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ERIC Number: EJ912659
Record Type: Journal
Publication Date: 2011-Feb
Pages: 11
Abstractor: As Provided
Reference Count: 34
ISSN: ISSN-0268-1153
Integrating Self-Management and Exercise for People Living with Arthritis
Mendelson, A. D.; McCullough, C.; Chan, A.
Health Education Research, v26 n1 p167-177 Feb 2011
The Program for Arthritis Control through Education and Exercise, PACE-Ex[TM}, is an arthritis self-management program incorporating principles and practice of self-management, goal setting and warm water exercise. The purpose of this program review is to examine the impact of PACE-Ex on participants' self-efficacy for condition management, self-management behaviors, goal achievement levels and self-reported disability, pain and health status. A retrospective review was conducted on participants who completed PACE-Ex from 1998 to 2006. A total of 347 participants completed 24 PACE-Ex programs [mean age 69.9 (plus or minus 12.2) years, living with arthritis mean of 14.1 (plus or minus 13.2) years]. Participants showed statistically significant improvements in their self-efficacy to manage their condition (Program for Rheumatic Independent Self-Management Questionnaire) (P less than 0.001) and performance of self-management behaviors (Self-Management Behavior Questionnaire) (P less than 0.01). Self-reported health status, disability and pain levels improved post-program (P less than 0.01) despite reporting statistically significant increase in the total swollen and tender joint counts (Health Assessment Questionnaire) (P less than 0.05). Sixty-eight percent of participants achieved or exceeded their long-term goal as measured by Goal Attainment Scaling. These findings remain to be proven with a more rigorous method yet they suggest that PACE-Ex is a promising intervention that supports healthy living for individuals with arthritis. (Contains 6 tables.)
Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A