Arthritis care and research : the official journal of the Arthritis Health Professions Association
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Randomized Controlled Trial Clinical Trial
Stress management in rheumatoid arthritis: what is the underlying mechanism?
To test whether change in cognitive-behavioral variables (such as self-efficacy, coping strategies, and helplessness) is a mediator in the relation between cognitive behavior therapy and reduced pain and depression in persons with rheumatoid arthritis (RA). ⋯ Decreases in pain and depression following stress management training are due to beneficial changes in the arenas of self-efficacy (the belief that one can perform a specific behavior or task in the future), coping strategies (an individual's confidence in his or her ability to manage pain), and helplessness (perceptions of control regarding arthritis). There is little evidence of additional direct effects of stress management training on pain and depression.
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Randomized Controlled Trial Comparative Study Clinical Trial
A pilot study of body awareness programs in the treatment of fibromyalgia syndrome.
To compare in a pilot study the effect of two physical therapies, the Mensendieck system (MS) and body awareness therapy (BAT) according to Roxendal, in fibromyalgia patients and to investigate differences in effect between the two interventions. ⋯ In the present pilot study, MS was associated with more positive changes than BAT.
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Randomized Controlled Trial Clinical Trial
Spouse-assisted coping skills training in the management of knee pain in osteoarthritis: long-term followup results.
To evaluate the long-term effects of a spouse-assisted coping skills intervention in patients with osteoarthritis (OA) of the knees, and to evaluate how pre- to posttreatment changes in marital adjustment and self-efficacy relate to long-term improvements in pain, psychological disability, physical disability, pain coping, and pain behavior. ⋯ These findings suggest that spouse-assisted CST can enhance self-efficacy and improve the coping abilities of OA patients in the long term. Individual differences in the long-term outcome of spouse-assisted CST were noted, with some patients (those showing increases in marital satisfaction and self-efficacy) showing much better outcomes than others.
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Randomized Controlled Trial Clinical Trial
A randomized, controlled trial of exercise and education for individuals with fibromyalgia.
To evaluate the efficacy of a 6-week exercise and educational program for patients with fibromyalgia. ⋯ Short-term exercise and educational programs can produce immediate and sustained benefits for patients with fibromyalgia. The benefits of our program may be due to exercise or education since both interventions were given.
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Randomized Controlled Trial Clinical Trial
The utility of trained arthritis patient educators in the evaluation and improvement of musculoskeletal examination skills of physicians in training.
To determine the level of examination skills of internal medicine residents and to assess whether an intervention by trained persons with arthritis could have a greater impact on their examination skills than participation in an ambulatory care training experience. ⋯ Internal medicine residents carried out the musculoskeletal examination poorly. However, an intervention by arthritis educators improved the musculoskeletal examination skills of internal medicine residents significantly and more effectively than the standard clinical teaching in a rheumatology outpatient clinic. The impact of the arthritis educator intervention persisted for at least 5 weeks.