Self-management courses in arthritis have been shown to improve outcomes and to decrease medical resource utilization.
We studied the effectiveness of a mail-delivered arthritis self-management program with the potential for extending these effects more broadly.
Randomized controlled trial of 375 program participants and 434 controls over a 6 month period.
Baseline and 6 month data were analyzed for each group and between groups by paired 2 sample t test.
The intervention consists of health assessment questionnaires at 3 month intervals, with computer processed recommendation letters and reports individualized to age, diagnosis, education level, disability, pain, medication, and other patient-specific variables.
At 6 months, outcomes of function 14.7% ; 95% confidence limits 2.7,6.7), decreased pain (9% ; 2.8,15.2), global vitality (7% ; 2.8,11.2), and joint count (28% ; 20,36) were improved in the program group compared with controls (p<0.01).
Exercise (35% ; 26,44) and self-efficacy (14.7% ; 9,20) were increased in the program group but not controls (p<0.001).
Doctor visits/year were decreased by 16% (3,29) in the program group compared with controls (p<0.05) and days missed work or confined to home decreased by 52% (-3,107) in the program group compared with controls (p=0.06). (...)
Mots-clés Pascal : Arthrose, Education santé, Homme, Programme sanitaire, Efficacité, Randomisation, Evaluation, Essai thérapeutique contrôlé, Prévention, Complication, Système ostéoarticulaire pathologie, Arthropathie, Maladie dégénérative
Mots-clés Pascal anglais : Osteoarthritis, Health education, Human, Sanitary program, Efficiency, Randomization, Evaluation, Controlled therapeutic trial, Prevention, Complication, Diseases of the osteoarticular system, Arthropathy, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0411080
Code Inist : 002B30A01C. Création : 19/12/1997.