Document Detail


Integrating self-management and exercise for people living with arthritis.
MedLine Citation:
PMID:  21123844     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The Program for Arthritis Control through Education and Exercise, PACE-Ex™, is an arthritis self-management program incorporating principles and practice of self-management, goal setting and warm water exercise. The purpose of this program review is to examine the impact of PACE-Ex on participants' self-efficacy for condition management, self-management behaviors, goal achievement levels and self-reported disability, pain and health status. A retrospective review was conducted on participants who completed PACE-Ex from 1998 to 2006. A total of 347 participants completed 24 PACE-Ex programs [mean age 69.9 (±12.2) years, living with arthritis mean of 14.1 (±13.2) years]. Participants showed statistically significant improvements in their self-efficacy to manage their condition (Program for Rheumatic Independent Self-Management Questionnaire) (P < 0.001) and performance of self-management behaviors (Self-Management Behavior Questionnaire) (P < 0.01). Self-reported health status, disability and pain levels improved post-program (P < 0.01) despite reporting statistically significant increase in the total swollen and tender joint counts (Health Assessment Questionnaire) (P < 0.05). Sixty-eight percent of participants achieved or exceeded their long-term goal as measured by Goal Attainment Scaling. These findings remain to be proven with a more rigorous method yet they suggest that PACE-Ex is a promising intervention that supports healthy living for individuals with arthritis.
Authors:
A D Mendelson; C McCullough; A Chan
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Publication Detail:
Type:  Journal Article     Date:  2010-12-01
Journal Detail:
Title:  Health education research     Volume:  26     ISSN:  1465-3648     ISO Abbreviation:  Health Educ Res     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-01-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608459     Medline TA:  Health Educ Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  167-77     Citation Subset:  T    
Affiliation:
1Physiotherapy, Baycrest Geriatric Health Care System, 3560 Bathurst Street, Toronto, ON, Canada M6A 2E1.
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