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Related Experiment Videos

A disease-specific self-help program compared with a generalized chronic disease self-help program for arthritis

Kate Lorig1, Philip L Ritter, Kathryn Plant

  • 1Stanford University School of Medicine, Stanford, California, USA. lorig@stanford.edu

Arthritis and Rheumatism
|December 13, 2005
PubMed
Summary

The Arthritis Self-Management Program (ASMP) showed initial advantages over the Chronic Disease Self-Management Program (CDSMP) for arthritis patients, though both improved outcomes. The ASMP is recommended if resources allow, with CDSMP as a strong alternative.

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Area of Science:

  • Rheumatology
  • Public Health
  • Behavioral Medicine

Background:

  • Both the Arthritis Self-Management Program (ASMP) and the generic Chronic Disease Self-Management Program (CDSMP) are effective for arthritis management.
  • A direct comparison of their relative effectiveness is warranted to guide clinical practice.

Purpose of the Study:

  • To compare the effectiveness of the ASMP and CDSMP in individuals with arthritis.
  • To evaluate differences in quality of life, health behaviors, self-efficacy, and healthcare utilization between the two programs.

Main Methods:

  • Randomized controlled trial comparing ASMP (n=239) and CDSMP (n=116) for arthritis patients.
  • Outcome measures assessed at 4 months and 1 year included quality of life, health behaviors, self-efficacy, and healthcare utilization.

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Main Results:

  • Both programs demonstrated positive outcomes for arthritis patients.
  • The disease-specific ASMP showed a slight advantage over the generic CDSMP at the 4-month follow-up.
  • These advantages diminished slightly by the 1-year mark, indicating sustained benefits from both interventions.

Conclusions:

  • The ASMP is a preferred option for arthritis management when resources and participant numbers are sufficient.
  • The CDSMP remains a viable and effective alternative for managing chronic diseases, including arthritis.
  • Both self-management programs contribute positively to patient outcomes and well-being.