| Defining optimal self-management in osteoarthritis: racial differences in a population-based sample. | |
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MedLine Citation:
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PMID: 18931898 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The aim of this study was to examine optimal self-management in osteoarthritis and its association with patient-reported outcomes. We recruited a population-based sample of Medicare beneficiaries (n = 551) residing in Allegheny County, PA, USA and elicited an expanded set of self-management behaviors using open-ended inquiry. We defined optimal self-management according to clinical recommendations, including use of hot compresses on affected joints, alteration of activity, and exercise. Only 20% practiced optimal self-management as defined by two or more of these criteria. Optimal and suboptimal self-managers did not differ in sociodemographic features. Both white and African-Americans who practiced optimal self-management reported significantly less pain, but the benefit was greatest in severe disease for whites and for mild-moderate disease among African-Americans. This backdrop of naturally occurring self-management behaviors may be important to recognize in planning programs that seek to bolster self-management skills. |
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Authors:
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Steven M Albert; Donald Musa; Kent Kwoh; Myrna Silverman |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of cross-cultural gerontology Volume: 23 ISSN: 1573-0719 ISO Abbreviation: J Cross Cult Gerontol Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-25 Completed Date: 2009-05-13 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8700909 Medline TA: J Cross Cult Gerontol Country: Netherlands |
Other Details:
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Languages: eng Pagination: 349-60 Citation Subset: IM |
Affiliation:
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Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, A211 Crabtree, 130 DeSoto St., Pittsburgh, PA 15261, USA. smalbert@pitt.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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African Continental Ancestry Group Aged Cohort Studies European Continental Ancestry Group Female Humans Interviews as Topic Male Osteoarthritis / ethnology, therapy* Pennsylvania Self Care / standards* |
| Grant Support | |
ID/Acronym/Agency:
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P30 AG024827/AG/NIA NIH HHS; P30 AG024827-04/AG/NIA NIH HHS; R01 AG 18308/AG/NIA NIH HHS; R01 AG018234-05/AG/NIA NIH HHS; R01 AG018308-04/AG/NIA NIH HHS; R01 AG18234/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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