186

157

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Objective. To produce Spanish versions of common arthritis outcome measures: the Health Assessment Questionnaire (HAQ) Disability Scale, the Center for Epidemiologic Studies Depression Scale (CES‐D), the Medical Outcomes Study (MOS) Pain Severity Scale, the Arthritis Self‐Efficacy Scale for Pain and Other Symptoms (with the addition of 2 new items), the Visual Analogue Pain Scale, the MOS Self‐Rated Health Item, and a Physical Activities Scale that would be usable by most Hispanics living in the US. We tested these translated measures for reliability and, where appropriate, validity. Methods. Instruments were translated and back translated by bilingual persons from 5 different countries of origin. Translators met to resolve variations in translation. The instruments were then administered to Hispanic arthritis patients in 6 geographic locations (5 in the United States and 1 in Latin America). All instruments underwent standard psychometric testing. As appropriate, the sample was stratified by level of acculturation, nation of origin, and geographic location. Results. The translated instruments, with slight modification, met acceptable levels of reliability and validity. They are understood and easily usable by diverse Spanish‐speaking populations. Conclusion. The availability of these translated outcome measures should enable investigators to include monolingual Spanish‐speakers into their studies, and should facilitate study of cross‐cultural differences with respect to these specific outcomes.

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“…One such cognition is self-efficacy for PA, which predicts PA in the general population (13) and among individuals with RA (14,15). Increasing self-efficacy, or one's belief in his or her capabilities to engage in a particular behavior or obtain a desired outcome (16), has therefore been a primary goal of many interventions to increase PA.…”

Section: Introductionmentioning

confidence: 99%

Explaining Physical Activity Maintenance After a Theory‐Based Intervention Among Patients With Rheumatoid Arthritis: Process Evaluation of a Randomized Controlled Trial

Knittle

Gucht

Hurkmans

et al. 2016

Arthritis Care & Research

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Objective. Regular physical activity (PA) benefits patients with rheumatoid arthritis (RA), particularly when maintained over time. Research in this area has largely focused on factors associated with initiating PA, while factors contributing to PA maintenance, particularly after lifestyle interventions, have received less attention. This study examined whether higher levels of autonomous motivation, self-efficacy for PA, and greater use of self-regulation skills mediated PA initiation and maintenance 6 months after a theory-based motivational interviewing and self-regulation coaching intervention. Methods. Seventy-eight individuals with RA were randomized to receive either a patient-education session (control group), or the patient-education session plus 1 motivational interview and 2 self-regulation coaching sessions (treatment group). Mediation analyses examined the effects of this intervention on PA initiation and maintenance through the intermediate variables autonomous motivation, self-efficacy for PA, and use of self-regulation skills. Analyses were controlled for age, sex, and previous levels of PA. Results. The treatment group reported significantly higher autonomous motivation and greater use of self-regulation skills than controls at posttreatment. Increases in PA from baseline to posttreatment were not mediated by any intermediate variables. However, maintenance of PA from posttreatment to followup (6 months later) was mediated by greater autonomous motivation and use of self-regulation skills. Conclusion. Greater autonomous motivation and use of self-regulation skills predict maintenance of PA following a motivational interviewing and self-regulation coaching intervention. In promoting PA among patients with RA, supporting patient autonomy and teaching self-regulation skills, which focus attention on achieving PA goals, may improve long-term maintenance of PA.

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Health status, adherence with health recommendations, self-efficacy and social support in patients with rheumatoid arthritis

Abstract: A study was performed in 86 patients with rheumatoid arthritis (RA)

Cited by 154 publications

References 34 publications

Group education for patients with rheumatoid arthritis and their partners

Group education for patients with rheumatoid arthritis and their partners

Translation and validation of arthritis outcome measures into spanish

Explaining Physical Activity Maintenance After a Theory‐Based Intervention Among Patients With Rheumatoid Arthritis: Process Evaluation of a Randomized Controlled Trial

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