Internet Arthritis Self-Management Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 900
- 试验地点
- 2
- 主要终点
- Activities Limitation Scale at six months and one year
研究概览
简要总结
Individuals with with arthritic conditions (rheumatoid arthritis, osteoarthritis, or fibromyalgia) and internet and email access were randomized to receive an internet-based arthritis self-management program (treatment group) or to continue with usual care (control group). Questionnaires measuring health indicators, health behaviors, self efficacy and health care utilization were administered at baseline, six months and one year after the course. It was hypothesized that those participating in the course would have better outcomes than the control group at six months and one year.
详细描述
An internet-based arthritis self-management program was developed based on the widely used small-group arthritis self-management program. Individuals with arthritis were recruited via established websites, on-line newsletters, discussion groups, calendar announcements and articles in newspapers, and asked to go to the project website. Subjects who filled out an informed consent and met all of the following criteria were invited to enroll:
- At least 18 years of age
- A physician's diagnosis of osteoarthritis, rheumatoid arthritis or fibromyalgia.
- Not have been in active treatment for cancer for one year.
- Not participated in the small group Arthritis Self-Management or Chronic Disease Self-Management Program
Those eligible and wishing to continue were randomized to receive the internet-based arthritis self-management program (treatment group) or to continue with usual care (control group). On-line questionnaires were administered at baseline, six months and twelve months after the program. Measures included health indicators, health behaviors, self efficacy and health care utilization. It is hypothesized that course participants, compared to the usual-care control group, will show statistically significant improvements (using Analyses of Covariance and Logistic Regressions) in outcome variables and that the improvements will be associated with increased self-efficacy for management of arthritis.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •arthritic condition (osteoarthritis, rheumatoid arthritis or fibromyalgia)
- •internet access and ability to use computer
排除标准
- •active treatment for cancer
- •taken small group arthritis self-management program
结局指标
主要结局
Activities Limitation Scale at six months and one year
Health Distress Scale at six months and one year
Self Efficacy for Management of Arthritis Scale at six months and one year
Stretching and strengthening exercise at six months and one year
Visits of Physicians at six months and one year
次要结局
- Self-Reported General Health at six months and one year
- Visual Numeric Pain at six months and one year
- Visual Numeric Fatigue at six months and one year
- Disability at six months and one year
- Aerobic Exercise at six months and one year
- Communication with Physician at six months and one year
- Cognitive Sympton Management at six months and one year
- Emergency Department Visits at six months and one year
- Nights in Hospital at six months and one year