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A Review of the Efficacy of the Self-Management Model on Health Outcomes in Community-Residing Older Adults with Arthritis

Authors

  • Diane E. Nuñez RN, MS, ANP, BC,

    1. Diane E. Nuñez, Hartford Evercare Predoctoral Scholar, Hartford Center of Excellence in Geriatric Nursing, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Colleen Keller, Professor and Director, Hartford Center of Geriatric Nursing Excellence, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Cheryl Der Ananian, Assistant Professor, Department of Exercise and Wellness, Arizona State University, Phoenix, AZ.
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  • Colleen Keller RN-C, FNP, PhD,

    1. Diane E. Nuñez, Hartford Evercare Predoctoral Scholar, Hartford Center of Excellence in Geriatric Nursing, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Colleen Keller, Professor and Director, Hartford Center of Geriatric Nursing Excellence, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Cheryl Der Ananian, Assistant Professor, Department of Exercise and Wellness, Arizona State University, Phoenix, AZ.
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  • Cheryl Der Ananian PhD

    1. Diane E. Nuñez, Hartford Evercare Predoctoral Scholar, Hartford Center of Excellence in Geriatric Nursing, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Colleen Keller, Professor and Director, Hartford Center of Geriatric Nursing Excellence, Arizona State University, College of Nursing & Healthcare Innovation, Phoenix, AZ;Cheryl Der Ananian, Assistant Professor, Department of Exercise and Wellness, Arizona State University, Phoenix, AZ.
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Address correspondence to Diane E. Nuñez, Arizona State University, College of Nursing and Healthcare Innovation, 500 North 3rd Street, MC 3020, Phoenix, AZ 85003; diane.nunez@asu.edu

ABSTRACT

Background: Chronic disease and disability have a significant impact on individuals, families, and society, resulting in limitations in personal care, premature loss of wages, higher mortality rates, and overall poor quality of life. Arthritis is a painful disease that limits physical activity, social functioning, and mental health and is hallmarked by an increasing prevalence in community-dwelling older adults. Self-management strategies reduce pain and disability while improving self-efficacy and quality of life.

Aims: The purpose of this review is to evaluate the efficacy of the self-management program in adults with arthritis on the outcome of functional disability.

Methods: Literature review. Search strategy included MEDLINE, CINAHL, and the Cochrane Library from 1985 to 2008 for studies using self-management interventions.

Results: Across studies of chronic disease, effect sizes were moderate for most variables. Subgroup ana- lyses for arthritis only demonstrated a greater magnitude of effect in variables related to functional health.

Conclusions: While this review suggests small efficacy in the self-management program, with improvement in certain cognitive-behavioral markers for self-management, the functional gains that can be achieved in a growing older adult population translate into a larger effect overall.

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