Current Projects Dose Response

Arthritis Self-Management Education — Dose-Response

Funding Number

S3521

Project Description

The Arthritis Self Management Program, also known as the Arthritis Self Help Course is has been shown to be very beneficial for people with arthritis. However, many people who could benefit from this program cannot attend due to the time demands of the current program (6 weeks, 2 hours per week). The purpose of this study is to develop and test shortened versions (or lower doses) of the Arthritis Self Management Program. If successful, these shortened versions of the program will provide self management education to people with arthritis who otherwise would not be abler to receive it.

Project Objectives

• Develop a shortened version of the Arthritis Self Management Program
• Test this new self study program among 900 individuals with arthritis (Caucasian, African American, and Spanish speaking)
• Provide guidance on how state arthritis programs can disseminate this self study arthritis self management education program.

Study Results

• Four Month RCT Outcomes: minimal impact by site or by type of intervention (High Resource, Low Resource). One statistical difference (1 out of 45) between intervention and control groups and no statistically significant differences between participants in High and Low Resource interventions. Twelve Month Longitudinal Outcomes show minimal impact (6 out of 45) by site, and no differences by type of intervention (High Resource, Low Resource).
• The general lack of significant findings, at either four or 12 months, is convincing evidence that the two week intervention coupled with take-home materials (High or Low Resource) is not effective. The lack of significant improvement in self-efficacy at four months and one year is particularly noteworthy as self-efficacy theory undergirds the intervention, and disease-specific outcomes have been found to improve substantially when self-efficacy has improved

Abstracts, Publications, Presentations

Goeppinger J, Lorig K, Gizlice Z, Ritter P, Brady TJ. Are Fewer Workshop Sessions as Effective as the classic ASMP. Arthritis and Rheumatism 2009 60: 10 S5111 (abstract).

Principal Investigator

Jean Goeppinger, R.N., Ph.D.
University of North Carolina
jgoeppin@email.unc.edu

CDC Arthritis Program Contact: Teresa J. Brady, PhD (tob9@cdc.gov)

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