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Title: Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial
Authors : Niedermann Schneider, Karin
de Bie, Rob
Kubli, Regula
Ciurea, Adrian
Steurer-Stey, Claudia
Villiger, Peter M.
Buchi, Stefan
Published in : Patient Education and Counseling
Volume(Issue) : 82
Issue : 1
Pages : 42
Pages to: 48
Publisher / Ed. Institution : Elsevier
Issue Date: 2011
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subject (DDC) : 616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Objective The modern joint protection (JP) concept for people with rheumatoid arthritis (RA) is an active coping strategy to improve daily tasks and role performance by changing working methods and using assistive devices. Effective group JP education includes psycho-educational interventions. The Pictorial Representation of Illness and Self Measure (PRISM) is an interactive hands-on-tool, assessing (a) the individual's perceived burden of illness and (b) relevant individual resources. Both issues are important for intrinsic motivation to take action and change behaviour. This study compared individual conventional JP education (C-JP) with PRISM-based JP education (PRISM-JP). Methods An assessor-blinded multicentre randomized controlled trial, including four JP education sessions over 3 weeks, with assessments at baseline and 3 months. Results In total 53 RA patients participated. At 3 months, the PRISM-JP (n = 26) participants did significantly better compared to the C-JP participants (n = 27) in JP behaviour (p = 0.02 and p = 0.008 when corrected for baseline values), Arthritis Self-efficacy (ASES, p = 0.015) and JP self-efficacy (JP-SES, p = 0.047). Within-group analysis also showed less hand pain (p < 0.001) in PRISM-JP group. Conclusion PRISM-JP more effectively supported learning of JP methods, with meaningful occupations, resource activation and self-efficacy acting as important mediators. Practice implications PRISM improved patient–clinician communication and is feasible for occupational therapy.
Departement: Gesundheit
Organisational Unit: Institute of Occupational Therapy (IER)
Institute of Physiotherapy (IPT)
Publication type: Article in scientific Journal
DOI : 10.1016/j.pec.2010.02.014
ISSN: 0738-3991
Appears in Collections:Publikationen Gesundheit

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