Psycho-educational interventions in the treatment of arthritis

Hawley, Donna J.

doi:10.1016/s0950-3579(05)80315-2

Cited by 97 publications

(55 citation statements)

References 44 publications

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“…Significant improvements in all measures from pretreatment to posttreatment were obtained, while scores for 100 outpatients awaiting treatment who completed two administrations of the POQ-VA 7 to 13 days apart did not change. Consistent with most pain outcomes studies [59,[60][61][62], follow-up assessment revealed some decline in functioning but levels remained above those reported at pretreatment. We also estimated the magnitude of POQ-VA scale scores necessary to define clinically significant change.…”

Section: Discussionsupporting

confidence: 76%

Development and validation of the Pain Outcomes Questionnaire-VA

Clark¹,

Gironda²,

Young³

2003

JRRD

113

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Abstract-The development of effective pain treatment strategies requires the availability of precise and practical measures of treatment outcomes, the importance of which has been noted in the Veterans Health Administration's (VHA's) National Pain Initiative. This paper presents the results of a 5-year collaborative effort to develop and validate a comprehensive and efficient self-report measure of pain treatment outcomes. Two samples of veterans (957 total subjects) undergoing inpatient Key words: chronic pain, outcomes assessment, pain assessment, psychological test, rehabilitation outcome.

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Section: Discussionsupporting

confidence: 76%

Development and validation of the Pain Outcomes Questionnaire-VA

Clark¹,

Gironda²,

Young³

2003

JRRD

113

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“…Patient education programs are informative and help demystify medical issues, thereby increasing patients' self-confidence in their ability to adjust to the diseases and make informed treatment decisions. Patient education positively affects disability and psychological functioning and may result in improved treatment effects, increased self-management behaviors, improved quality of life, and reduced healthcare use [83][84]. Clinicians can provide patients with basic information on pain, HCV, liver functioning, the relationship between HCV and pain, and treatment options.…”

Section: Discussionmentioning

confidence: 99%

A closer look at pain and hepatitis C: Preliminary data from a veteran population

Silberbogen¹,

Janke²,

Hebenstreit³

2007

JRRD

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Abstract-An association between the hepatitis C virus (HCV) and various pain diagnoses, including arthritis, fibromyalgia, and peripheral neuropathy, has been reported. In this article, we review the literature on the relationship between HCV and pain, highlighting current knowledge as well as methodological issues that exist in many studies. We also present preliminary findings from a survey conducted at two Department of Veterans Affairs facilities to assess the scope and impact of pain on functioning in veterans with HCV. Our results indicate that pain is very prevalent within this population and that HCV-positive veterans who experience persistent pain have significant depressive symptoms and engage in highrisk behaviors, such as cigarette smoking and alcohol use. Finally, we draw upon our review and preliminary results to propose areas of future rehabilitative research and to address the implications for clinicians working with patients with comorbid HCV and pain.

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“…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)(6)(7)(8)(9)(10). However, a review of group education for RA patients showed that benefits were limited.…”

Section: Introductionmentioning

confidence: 99%

Group education for patients with rheumatoid arthritis and their partners

Riemsma

Taal

Rasker

2003

Arthritis & Rheumatism

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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Psycho-educational interventions in the treatment of arthritis

Cited by 97 publications

References 44 publications

Development and validation of the Pain Outcomes Questionnaire-VA

Development and validation of the Pain Outcomes Questionnaire-VA

A closer look at pain and hepatitis C: Preliminary data from a veteran population

Group education for patients with rheumatoid arthritis and their partners

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