Evidence suggesting that health education for self‐management in patients with chronic arthritis has sustained health benefits while reducing health care costs
Abstract
Objective To determine the effects of the Arthritis Self-Management Program 4 years after participation in it. Methods Valid self-administered instruments were used to measure health status, psychological states, and health service utilization. Results Pain had declined a mean of 20% and visits to physicians 40%, while physical disability had increased 9%. Comparison groups did not show similar changes. Estimated 4-year savings were $648 per rheumatoid arthritis patient and $189 per osteoarthritis patient. Conclusion Health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.
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There is growing evidence that improvements in self-efficacy are related to positive short- and long-term outcomes of pain coping skills training and educational self-help interventions.
“there is growing evidence that improvements in self-efficacy are related to positive short- and long-term outcomes of pain coping skills training and educational self-help interventions.46,47,68,106”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [68]
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- Authors
- Lorig, K. R., Mazonson, P. D., & Holman, H. R.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Lorig, Kate R.
- ORCID
- Lorig, Kate R.
- Venue
- Arthritis & Rheumatism
- Publisher
- Wiley
- Published
- 1993-04
- Volume
- 36
- Issue
- 4
- Pages
- 439-446
- ISSN
- 0004-3591 (ISSN-L)
- 1529-0131
- OpenAlex
- W2001139421
- Cited by
- 871
- References
- 2
- Citations by year
- 2026: 2 · 2025: 9 · 2024: 10 · 2023: 8 · 2022: 9 · 2021: 11 · 2020: 18 · 2019: 17 · 2018: 17 · 2017: 32 · 2016: 31 · 2015: 29 · 2014: 31 · 2013: 29 · 2012: 30
- FWCI
- 15.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Arthritis & Rheumatism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p60ar020610-19)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-20610)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
- Keywords
- chronic arthritis, rheumatoid arthritis, osteoarthritis, health education, self-management, long-term outcomes, pain, physical disability, physician visits, health care costs, cost reduction, health status
- MeSH terms
- Aged, Arthritis, Rheumatoid, Chronic Disease, Female, Health Education, Health Status, Humans, Insurance Benefits, Male, Middle Aged, Osteoarthritis, Self Care, Health Care Costs
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