title: Preferences for arthritis interventions: identifying similarities and differences among African Americans and whites with osteoarthritis.
abstract: OBJECTIVE
  To determine if there are differences or similarities in arthritis intervention preferences and barriers to participation between African Americans and whites with osteoarthritis (OA).
  
  
  METHODS
  Using a needs assessment survey, intervention preferences and barriers to participation in arthritis interventions among African American (n = 60) and white (n = 55) adults with self-reported doctor-diagnosed OA were examined. T-tests, chi-square tests, and multiple regression analyses adjusting for covariates were examined to determine race effects.
  
  
  RESULTS
  While there were many similarities, African Americans were more likely to report cost (P < 0.01), lack of trust (P = 0.04), fear of being the only person of their race (P < 0.001), lack of recommendation from their doctor (P = 0.04), and lack of recommendation of a family member or friend (P = 0.02) as barriers to participating in a community-based self-management arthritis intervention. After adjusting for covariates, African Americans preferred interventions that provide information on arthritis-related internet sources (P = 0.04), solving arthritis-related problems (P = 0.04), and talking to family and friends about their condition (P = 0.02) in comparison to whites. African Americans also preferred an intervention with child care services provided (P < 0.01), with instructors and participants of the same race (P < 0.01 and P < 0.001, respectively) or sex (P < 0.001 and P = 0.03, respectively), that allows a friend (P = 0.001) or family member (P = 0.02) to attend, that is offered at a local church (P = 0.01) or clinic (P < 0.01), or that is mailed (P < 0.01).
  
  
  CONCLUSIONS
  Findings suggest that similar interventions are preferred across racial groups, but some practical adaptations could be made to existing arthritis interventions to minimize barriers, increase cultural sensitivity, and offer programs that would be appealing to African Americans and whites with arthritis.
authors: University of North Carolina, Chapel Hill. cmingo2@gsu.edu.
authors: Chivon A
authors: CA
authors: Mingo
authors: Jessica M
authors: JM
authors: McIlvane
authors: Malcolm
authors: M
authors: Jefferson
authors: Lloyd J
authors: LJ
authors: Edwards
authors: William E
authors: WE
authors: Haley
mesh_terms: D001741:Black or African American / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000628:therapy*; D018672:Community Health Planning; D005260:Female; D005431:Florida; D006801:Humans; D008297:Male; D008875:Middle Aged; D057240:Patient Preference / Q000706:statistics & numerical data*; D044465:White People / Q000706:statistics & numerical data*