Literature DB >> 22428348

A comparison of the arthritis foundation self-help program across three race/ethnicity groups.

Samantha J Parker1, Romulo Vasquez, Emily K Chen, Charles R Henderson, Karl Pillemer, Laura Robbins, M C Reid.   

Abstract

OBJECTIVE: Despite high prevalence rates of pain among older adults, relatively few studies have examined the impact of the Arthritis Foundation Self-Help Program (ASHP) in this age group, particularly older minority groups.
DESIGN: This study compared the effects of the ASHP on groups of Hispanic, African American and non-Hispanic White older adults.
SETTING: Three senior centers in New York City. PARTICIPANTS: Data are presented for 112 (37 African American, 38 Hispanic and 37 non-Hispanic White) participants (mean age= 75 years) age 60 and over with diverse noncancer pain disorders. INTERVENTION: Participants enrolled in the 6-week Arthritis Self Help Course. MAIN OUTCOME MEASURES: Participants were surveyed before and after course completion (in person) and at 18 weeks (by telephone). Demographic and clinical data were collected at baseline; outcomes included pain, mood, self-efficacy, and number of days per week spent exercising.
RESULTS: All three groups experienced significant decreases in pain intensity (P< or =.05). Significant improvements were also found in mood scores for non-Hispanic White (P=.01) and Hispanic participants (P=.03). Hispanic participants also evidenced significant improvement in their confidence to self-manage pain (P=.003) and reported fewer arthritis-related symptoms (P=.02). All three race/ethnicity groups reported substantial increases in the number of days spent doing stretching, endurance and relaxation exercises (P< or =.01).
CONCLUSION: Positive results were noted for all three race/ethnicity groups, particularly in the areas of pain reduction and uptake of stretching, endurance and relaxation exercises. Our findings support efforts to disseminate broadly the ASHP in community settings that serve older African American, Hispanic and non-Hispanic white adults.

Entities:  

Mesh:

Year:  2011        PMID: 22428348      PMCID: PMC3477785     

Source DB:  PubMed          Journal:  Ethn Dis        ISSN: 1049-510X            Impact factor:   1.847


  14 in total

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2.  Ethnic similarities and differences in the chronic pain experience: a comparison of african american, Hispanic, and white patients.

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4.  Perceived barriers to trying self-management approaches for chronic pain in older persons.

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5.  Outcomes of self-help education for patients with arthritis.

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9.  Arthritis self-management education programs: a meta-analysis of the effect on pain and disability.

Authors:  Asra Warsi; Michael P LaValley; Philip S Wang; Jerry Avorn; Daniel H Solomon
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Journal:  Curr Pain Headache Rep       Date:  2012-12

2.  Implementing a Pain Self-Management Protocol in Home Care: A Cluster-Randomized Pragmatic Trial.

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3.  Measuring the value of program adaptation: a comparative effectiveness study of the standard and a culturally adapted version of the arthritis self-help program.

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5.  Behaviour change interventions to promote health and well-being among older migrants: A systematic review.

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6.  Meeting the public health challenge of pain in later life: what role can senior centers play?

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7.  Physical, Emotional, and Social Impacts of Restricting Back Pain in Older Adults: A Qualitative Study.

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8.  Pain and Function in Home Care: A Need for Treatment Tailoring to Reduce Disparities?

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9.  Black American older adults' motivation to engage in osteoarthritis treatment recommendations for pain self-management: A mixed methods study.

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