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Clin Rheumatol. 2008 Dec;27(12):1523-8. doi: 10.1007/s10067-008-0961-6. Epub 2008 Jul 18.

Limited results of group self-management education for rheumatoid arthritis patients and their partners: explanations from the patient perspective.

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Department of Psychology and Communication of Health and Risk, University of Twente, Enschede, The Netherlands.


This study aimed to identify the reasons for limited results of group self-management for RA patients and their partners from the patient perspective. Semi-structured interviews with ten male and ten female patients who had participated in group self-management with or without their partner were content analyzed with respect to motivation to participate and the effects of the program on them. The limited effects of the self-management program appear to be linked with low motivation to participate and to change health behavior. The data show that a decline in health and also stressful life events might be associated with the disappointing effects of the program. Three strategies were proposed for improving the program's effects: (a) provide information about the program in advance to ensure that patients have appropriate expectations. (b) Enhance intrinsic motivation to change health behavior by counseling techniques.

[Indexed for MEDLINE]

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