Premium
A Review of the Efficacy of the Self‐Management Model on Health Outcomes in Community‐Residing Older Adults with Arthritis
Author(s) -
Nuñez Diane E.,
Keller Colleen,
Ananian Cheryl Der
Publication year - 2009
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/j.1741-6787.2009.00157.x
Subject(s) - cinahl , medicine , gerontology , psychological intervention , quality of life (healthcare) , arthritis , self management , population , disease , disease management , self efficacy , medline , physical therapy , psychiatry , psychology , nursing , environmental health , machine learning , computer science , parkinson's disease , law , political science , psychotherapist
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.