Lorig K, Gonzalez V M, Ritter P
Stanford University School of Medicine, CA, USA.
Med Care. 1999 Sep;37(9):957-63. doi: 10.1097/00005650-199909000-00011.
To determine 4-month and 1-year health-related outcomes of a 6-week, lay-led, and community-based arthritis self-management program for Spanish-speaking participants and to determine the role of self-efficacy in predicting health status for this population.
Three hundred and thirty one subjects were randomized to the program or to a 4-month wait list control group. One hundred ninety eight subjects continued in a 1-year longitudinal study. Data were collected via mailed questionnaires with telephone follow up.
At 4 months, treatment subjects, compared with controls, demonstrated positive changes in exercise, disability, pain, and self-efficacy (P < 0.05). At 1 year, compared with baseline, treatment subjects demonstrated improvements in exercise, general health, disability, pain, self-efficacy, and depression (P < 0.05). Baseline and 4-month changes in self-efficacy predicted health status at 1 year.
Spanish-speaking participants of an arthritis self-management program demonstrate short- and long-term benefits (improved health behaviors, health status, and self-efficacy).
确定一项为期6周、由非专业人员主导且基于社区的关节炎自我管理项目对说西班牙语参与者的4个月和1年健康相关结局，并确定自我效能感在预测该人群健康状况中的作用。
331名受试者被随机分为参加该项目组或4个月的等待名单对照组。198名受试者继续参与为期1年的纵向研究。通过邮寄问卷并进行电话随访收集数据。
在4个月时，与对照组相比，接受治疗的受试者在运动、残疾、疼痛和自我效能感方面呈现出积极变化（P<0.05）。在1年时，与基线相比，接受治疗的受试者在运动、总体健康、残疾、疼痛、自我效能感和抑郁方面均有改善（P<0.05）。自我效能感在基线和4个月时的变化可预测1年时的健康状况。
关节炎自我管理项目的说西班牙语参与者显示出短期和长期益处（改善健康行为、健康状况和自我效能感）。
