title: The program for rheumatic independent self-management: a pilot evaluation.
abstract: The 'Program for Rheumatic Independent Self-Management' (PRISM) is an interdisciplinary programme that integrates group education and individualised treatment using the principles of self-management, adult learning, case management and self-efficacy enhancement. This study is a before-after evaluation of 57 individuals who attended PRISM. Outcome measures were selected to measure self-efficacy, disability, pain and ability to cope. The mean self-efficacy score increased immediately following the programme and this improvement was maintained at 6-month follow-up. Disability decreased from baseline to 6-month follow-up. There was a decrease in the mean level of pain from post-class to 6-month follow-up. All of these changes were statistically significant. These preliminary findings suggest that PRISM may be effective in enhancing self-efficacy, and reducing disability and pain.
authors.affiliation: Department of Occupational Therapy, St Joseph's Hospital, Hamilton, Ontario, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Alderson
authors.forename: L
authors.initials: L
authors.lastname: Starr
authors.forename: S
authors.initials: S
authors.lastname: Gow
authors.forename: J
authors.initials: J
authors.lastname: Moreland
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018771:Arthralgia / Q000209:etiology / Q000534:rehabilitation; D001172:Arthritis, Rheumatoid / Q000150:complications / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D010865:Pilot Projects; D012189:Retrospective Studies; D012424:Rural Population; D012648:Self Care / Q000379:methods / Q000592:standards; D020377:Self Efficacy; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome