Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Sperber, Nina R. ; Bosworth, Hayden B. ; Coffman, Cynthia J. ; Juntilla, Karen A. ; Lindquist, Jennifer H. ; ... More +
Sperber, Nina R. ; Bosworth, Hayden B. ; Coffman, Cynthia J. ; Juntilla, Karen A. ; Lindquist, Jennifer H. ; Oddone, Eugene Z. ; Walker, Tessa A. ; Weinberger, Morris ; Allen, Kelli D. Less -
Description:
Introduction

Self-management support interventions can help improve osteoarthritis outcomes but are underused. Little is known about how participants evaluate the helpfulness of these programs. We describe participants' evaluations of a telephone-based, osteoarthritis self-management support intervention that yielded improved outcomes in a clinical trial.

Methods

Participants were 140 people in the intervention arm of the trial who completed an end-of-trial survey. We used mixed methods to describe participants' perceived helpfulness of the program and its components. We compared ratings of helpfulness according to participant characteristics and analyzed themes from open-ended responses with a constant comparison approach. We calculated Pearson correlation coefficients between perceived helpfulness and changes in pain, function, affect, and self-efficacy.

Results

The average rating of overall helpfulness on a scale from 1 to 10 was 7.6 (standard deviation, 2.3), and more than 80% of participants agreed that each component (phone calls, educational material, setting goals and action plans) was helpful. Participants had better perceived helpfulness ratings than their counterparts if they were nonwhite, had limited health literacy, had no college education, had perceived inadequate income, were older, had a spouse or were living together in a committed relationship, and had greater symptom duration and less pain. Ratings of helpfulness increased with greater improvement in outcomes. Participants frequently mentioned the health educator's calls as being helpful for staying on task with self-management behaviors.

Conclusion

Participants viewed this intervention and each of its components as helpful for improving osteoarthritis symptoms. In addition to the improvements in objective outcomes seen in the clinical trial, these results provide further support for the dissemination of self-management support interventions.


Subject:
[+]
Female
Hospitals, Veterans
Humans
Male
Middle Aged
Osteoarthritis
Program Evaluation
Self Care
Telephone
Treatment Outcome

Source:
Prev Chronic Dis. 2012; 9.
Document Type:
Journal Article
Place as Subject:
North Carolina
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:552dceae2b2ddc162082c8b3a9dd47f4fab72409601436f3c8fc1dd086cc3bb9
File Type:

Supporting Files

• 	license.txt	txt
  	PCD-9-E73.nxml	txt

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