Community-based Spanish language arthritis education program - A randomized trial
Community-based Spanish language arthritis education program - A randomized trial
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DOI：
10.1097/00005650-199909000-00011
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发表时间：
1999-09-01
期刊：
影响因子：
3
通讯作者：
Ritter, P
中科院分区：
文献类型：
--
作者：
Lorig, K;Gonzalez, VM;Ritter, P
目标.为确定一个为期6周的、以非专业人士为主导的、以社区为基础的关节炎自我管理项目对西班牙语参与者的4个月和1年的健康相关结局，并确定自我效能在预测该人群健康状况中的作用。331名受试者被随机分配到该计划或4个月的等待列表对照组。198名受试者继续进行为期1年的纵向研究。通过邮寄问卷和电话随访收集数据。在4个月时，与对照组相比，治疗组在运动、残疾、疼痛和自我效能方面表现出积极的变化（P < 0.05）。在1年时，与基线相比，治疗受试者在运动、一般健康、残疾、疼痛、自我效能和抑郁方面表现出改善（P < 0.05）。自我效能的基线和4个月的变化可预测1年后的健康状况。关节炎自我管理计划的西班牙语参与者表现出短期和长期的好处（改善健康行为，健康状况和自我效能）。
OBJECTIVES. To determine 4-month and 1-year health-related outcomes of a 6-week, lay-led, and community-based arthritis self-management program for Spanish-speaking participants and to determine the role of self-efficacy in predicting health status for this population.METHODS. Three hundred and thirty one subjects were randomized to the program or to a 4-month wait list control group. One hundred ninety eight subjects continued in a 1-year longitudinal study. Data were collected via mailed questionnaires with telephone follow up.RESULTS. At 4 months, treatment subjects, compared with controls, demonstrated positive changes in exercise, disability, pain, and self-efficacy (P < 0.05). At 1 year, compared with baseline, treatment subjects demonstrated improvements in exercise, general health, disability, pain, self-efficacy, and depression (P < 0.05). Baseline and 4-month changes in self-efficacy predicted health status at 1 year.CONCLUSIONS. Spanish-speaking participants of an arthritis self-management program demonstrate short- and long-term benefits (improved health behaviors, health status, and self-efficacy).