Drs. Lorig and Laurent receive royalties from Da Capo Press for The Arthritis Helpbook. The program software used in this study is owned by Stanford University.
The internet-based arthritis self-management program: A one-year randomized trial for patients with arthritis or fibromyalgia†
Article first published online: 24 JUN 2008
Copyright © 2008 by the American College of Rheumatology
Arthritis Care & Research
Volume 59, Issue 7, pages 1009–1017, 15 July 2008
How to Cite
Lorig, K. R., Ritter, P. L., Laurent, D. D. and Plant, K. (2008), The internet-based arthritis self-management program: A one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis & Rheumatism, 59: 1009–1017. doi: 10.1002/art.23817
ClinicalTrials.gov identifier: NCT00398255.
- Issue published online: 24 JUN 2008
- Article first published online: 24 JUN 2008
- Manuscript Accepted: 1 FEB 2008
- Manuscript Received: 5 MAR 2007
- NIH Center for Disease Control's Arthritis. Grant Number: AR-43538
To determine the efficacy of an Internet-based Arthritis Self-Management Program (ASMP) as a resource for arthritis patients unable or unwilling to attend small-group ASMPs, which have proven effective in changing health-related behaviors and improving health status measures.
Randomized intervention participants were compared with usual care controls at 6 months and 1 year using repeated-measures analyses of variance. Patients with rheumatoid arthritis, osteoarthritis, or fibromyalgia and Internet and e-mail access (n = 855) were randomized to an intervention (n = 433) or usual care control (n = 422) group. Measures included 6 health status variables (pain, fatigue, activity limitation, health distress, disability, and self-reported global health), 4 health behaviors (aerobic exercise, stretching and strengthening exercise, practice of stress management, and communication with physicians), 5 utilization variables (physician visits, emergency room visits, chiropractic visits, physical therapist visits, and nights in hospital), and self-efficacy.
At 1 year, the intervention group significantly improved in 4 of 6 health status measures and self-efficacy. No significant differences in health behaviors or health care utilization were found.
The Internet-based ASMP proved effective in improving health status measures at 1 year and is a viable alternative to the small-group ASMP.