Diane E Nuñez1, Colleen Keller, Cheryl Der Ananian. 1. Hartford Evercare Predoctoral Scholar, Hartford Center of Excellence in Geriatric Nursing, Arizona State University, Phoenix, AZ 85003, USA. diane.nunez@asu.edu
Abstract
BACKGROUND: Chronic disease and disability have a significant impact on individuals, families, and society, resulting in limitations in personal care, premature loss of wages, higher mortality rates, and overall poor quality of life. Arthritis is a painful disease that limits physical activity, social functioning, and mental health and is hallmarked by an increasing prevalence in community-dwelling older adults. Self-management strategies reduce pain and disability while improving self-efficacy and quality of life. AIMS: The purpose of this review is to evaluate the efficacy of the self-management program in adults with arthritis on the outcome of functional disability. METHODS: Literature review. Search strategy included MEDLINE, CINAHL, and the Cochrane Library from 1985 to 2008 for studies using self-management interventions. RESULTS: Across studies of chronic disease, effect sizes were moderate for most variables. Subgroup ana- lyses for arthritis only demonstrated a greater magnitude of effect in variables related to functional health. CONCLUSIONS: While this review suggests small efficacy in the self-management program, with improvement in certain cognitive-behavioral markers for self-management, the functional gains that can be achieved in a growing older adult population translate into a larger effect overall.
BACKGROUND:Chronic disease and disability have a significant impact on individuals, families, and society, resulting in limitations in personal care, premature loss of wages, higher mortality rates, and overall poor quality of life. Arthritis is a painful disease that limits physical activity, social functioning, and mental health and is hallmarked by an increasing prevalence in community-dwelling older adults. Self-management strategies reduce pain and disability while improving self-efficacy and quality of life. AIMS: The purpose of this review is to evaluate the efficacy of the self-management program in adults with arthritis on the outcome of functional disability. METHODS: Literature review. Search strategy included MEDLINE, CINAHL, and the Cochrane Library from 1985 to 2008 for studies using self-management interventions. RESULTS: Across studies of chronic disease, effect sizes were moderate for most variables. Subgroup ana- lyses for arthritis only demonstrated a greater magnitude of effect in variables related to functional health. CONCLUSIONS: While this review suggests small efficacy in the self-management program, with improvement in certain cognitive-behavioral markers for self-management, the functional gains that can be achieved in a growing older adult population translate into a larger effect overall.
Authors: Deirdre A Hurley; Laura Currie Murphy; David Hayes; Amanda M Hall; Elaine Toomey; Suzanne M McDonough; Chris Lonsdale; Nicola E Walsh; Suzanne Guerin; James Matthews Journal: Implement Sci Date: 2016-04-26 Impact factor: 7.327
Authors: Jotheeswaran Amuthavalli Thiyagarajan; Islene Araujo de Carvalho; Juan Pablo Peña-Rosas; Shelly Chadha; Silvio Paolo Mariotti; Tarun Dua; Emiliano Albanese; Olivier Bruyère; Matteo Cesari; Alan Dangour; Amit Dias; Mariella Guerra; Jill Keeffe; Ngaire Kerse; Qurat Ul Ain Khan; Chiung-Ju Liu; Gudlavalleti V S Murthy; Serah Nyambura Ndegwa; Jean-Yves Reginster; Luis Miguel F Gutiérrez Robledo; Kelly Tremblay; Jean Woo; Martin Prince; John R Beard Journal: PLoS Med Date: 2019-10-18 Impact factor: 11.069