The program for rheumatic independent self-management: a pilot evaluation

Clin Rheumatol. 1999;18(4):283-92. doi: 10.1007/s100670050103.


The 'Program for Rheumatic Independent Self-Management' (PRISM) is an interdisciplinary programme that integrates group education and individualised treatment using the principles of self-management, adult learning, case management and self-efficacy enhancement. This study is a before-after evaluation of 57 individuals who attended PRISM. Outcome measures were selected to measure self-efficacy, disability, pain and ability to cope. The mean self-efficacy score increased immediately following the programme and this improvement was maintained at 6-month follow-up. Disability decreased from baseline to 6-month follow-up. There was a decrease in the mean level of pain from post-class to 6-month follow-up. All of these changes were statistically significant. These preliminary findings suggest that PRISM may be effective in enhancing self-efficacy, and reducing disability and pain.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arthralgia / etiology
  • Arthralgia / rehabilitation
  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / rehabilitation*
  • Disability Evaluation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Pilot Projects
  • Retrospective Studies
  • Rural Population
  • Self Care* / methods
  • Self Care* / standards
  • Self Efficacy*
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Treatment Outcome