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Journal of Applied Gerontology
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Short-Term Effects of a Self-Management Intervention on Health Status of Housebound Older Adults With Arthritis

Sophie Laforest

Université de Montréal, Canada, sophie.laforest{at}umontreal.ca

Kareen Nour

CSSS Cavendish, Montréal, Canada

Monique Gignac

University of Toronto, Canada

Lise Gauvin

Université de Montréal, Canada

Manon Parisien

CSSS Cavendish, Montréal, Canada

Marie-Christine Poirier

CSSS Laval, Canada

This study examines the impact of a self-management intervention for housebound adults with arthritis and presence of moderating variables. A total of 113 adults with a mean age of 77.7 years and diagnosed with osteoarthritis (62%) or rheumatoid arthritis (38%) were randomized to intervention (n = 65) and control groups (n = 48). Information on health, self-efficacy, outcome expectations, and health behaviors was collected (a) at baseline, (b) 2 months later, and (c) following the intervention. Multilevel analysis reveals that experimental group participants reported significantly fewer functional limitations and less helplessness than control participants postintervention. A trend for improved coping effectiveness was observed (p = .06). Greater improvements in outcome expectations and physical behaviors were associated with greater decreases in helplessness. Larger improvements in outcome expectations were associated with greater decreases in functional limitations. A structured self-management intervention can have a positive impact on the health status of housebound adults with arthritis.

Key Words: arthritis • self-management intervention • randomized controlled trial

This version was published on November 1, 2008

Journal of Applied Gerontology, Vol. 27, No. 5, 539-567 (2008)
DOI: 10.1177/0733464808319712
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