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Arthritis Patient Education for Urban African Americans

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00000396
First Posted: November 4, 1999
Last Update Posted: June 11, 2013
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information provided by (Responsible Party):
Larry Gruppen, University of Michigan
  Purpose

Research has shown that people with arthritis can improve their ability to cope with arthritis pain with the help of patient education programs, which teach people things they can do to help manage their disease. However, we do not know much about the effects of arthritis patient education programs on minorities, such as urban African Americans.

We will gather participants for this project through a faith-based community network. The project is made up of four studies that will provide information about culturally relevant ways of reaching urban African Americans with arthritis and providing patient education that addresses arthritis care needs of the African American community. This project will also provide information on the effectiveness of an arthritis self-help course for urban African Americans. We hope to better understand the differences among cultural groups and how these differences should affect the design of culturally appropriate patient education.


Condition Intervention
Arthritis Behavioral: Patient self-care education

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: Evaluating/Reinforcing Arthritis Patient Education for Urban African Americans

Resource links provided by NLM:


Further study details as provided by Larry Gruppen, University of Michigan:

Primary Outcome Measures:
  • Knowledge of arthritis self-care behaviors [ Time Frame: Measured upon completion of the educational intervention and at 6-month follow-up ]

Enrollment: 90
Study Start Date: September 1997
Study Completion Date: October 2002
Primary Completion Date: March 2001 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
Education in Arthritis Self-Help Course
Behavioral: Patient self-care education

Detailed Description:

Clinical studies have shown that arthritis patient education interventions are an effective addition to medical treatment in improving patients' ability to cope with pain, thereby reducing perceived symptom severity, improving patients' ability to help themselves, and providing them with skills and strategies for dealing with limits on daily activities. We know little, however, about generalizing the effects of such programs to cultural minority groups, such as urban African Americans. We know even less about the longevity of any benefits of patient education or about effective reinforcement and maintenance techniques. To examine these issues, we will recruit participants for this project through a faith-based community network to pursue the following aims:

  1. Evaluate the impact of arthritis patient education on arthritis symptoms and pain levels, functional status, self-care knowledge and behaviors, self-efficacy, emotional status, and health care resource use through a randomized controlled trial (Study 1).
  2. Test the impact of focused reinforcement of the concepts in the Arthritis Self-Help Course (ASHC) over a 12-month period through a randomized controlled trial (Study 2).
  3. Examine the detailed educational dynamics of the ASHC, identify aspects of the course that are less effective with or relevant to African Americans, and identify modes of communication and presentation used in the course that require adaptation for an African American audience (Study 3).
  4. Assess the personal and cultural belief systems underlying African Americans' understanding of arthritis and their use of conventional and unconventional arthritis treatments (Study 4).

These studies will provide valuable information regarding culturally relevant methods of reaching urban African Americans with arthritis and providing patient education that addresses arthritis care needs of the African American community. This study will also clarify the longevity of educational benefits and the effectiveness of alternative methods of educational reinforcement in this population. The exploratory studies of individual beliefs and knowledge of arthritis and its treatment, and the formal evaluation of a patient education program, will provide a better understanding of the ways in which cultural groups differ and how these differences should influence the design and delivery of culturally appropriate patient education.

  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Urban African Americans with arthritis
  • 18 years or older

Exclusion Criteria:

  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00000396


Locations
United States, Michigan
University of Michigan
Ann Arbor, Michigan, United States, 49109-0201
Sponsors and Collaborators
University of Michigan
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Investigators
Principal Investigator: Larry D. Gruppen, PhD University of Michigan
  More Information

Responsible Party: Larry Gruppen, Professor of Medical Education, University of Michigan
ClinicalTrials.gov Identifier: NCT00000396     History of Changes
Other Study ID Numbers: P60AR020557 ( U.S. NIH Grant/Contract )
NIAMS-016
First Submitted: November 3, 1999
First Posted: November 4, 1999
Last Update Posted: June 11, 2013
Last Verified: June 2013

Keywords provided by Larry Gruppen, University of Michigan:
Arthritis
Arthritis education
African Americans
Self-help
Self-management
Cultural beliefs

Additional relevant MeSH terms:
Arthritis
Joint Diseases
Musculoskeletal Diseases