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Centre for Policy on Ageing | |
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Self management of arthritis in primary care
— randomised controlled trial | | Author(s) | Marta Buszewicz, Greta Rait, Mark Griffin |
| Journal title | British Medical Journal, vol 333 no 7574, 28 October 2006 |
| Pages | pp 879-882 |
| Source | http://www.bmj.com |
| Keywords | Arthritis ; Self care capacity ; Medical care ; General practice ; Clinical surveys ; Longitudinal surveys. |
| Annotation | In order to evaluate the effectiveness of a self management programme for arthritis, this randomised controlled trial recruited 842 patients aged 80+ with osteoarthritis of hips or knees (or both) and pain or disability (or both) from 74 general practices in the UK. Participants were randomised to six sessions of self management of arthritis and an education booklet (intervention group) or the education booklet alone (control group). Data were collected at baseline, 4 months and 12 months regarding quality of life - as assessed by the Short Form Health Survey (SF-36) - also other physical and psychosocial outcomes. Response rates were 80% and 76% at 4 and 12 months. The two groups showed significant differences at 12 months on the anxiety sub-score of the Hospital Anxiety and Depression Scale (HADS), arthritis self efficacy scale for pain, and self efficacy for other aspects of management. Results were similar for intention to treat and pre protocol analyses. No significant differences were seen in numbers of visits to the GP at 12 months. While the self management of arthritis programme reduced anxiety and improved participants' perceived self-efficacy to manage symptoms, it had no significant effect on pain, physical functioning or contact with primary care. (RH). |
| Accession Number | CPA-061031206 A |
| Classmark | CLA: CA: LK: L5: 3G: 3J * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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