Arthritis Self-Management Studies: A Twelve-Year Review

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

[1]  J. S. Dixon,et al.  Reproducibility along a 10 cm vertical visual analogue scale. , 1981, Annals of the rheumatic diseases.

[2]  J. Kelsey,et al.  Estimates of the prevalence of selected arthritic and musculoskeletal diseases in the United States. , 1989, The Journal of rheumatology.

[3]  K. Lorig,et al.  Long-term outcomes of an arthritis self-management study: effects of reinforcement efforts. , 1989, Social science & medicine.

[4]  A. Colvez,et al.  Disability trends in the United States population 1966-76: analysis of reported causes. , 1981, American journal of public health.

[5]  D. Lubeck,et al.  Outcomes of self-help education for patients with arthritis. , 1985, Arthritis and rheumatism.

[6]  I. Rosenstock,et al.  The Role of Self-Efficacy in Achieving Health Behavior Change , 1986, Health education quarterly.

[7]  H. Holman,et al.  Measurement of patient outcome in arthritis. , 1980, Arthritis and rheumatism.

[8]  L. Verbrugge,et al.  Longer life but worsening health? Trends in health and mortality of middle-aged and older persons. , 1984, The Milbank Memorial Fund quarterly. Health and society.

[9]  A. Antonovsky.  Health, stress, and coping , 1979 .

[10]  V. González,et al.  The Integration of Theory with Practice: A 12-Year Case Study , 1992, Health education quarterly.

[11]  K. Lorig,et al.  Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. , 1989, Arthritis and rheumatism.

[12]  A. O'Leary,et al.  Self-efficacy and health. , 1985, Behaviour research and therapy.

[13]  K. Lorig,et al.  The Arthritis Helpbook: A Tested Self-Management Program for Coping With Your Arthritis , 1986 .

[14]  A. Bandura.  Social Foundations of Thought and Action , 1986 .

[15]  K. Lorig,et al.  Arthritis patient education: a review of the literature. , 1987, Patient education and counseling.

[16]  A. Bandura.  Self-efficacy mechanism in human agency. , 1982 .

[17]  A. Bandura.  Self-efficacy: toward a unifying theory of behavioral change. , 1977, Psychological review.

[18]  Lawrence W. Green,et al.  Health Education Planning: A Diagnostic Approach , 1979 .

[19]  K. Lorig,et al.  Reasons for the lack of association between changes in health behavior and improved health status: an exploratory study. , 1984, Patient education and counseling.

[20]  L. Radloff.  The CES-D Scale , 1977 .

[21]  S. Folkman,et al.  Stress: Appraisal and Coping , 2020, Encyclopedia of Behavioral Medicine.

[22]  K. Wallston,et al.  Validity of the Center for Epidemiological Studies Depression Scale in arthritis populations. , 1989, Arthritis and rheumatism.

[23]  W. Downie,et al.  The visual analogue scale in the assessment of grip strength. , 1978, Annals of the rheumatic diseases.

[24]  K. Wallston,et al.  Development and validation of the health locus of control (HLC) scale. , 1976, Journal of consulting and clinical psychology.

[25]  K. Lorig,et al.  Some Notions About Assumptions Underlying Health Education , 1985, Health education quarterly.

[26]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[27]  D. Lubeck,et al.  The beneficial outcomes of the arthritis self-management course are not adequately explained by behavior change. , 1989, Arthritis and rheumatism.

[28]  K. Lorig,et al.  Health education for self-management has significant early and sustained benefits in chronic arthritis. , 1989, Transactions of the Association of American Physicians.