Decreasing pain and depression in a health promotion program for people with rheumatoid arthritis

J Nurs Scholarsh. 2003;35(2):127-32. doi: 10.1111/j.1547-5069.2003.00127.x.


Purpose: To examine whether a comprehensive health promotion program for rheumatoid arthritis (CHPPRA) could alleviate patients' pain, depression, and functional disability.

Design: A quasi-experimental design, nonequivalent control group pretest-posttest design and a preexperimental design, one-group pretest-posttest design were used. The study was conducted in Korea.

Methods: Outcome variables (pain, depression, and functional disability) and objectives (the practice of pain-management behaviors, regular exercise, and psychosocial coping strategies) were measured in 36 Korean outpatients diagnosed with rheumatoid arthritis (RA). ANOVA/MANOVA and the Wilcoxon signed rank test were used to analyze data.

Findings: Participants in CHPPRA had reduced pain and depression, but did not show improvements in functional disability. In the intervention group, pain management and psychosocial coping skills were significantly improved, but exercise was not significantly altered after participating in CHPPRA.

Conclusions: Although this study was limited in design, the results can be reference data for designing, using, and evaluating programs for people with RA.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological
  • Analysis of Variance
  • Arthritis, Rheumatoid / complications*
  • Curriculum
  • Depression / diagnosis
  • Depression / etiology
  • Depression / prevention & control*
  • Female
  • Health Promotion / organization & administration*
  • Humans
  • Korea
  • Male
  • Middle Aged
  • Pain / diagnosis
  • Pain / etiology
  • Pain / prevention & control*
  • Pain Measurement
  • Patient Education as Topic
  • Program Evaluation