COMPARISON OF SELF-MANAGEMENT METHODS FOR OSTEOARTHRITIS AND RHEUMATOID ARTHRITIS
Issue: Volume 37, Issue 1, January 2005
Pages: 58-60
DOI: 10.1080/16501970410032669
Abstract:
Objective: To determine and compare self-management methods used for osteoarthritis and rheumatoid arthritis and to determine which methods patients consider most effective. Methods: Patients with osteoarthritis and rheumatoid arthritis were questioned about self-management methods and asked to indicate the most effective ones. Results: Twenty-seven patients with osteoarthritis and 26 with rheumatoid arthritis were interviewed. Exercise, joint protection, assistive devices and heat were the methods most commonly used. More patients with osteoarthritis than with rheumatoid arthritis used assistive devices (p=0.042). Exercise, assistive devices and heat were considered the most effective self-management methods. More patients with osteoarthritis than with rheumatoid arthritis considered assistive devices to be the most effective method (p=0.016). Conclusion: More patients with osteoarthritis than with rheumatoid arthritis used and indicated assistive devices as the most effective self-management method. Similar numbers of patients in both groups used other self-management methods.
Authors:
Dalia Veitiene A1 and Marija Tamulaitiene A1
A1 Centre of Gerontology and Rehabilitation Institute of Experimental and Clinical Medicine of Vilnius University Vilnius Lithuania
Key words:
exercise, assistive devices, joint protection
References:
- Alderson M, Starr L, Goq S, Moreland J The program for rheumatic independent self-management: a pilot evaluation 1999; 18: 283-292Clin Rheumatol
- Hammond A, Freeman K One-year outcomes of a randomized controlled trial of an educational-behavioural joint protection programme for people with rheumatoid arthritis 2001; 40: 1044-1051Rheumatology
- Stamm TA, Machold KP, Smolen JS, Fischer S, Redlich K, Graninger W, et al Joint protection and home hand exercises improve hand function in patients with hand osteoarthritis: a randomized controlled trial 2002; 47: 44-49Arthritis Rheum
- Keefe FJ, Lefebvre JC, Kerns RD, Rosenberg R, Beaupre P, Prochaska J, et al Understanding the adoption of arthritis self-management: stages of change profiles among arthritis patients 2000; 87: 303-313Pain
- Guidelines for the management of rheumatoid arthritis 1996; 39: 713-722Arthritis Rheum
- Conn VS Joint self-care by older adults 1990; 15: 182-186Rehab Nursing
- Hampson SF, Glasgow RG, Zeiss AM, Birskoch SF, Foster I, Lines A Self-management of osteoarthritis 1993; 6: 17-22Arthritis Care Res
- Hammond A The use of self-management strategies by people with rheumatoid arthritis 1998; 12: 81-87Clin Rehabil
- Hammond A, Lincoln N, Sutcliffe L A crossover trial evaluating an educational-behavioural joint protection programme for people with rheumatoid arthritis 1999; 37: 19-32Patient Educ Couns
- Sluijs EM, Knibbe JJ Patient compliance with exercises: different theoretical approaches to short-term compliance 1991; 17: 191-204Patient Educ Couns
- Owen SG, Friesen WT, Roberts MS, Flux W Determinants of compliance in rheumatoid arthritis patients assessed in their home environment 1985; 24: 313-320Br J Rheumatol
- Keysor JJ, Currey SS, Callahan LF Behavioural aspects of arthritis and rheumatic disease self-management 2001; 9: 89-98Dis Manage Health Outcomes
- Newman S, Mulligan K, Steed L What is meant by self-management and how can its efficacy be established? Rheumatology 2001; 40: 1-6
- Arnett FC, Edworthy SM, Block DA, McShane DJ, Fries JF, Cooper NS, et al The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis 1988; 31: 315-323Arthritis Rheum
- Altman R, Alarcon G, Appelrouth D, Bloch D, Borenstrein D, Brandt K, et al The American College of Rheumatology criteria for the classification and reporting of osteoarthritis of the hip 1991; 34: 505-514Arthritis Rheum
- Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee 1986; 29: 1039-1149Arthritis Rheum
- O'Sullivan SB, Schmitz TJ Arthritis 2001; 679-715In: O'Sullivan SB, Schmitz TJ, eds. Physical rehabilitation: assessment and treatment. Fourth edition
- Nordenskiold U Evaluation of assistive devices after a course in joint protection 1994; 10: 293-304Int J Technol Assess Health Care