Arthritis self-management studies: a twelve-year review.
Abstract
The Arthritis Self-Management Program (ASMP) is a program that has been developed and studied over 12 years. This paper is a summary of the results of these studies. Several conclusions have been reached. 1. The ASMP in randomized trails improves behaviors, self-efficacy, and aspects of health status. 2. Formal reinforcement does not appear to improve the long-term outcomes of the ASMP. 3. The effects of the ASMP last for as long as 4 years without formal reinforcement. 4. The improvement gains by the ASMP participants have importance both clinically and in terms of cost savings. 5. The mechanism by which the ASMP affects health status appears to be more closely linked to changes in self-efficacy than to changes in behaviors
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A review of self-help for chronic pain found that self-help delivered via group formats, workbooks, books, audiotapes, minimal contact formats, and telephone delivery systems has been effectively used to reduce pain, pain-related disability, depression, and anxiety in arthritis, lower back pain, headache, and temporomandibular joint disorder.
“A review of self-help for chronic pain25 found that self-help delivered via group formats, workbooks, books, audiotapes, minimal contact formats, and telephone delivery systems has been effectively used to reduce pain, pain-related disability, depression, and anxiety in arthritis,26,27 lower backpain,28,29 headache,30–32 and temporomandibular joint disorder.33,34”
From An Online Self-help CBT Intervention for Chronic Lower Back Pain (2012) · cites this paper as [26]
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References 34 · Cited by 434
- Authors
- Lorig, K., & Holman, H.
- Affiliations
- Stanford University (US)
- ORCID
- Lorig, Kate
- Venue
- Health Education Quarterly
- Publisher
- SAGE Publications
- Published
- 1993-04
- Volume
- 20
- Issue
- 1
- Pages
- 17-28
- ISSN
- 0195-8402 (ISSN-L)
- OpenAlex
- W1977528700
- Cited by
- 434
- References
- 34
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 6 · 2021: 7 · 2020: 10 · 2019: 7 · 2018: 8 · 2017: 7 · 2016: 11 · 2015: 17 · 2014: 20 · 2013: 18 · 2012: 12
- FWCI
- 9.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Education Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p60ar020610-19)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR20610-07)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Rehabilitation › Musculoskeletal Disorders and Rehabilitation
- Keywords
- arthritis, self-management education, self-efficacy, health behavior, health status, long-term outcomes, reinforcement, cost reduction
- MeSH terms
- Arthritis, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Patient Education as Topic, Self Concept, Program Evaluation, Health Behavior
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