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Determinants of participation in an ...

Rankin, James Alexander.

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Determinants of participation in an arthritis self-management program.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Determinants of participation in an arthritis self-management program./
作者:	Rankin, James Alexander.
面頁冊數:	194 p.
附註:	Source: Dissertation Abstracts International, Volume: 59-12, Section: A, page: 4373.
Contained By:	Dissertation Abstracts International59-12A.
標題:	Education, Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ34696
ISBN:	061234696X

Determinants of participation in an arthritis self-management program.
Rankin, James Alexander.

Determinants of participation in an arthritis self-management program. - 194 p.

Source: Dissertation Abstracts International, Volume: 59-12, Section: A, page: 4373.

Thesis (Ph.D.)--University of Calgary (Canada), 1998.

Rheumatoid arthritis (RA) is a chronic inflammatory disease of connective tissue. The disease trajectory is characterized by periods of exacerbation and remission (Rasker & Cosh, 1987; Schumacher, 1988). At the present time RA cannot be cured and it is not amenable to primary prevention. As with all chronic diseases it is important for patients to take an active role in the management of their condition.

ISBN: 061234696XSubjects--Topical Terms:

1017668
Education, Health.

Determinants of participation in an arthritis self-management program.
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245 1 0 $a Determinants of participation in an arthritis self-management program.
300 $a 194 p.
500 $a Source: Dissertation Abstracts International, Volume: 59-12, Section: A, page: 4373.
500 $a Adviser: S. Edworthy.
502 $a Thesis (Ph.D.)--University of Calgary (Canada), 1998.
520 $a Rheumatoid arthritis (RA) is a chronic inflammatory disease of connective tissue. The disease trajectory is characterized by periods of exacerbation and remission (Rasker & Cosh, 1987; Schumacher, 1988). At the present time RA cannot be cured and it is not amenable to primary prevention. As with all chronic diseases it is important for patients to take an active role in the management of their condition.
520 $a One way that patients may learn coping behaviours and achieve effective self-management is through participation in arthritis education courses. The Arthritis Self Management Program (ASMP) was developed with the major aim of empowering participants to improve their coping skills and become better managers of their condition.
520 $a Studies have been conducted (Lorig, Lubeck & Holman, 1982; Lorig & Gallagher, 1984) to examine the effectiveness of ASMPs on improving the health status of participants. One interesting finding has been that an increase in health status is not associated with a change in health behaviours but rather with changes in the psychological construct of self-efficacy (SE) (Bandura, 1986; Lorig, Chastain, Ung, Shoor & Holman, 1989).
520 $a Self-efficacy is related to the confidence and beliefs individuals have with respect to them performing particular behaviours (Perry, Baranowski & Parcel, 1990). Self-efficacy is regarded as one of the most important prerequisites for behaviour change (Bandura, Adams & Beyer, 1977).
520 $a One of the major reasons for RA patients reporting an increase in health status following participation in an ASMP may be due to an increase in self-efficacy. On the other hand, the increase in health status may be because those patients with an increased SE are more motivated to take the ASMP. If the latter is true then one might expect that those RA patients who do not want to take the ASMP would have a lower SE for certain behaviours. Nothing is known about those patients who do not want to take the ASMP with respect to their SE and overall health status.
520 $a In the present study, the health status and SE levels of those RA patients not interested in taking an ASMP (the controls, n = 74) were described and compared with those RA patients who did want to take an ASMP (the cases, n = 72). The patients were compared on several variables including SE, knowledge, social support, depression, health status and social desirability. In addition, data were collected on their current medications, pain and swelling in their joints and comorbid conditions associated with RA.
520 $a The results showed that, with the exception of social desirability, the cases and controls were remarkably similar on each of the variables measured. The evidence suggests that there was no difference in mean SE scores between those patients who wished to take part in an ASMP and those who did not. Issues relating to SE theory, secular trend and implications for future research are also discussed.
590 $a School code: 0026.
650 4 $a Education, Health. $3 1017668
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710 2 0 $a University of Calgary (Canada). $3 1017619
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790 1 0 $a Edworthy, S., $e advisor
790 $a 0026
791 $a Ph.D.
792 $a 1998
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ34696