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KMID : 0123520110180020270
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Journal of muscle and joint health
2011 Volume.18 No. 2 p.270 ~ p.281
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Self-Help Education as Outreach Program for Osteoarthritis Patients in Rural Korea
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Lee Kyung-Sook
So Ae-Young
De Gagne Jennie C
Choi Jung-Sook
Lee Eun-Hee
Suh Gil-Hee
Choi Sun-Ha
Heitkemper Margaret
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Abstract
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Purpose: This study was done to determine if osteoarthritis (OA) patients living in rural Korea would have a benefit from a structured group program focused on self-help strategies.
Methods: A hundred and twenty-six patients with OA were recruited from nine Primary Health Care Posts. The experimental group received a 6-week self-help education program while the control group received usual care. T-tests and c2-tests were used to determine the homogeneity between the experimental and control groups. Independent sample t-tests were performed to determine the effect of the treatment program. To guard against such likelihood, the level of significance of t-test was determined by Bonferroni correction within the study constructs. When significant group differences were found in study variables at baseline, analysis of covariances (ANCOVAs) were used for group comparisons of outcome variables.
Results: The experimental group reported more significant improvement in fatigue, difficulty with physical activity, depression, quality of life, self-efficacy, and health behaviors than did the control group. The experimental group also showed improvements in range of motion and muscle strength as compared to the control group.
Conclusion: A self-help group education program was an effective and powerful strategy to promote physical and psychosocial health in OA patients
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KEYWORD
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self-help groups, osteoarthritis, rural communities
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