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Does self-management lead to sustainable health benefits in people with arthritis? A 2-year transition study of 452 Australians. Osborne, Richard, Wilson, Tanya, Lorig, Kate and McColl, Geoffrey 2007, Does self-management lead to sustainable health benefits in people with arthritis? A 2-year transition study of 452 Australians., Journal of rheumatology, vol. 34, no. 5, pp. 1112-1117. Title Does self-management lead to sustainable health benefits in people with arthritis? A 2-year transition study of 452 Australians. Author(s) Osborne, Richard Wilson, Tanya Lorig, Kate McColl, Geoffrey Journal name Journal of rheumatology Volume number 34 Issue number 5 Start page 1112 End page 1117 Publisher Journal of Rheumatology Pub. Co. Place of publication Toronto, Canada Publication date 2007-05 ISSN 0315-162X 1499-2752 0380-0903 Summary Objective: To evaluate the Arthritis Self-Management Course (ASMC) when applied in a nationwide context. Methods: Four hundred fifty-two people who participated in the ASMC across Australian states took part in a longitudinal followup study. ASMC is a 6 week, 2 h group educational program designed to assist people with chronic illness to better manage their condition. Measures of program effectiveness included health status and service utilization. Data were collected on 3 occasions: before intervention (baseline) and 6 months and 2 years after the program. Results: Several indicators of health status showed improvement at 6 months following the ASMC. These included reduction in pain (4%; p < 0.001), fatigue (3%; p < 0.01), and health distress (12%; p < 0.001) as well as increase in self-efficacy (6%; p < 0.001). Increased self-efficacy was a significant predictor of positive change in health status. Health-related behaviors such as aerobic exercise also increased, with the proportion of people who did little or no exercise decreasing by up to 8%. These changes were sustained at 2 years. There was an increase in use of analgesics at 6 months and an increase in use of nonsteroidal antiinflammatory drugs at 2 years. No changes in healthcare utilization (physician visits, allied health visits, and hospitalizations) were observed. Conclusion: The ASMC is a widely applied program in which participants benefit through a reduction in pain, fatigue, and health distress. Although the absolute changes in health status are small, the low cost and wide application of the intervention suggests the program may have a substantial public health effect. Language eng Field of Research 110399 Clinical Sciences not elsewhere classified Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences HERDC Research category C1.1 Refereed article in a scholarly journal Copyright notice ©2007, Journal of Rheumatology Pub. Co. Persistent URL http://hdl.handle.net/10536/DRO/DU:30019424 Document type: Journal Article Collection: School of Health and Social Development Related Links Link Description Connect to published version (restricted access) Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Mon, 14 Sep 2009, 14:42:48 EST Mon, 14 Sep 2009, 14:44:45 EST Tue, 15 Sep 2009, 09:13:41 EST Mon, 30 Nov 2009, 10:20:53 EST Thu, 25 Feb 2010, 10:51:16 EST Thu, 18 Oct 2012, 12:25:11 EST Filtered Full Citation counts: Cited 36 times in Scopus Search Google Scholar Access Statistics: 356 Abstract Views  -  Detailed Statistics Created: Mon, 14 Sep 2009, 14:42:46 EST by Lorraine Driscoll

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