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Title: Six and 12 months’ effects of individual joint protection education in people with rheumatoid arthritis : a randomized controlled trial
Authors : Niedermann Schneider, Karin
Buchi, Stefan
Ciurea, Adrian
Kubli, Regula
Steurer-Stey, Claudia
Villiger, Peter M.
de Bie, Rob
Published in : Scandinavian Journal of Occupational Therapy
Volume(Issue) : 19
Issue : 4
Pages : 360
Pages to: 369
Publisher / Ed. Institution : Taylor & Francis
Issue Date: 2011
License (according to publishing contract) : Licence according to publishing contract
Type of review: Not specified
Language : English
Subject (DDC) : 616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Background: Joint protection (JP) education for people with rheumatoid arthritis (RA) is effective when applying psycho-educational teaching strategies. The Pictorial Representation of Illness and Self Measure (PRISM) was used to identify relevant JP education goals and life aspects, both supporting motivation and behaviour change. The objective of this study was to compare the effects of individual JP education, PRISM-based (PRISM-JP) vs. conventional (C-JP), in people with rheumatoid arthritis (RA). Methods: An assessor-blinded randomized controlled trial was conducted in four rheumatology centres. Patients were randomized to PRISM-JP or C-JP, consisting of five JP education sessions over three months. Primary outcome was JP behaviour at six and 12 months. Results: A total of 53 RA patients participated. The PRISM-JP group (n = 26) demonstrated significantly more JP behaviour at six months (effect size ES = 0.32; p = 0.02) and 12 months (ES = 0.28; p = 0.04) than the C-JP (n = 27). Within-group analysis showed that the JP intervention was successful at six and 12 months in both groups (p < 0.001). At 12 months the PRISM-JP group had better JP self-efficacy (p = 0.02) and grip strength (p = 0.04) compared with baseline. Conclusion: PRISM-JP was more effective than C-JP in terms of long-term JP behaviour at six and 12 months.
Departement: Gesundheit
Organisational Unit: Institute of Occupational Therapy (IER)
Publication type: Article in scientific Journal
DOI : 10.3109/11038128.2011.611820
ISSN: 1103-8128
Appears in Collections:Publikationen Gesundheit

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