A program of 8 lessons on various aspects of osteoarthritis (OA), its treatment, and patient self-care was prepared on an Apple IIc computer. The courses were then field-tested and evaluated by 72 older (age range 52-88) OA patients in community centers for senior citizens. Statistical analysis of the findings showed significant increases in knowledge and significant selfreported, beneficial behavior changes, including increased exercise, use of heat, and rest. Our findings demonstrate that older persons can use the computer to learn to cope with OA when a thoughtfully planned program is made available in a community setting.Osteoarthritis is ubiquitous: Over 16 million persons in the United States alone have the disease. Many of them, believing the disease to be an inevitable consequence of age, do little to seek treatment and relief; consequently, they experience more pain and debilitation than necessary.
In comparison to the natural sciences, there is a lack of empirically grounded social scientific research which addresses how people arrive at forming pleasurable interpretations of physical activity participation. Both social and natural conceptualisations of the bodily sensations evoked via physical activity involvement have also been restricted to pain and pleasure and pleasure-displeasure dualisms. Nevertheless, there is general agreement across these disciplines that pleasurable interpretations of physical activity participation encourage regular and sustained future involvement. We draw on carnal sociology to explain life history interview data from 30 varied physical activity careers to argue that corporeal experiences of being physically active are more ambiguous than existing pleasure-pain dualisms suggest. Furthermore, interpreting these ambiguous corporeal senses as pleasurable was of central importance to sustaining a prolonged physical activity career, which we argue is a carnal skill that can be learned. This skill, possessed by those interviewees with the most prolonged physical activity careers, had been acquired through becoming accustomed to the unique situated sensual ambiguities of particular physical activities, as a type of existential connoisseurship. Future research might pay more attention to the ambiguity of physical activity involvement, the carnal interpretation of which carries important consequences for the likelihood of long-term participation.
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