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Behavioral Aspects of Arthritis and Rheumatic Disease Self-Management

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Author Info

  • Julie J. Keysor

    (Boston University Gerontology Center, Boston University, Boston, Massachusetts, USA)

  • Shannon S. Currey

    (Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill,North Carolina, USA)

  • Leigh F. Callahan

    (Departments of Medicine and Orthopedics, Thurston Arthritis Research Center, University ofNorth Carolina at Chapel Hill, Chapel Hill, North Carolina, USA)

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    Abstract

    Chronic diseases such as arthritis and related conditions have no `cure', and thus require ongoing management. The long term nature of chronic disease gives the individual a crucial role, if not the most crucial role, in managing their condition. Day-to-day self-management is extremely important in achieving optimal health outcomes, and indeed, people with arthritis use a variety of strategies to relieve symptoms or manage disease consequences. This review identifies and discusses 6 different domains of arthritis self-management behaviors: 1. medical management; 2. joint protection strategies; 3. physical activity and exercise; 4. topical applications; 5. complementary and alternative strategies; and 6. stress and mind/body practices. Conceptualizing arthritis self-management in this manner enables a discussion of a range of practices that may be used to manage arthritis conditions. The literature on several established arthritis self-management programs that are designed to improve either self-care and/or exercise behaviors is also reviewed. Despite evidence of cost containment and improved health outcomes, these programs reach only a small percentage of people with arthritis who may benefit from them. Clinical intervention for people with arthritis may be enhanced if self-management is approached from a broad perspective and, if established, self-management programs are integrated into clinical interventions.

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    Bibliographic Info

    Article provided by Wolters Kluwer Health | Adis in its journal Disease Management & Health Outcomes.

    Volume (Year): 9 (2001)
    Issue (Month): 2 ()
    Pages: 89-98
    Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
    Handle: RePEc:wkh:dmhout:v:9:y:2001:i:2:p:89-98

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    Web page: http://diseasemanagement.adisonline.com/

    For corrections or technical questions regarding this item, or to correct its listing, contact: (Dave Dustin).

    Related research

    Keywords: Arthritis; Patient education; Pharmacoeconomics; Rheumatic disorders;

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