Bruce Bonnie, Lorig Kate, Laurent Diana
Stanford University, Palo Alto, California, USA.
Arthritis Rheum. 2007 Jun 15;57(5):851-4. doi: 10.1002/art.22776.
Participation in evidenced-based arthritis self-management programs (SMPs) has not been well documented. The purpose of this study was to investigate the participation rate and participant characteristics in a closed cohort of subjects in a geographic region where arthritis SMPs have been offered multiple times and continuously for 2 decades.
Data were from osteoarthritis (OA) and rheumatoid arthritis subjects participating in the Arthritis, Rheumatism, and Aging Medical Information System (ARAMIS) who resided in the San Francisco (SF) Bay area who had responded to questions about ever participating in an SMP. Differences between participants and nonparticipants were examined by t-tests and chi-square tests.
Questions added to the Health Assessment Questionnaire were returned by 1,176 patients; 618 resided in the SF Bay area. Of the SF Bay area sample, 41.9% had participated in an SMP. Small group SMPs, which had been offered multiple times, in diverse settings, continuously over the past 2 decades, were attended by the highest proportion (28%) of participants. Characteristics of participants and nonparticipants in the SF Bay area were similar ( approximately 70 years old, 15 years of education, and the majority had OA [ approximately 72%]). However, a higher proportion of participants were white (88% versus 82%; P = 0.046) and female (82% versus 73%; P < 0.05).
When arthritis SMPs were offered multiple times in diverse settings and continuously over many years, >40% of the cohort was reached. More research is needed with larger samples and different geographic regions to identify participation rates in more diverse populations.
参与循证性关节炎自我管理项目（SMPs）的情况尚未得到充分记录。本研究的目的是调查在一个地理区域内，一个封闭队列中参与者的参与率和特征，在该区域，关节炎SMPs已多次且持续提供了20年。
数据来自参与关节炎、风湿病和衰老医学信息系统（ARAMIS）的骨关节炎（OA）和类风湿关节炎患者，他们居住在旧金山（SF）湾区，曾回答过关于是否参与过SMP的问题。通过t检验和卡方检验来检查参与者和非参与者之间的差异。
1176名患者返回了添加到健康评估问卷中的问题；其中618名居住在SF湾区。在SF湾区样本中，41.9%的人参与过SMP。在过去20年中，在不同环境下多次提供的小组SMP，参与比例最高（28%）。SF湾区参与者和非参与者的特征相似（约70岁，15年教育程度，大多数患有OA[约72%]）。然而，参与者中白人比例更高（88%对82%；P = 0.046），女性比例更高（82%对73%；P < 0.05）。
当关节炎SMPs在不同环境下多次且持续多年提供时，超过40%的队列人群能够参与。需要对更大样本和不同地理区域进行更多研究，以确定更多样化人群的参与率。
