Community-based Spanish language arthritis education program: a randomized trial

Med Care. 1999 Sep;37(9):957-63. doi: 10.1097/00005650-199909000-00011.


Objectives: To determine 4-month and 1-year health-related outcomes of a 6-week, lay-led, and community-based arthritis self-management program for Spanish-speaking participants and to determine the role of self-efficacy in predicting health status for this population.

Methods: Three hundred and thirty one subjects were randomized to the program or to a 4-month wait list control group. One hundred ninety eight subjects continued in a 1-year longitudinal study. Data were collected via mailed questionnaires with telephone follow up.

Results: At 4 months, treatment subjects, compared with controls, demonstrated positive changes in exercise, disability, pain, and self-efficacy (P < 0.05). At 1 year, compared with baseline, treatment subjects demonstrated improvements in exercise, general health, disability, pain, self-efficacy, and depression (P < 0.05). Baseline and 4-month changes in self-efficacy predicted health status at 1 year.

Conclusions: Spanish-speaking participants of an arthritis self-management program demonstrate short- and long-term benefits (improved health behaviors, health status, and self-efficacy).

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arthritis / ethnology*
  • Arthritis / prevention & control*
  • California
  • Community Health Services / organization & administration*
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Status
  • Hispanic or Latino / education*
  • Humans
  • Male
  • Middle Aged
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Self Care / methods*
  • Surveys and Questionnaires