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Community-based Spanish language arthritis education program: a randomized trial.

K Lorig1, V M Gonzalez, P Ritter

  • 1Stanford University School of Medicine, CA, USA.

Medical Care
|September 24, 1999
PubMed
Summary
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This arthritis self-management program improved health behaviors and status for Spanish speakers. Self-efficacy played a key role in predicting long-term health outcomes.

Area of Science:

  • Rheumatology
  • Public Health
  • Behavioral Science

Background:

  • Arthritis affects millions, necessitating accessible self-management programs.
  • Culturally tailored interventions are crucial for diverse populations.
  • Self-efficacy is a key factor in managing chronic conditions.

Purpose of the Study:

  • Evaluate a 6-week, community-based arthritis self-management program for Spanish-speaking individuals.
  • Assess 4-month and 1-year health-related outcomes.
  • Examine the predictive role of self-efficacy on health status.

Main Methods:

  • Randomized controlled trial with 331 participants.
  • Intervention group received a 6-week lay-led program; control group had a 4-month waitlist.
  • Data collected via mailed questionnaires and telephone follow-up over 1 year.

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Main Results:

  • At 4 months, program participants showed improved exercise, disability, pain, and self-efficacy compared to controls.
  • At 1 year, participants demonstrated sustained improvements in exercise, general health, disability, pain, self-efficacy, and depression.
  • Changes in self-efficacy at baseline and 4 months predicted 1-year health status.

Conclusions:

  • The arthritis self-management program yields significant short- and long-term benefits for Spanish-speaking participants.
  • Improvements include health behaviors, health status, and self-efficacy.
  • Self-efficacy is a critical predictor of sustained health improvements.