ARTHRITIS SELF-CARE EDUCATION BY INTERACTIVE TELEVISION

本质上是对慢性的、痛苦的和致残的疾病的管理 如关节炎是个人的责任。然而， 社区教育是护士帮助这些人的一种方法。‘Ne 关节炎自我管理课程(ASMC)，为期六周，标准化 教育项目已经在2500多人中得到了经验验证 在11年的时间里。它在美国各地都有提供， 虽然主要是在大都市地区，在赞助下1；f 关节炎基金会。该计划已被证明可以帮助人们 关节炎学会了某些技能，使他们能够减轻疼痛， 改善他们的心理状况，增强他们对所有人的信心 疾病管理的各个方面。虽然这个节目已经被证明是非常 通过面对面的讲师-参与者在小组中有效 交互作用，它还没有接触到大量关节炎患者 尤其是那些生活在农村地区的人。还需要其他方法。将被发现 来完成这个重要的节目。Lb.is初步研究将使用 准实验型前测后测控制组设计 CHE ASMC通过互动电视播放时的有效性 而不是通过关节炎现在使用的标准小团体方法 基金会。具体目标如下：(1)节目材料和 教学技术将被改编用于电视广播。(2)ASMC 将提供给三组：对照组接受ASMC在 标准面对面教学法和两个实验组，由 互动电视。对两个试验组进行授课 与一组人同时位于电视演播室/教室 威奇托州立大学校园和第二个小组位于 校园里。第二个试验组将被分成几个部分， 参与者分布在威奇托的四所不同的高中。(3) ASMC的有效性将通过比较以下结果来评估 在计划结束时以及在4、8和12个月的随访中。 结果衡量标准是自我效能、健康状况(即疼痛、功能 残疾、抑郁)、自我护理活动(即锻炼、放松)、 和知识。如果通过互动电视教授ASMC可以产生 结果与目前使用小群体方法得出的结果类似， 为大量关节炎患者提供服务的技术出口 目前没有提供服务。

Essentially the management of a chronic, painful, and disabling condition such as arthritis is the responsibility of the individual. However, community education is one method nurses use to assist these people. 'ne Arthritis Self-Management Course (ASMC), a six week lay-lead, standardized educational pro ram has been empirically validated with over 2500 people during an 11 year period. It is offered throughout the United States, albeit primarily in metropolitan areas, under the sponsorship 1;f the Arthritis Foundation. The program has been shown to help people with arthritis learn certain skills that enable them to lessen their pain, improve their psychological status, and increase their confidence in all aspects of disease management. While the program has been shown to be very effective in small groups with face-to-face instructor-participant interaction, it has not reached large numbers of people with arthritis especially those living in rural areas. Additional ways need. to be found to deliver this important program. lb.is preliminary study will use a quasi-experimental pre-test post-test control group design to evaluate the effectiveness of Che ASMC when delivered by interactive television rather than through the standard small group approach now used by the Arthritis Foundation. Specific aims are as follows: (1) The program materials and teaching techniques will be adapted for television broadcast. (2) The ASMC will be provided to three groups: a control group receiving ASMC in the standard face-to-face approach and two experimental groups taught by interactive television. The two experimental groups will be taught simultaneously with one group located in the television studio/classroom on the Wichita State University campus and the second group located off campus. The second experimental group will be divided in sections with participants located at four different high schools in Wichita. (3) The effectiveness of ASMC will be evaluated by comparing outcomes between and among groups at the end of the program and at 4, 8 and 12 months follow-up. Outcome measures are self-efficacy, health status (i.e. pain, functional disability, depression), self-care activities (i.e. exercise, relaxation), and knowledge. If teaching the ASMC via interactive television can produce results similar to those found using the present small group approach, the technology exits for serving large numbers of people with arthritis who are currently not being served.