Promoting self‐care in clients with arthritis

Abstract

Preliminary work regarding the development and pilot study of an individualized instructionalprogram for rheumatoid arthritis clients is presented. The effect of the individualized instructional program was tested with 31 outpatients. Using analysis of covariance, the experimental group subjectsscored significantly higher on the knowledge post‐test when compared to scores of control group subjects (P = 0.0045). Analysis of variance for repeated measures revealed no significant difference in performance of tasks for the control group and experimental group (P = 0.08). In a follow‐up study, the effect of the self‐instructional program, practice time, and contracting were explored for their effect on adherence to self‐care activities. Experimentalgroups (n = 42) scored significantly better than the control group (n = 11) on the knowledge post‐test (P < 0.01), performance of joint protection practices (P = 0.01), range of motion exercises (P = 0.01), and adherence to joint protection practices at home (P < 0.01). Groups did not differ on adherence to range of motion exercises at home (P = 0.83).

Occupational therapy for rheumatoid arthritis: A systematic review

“…Hammond et al (40) reported significant improvement in functional ability. This finding was supported by Neuberger et al (24), who reported significant improvement in their CCT. Four studies (19,24,40,48) measured pain.…”

“…This finding was supported by Neuberger et al (24), who reported significant improvement in their CCT. Four studies (19,24,40,48) measured pain. Hammond et al (40) reported no significant differences between groups.…”

“…Four RCTs/CCTs (19,24,40) and four ODs (45)(46)(47)(48) (Table 3) were identified for the intervention "instruction on joint protection and energy conservation." One of the RCTs (40) had high methodological quality.…”

“…Seven studies (19,24,40,45,47,48) assessed functional ability. Hammond et al (40) reported significant improvement in functional ability.…”

Psychological interventions for rheumatoid arthritis: Examining the role of self‐regulation with a systematic review and meta‐analysis of randomized controlled trials

“…However, since all outcomes were measured using self-report questionnaires that vary in their respective sensitivities to change, the relationship between statistical and clinical significance should be examined on a case-by-case basis. Furthermore, when examining these results, it should be noted that several studies yielded negative effect sizes for various outcomes, indicating that psychological treatments are not beneficial for all patients or for all outcomes (8,31,36,38,42,51).…”