Lorig K, Feigenbaum P, Regan C, Ung E, Chastain R L, Holman H R
J Rheumatol. 1986 Aug;13(4):763-7.
One hundred subjects with arthritis were randomized into lay-taught, or professional-taught 12-h arthritis self-management courses, or a control group. Outcomes, knowledge, exercise, relaxation, disability, pain, and number of physician visits were measured aat baseline and 4 months. Professional-taught groups demonstrated greater knowledge gain while lay-taught groups had greater changes in relaxation (p less than .01) and a tendency toward less disability. Although it is impossible to draw definitive conclusions, this study suggests that lay leaders can teach arthritis self-management courses with results similar to those achieved by professionals.
100名关节炎患者被随机分为接受非专业人员授课的、专业人员授课的12小时关节炎自我管理课程组或对照组。在基线和4个月时测量结果、知识、锻炼、放松、残疾状况、疼痛程度以及看医生的次数。专业人员授课组知识增长更多，而非专业人员授课组在放松方面有更大变化（p小于0.01），且有残疾程度减轻的趋势。尽管无法得出明确结论，但这项研究表明，非专业领导者可以教授关节炎自我管理课程，其效果与专业人员授课相似。
