Will an arthritis self-management program that works in North America work in Great Britain? Researchers in Coventry, England, found out the community-based program did. Not only was the program acceptable to older people with arthritis, but if helped with their feelings of self-control, reduced pain, and improved psychological well being.

Most (94%) of the people in the study were women who averaged about 69 years of age. This reflects the arthritis population, which has high numbers of aged women. They had to be actively encouraged to be in the programs and were not well-motivated at the program beginning. Many were skeptical, too, about the program. However, very few dropped out.

Sixty-two people participated in the Arthritis Self-Management Program that lasted six week and was held two hours each week. The recommended exercise activity was stretching and strengthening exercises, relaxation, half mile walks, and swimming. Results showed that program participants increased their exercises and relaxation but not walking or swimming.

After four months, participants had also increased their confidence of self-control of arthritis, positive outlook, communication with physicians, and symptom management. Pain and depression both decreased. No change was noted regarding social support.

They also felt better about being in control of their life overall. This change may be related to the problem-solving skills taught in the class.

EndNotes

#2047

Barlow, J.H., Williams, B., & Wright, C.C. (1997). Improving arthritis self-management among older adults: "Just what the doctor didn't order." British Journal of Health Psychology 1: 175-186.