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Patient Education in Rheumatoid Arthritis and Osteoarthritis

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. Identifier: NCT00000414
Recruitment Status : Completed
First Posted : November 4, 1999
Last Update Posted : June 21, 2013
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Information provided by (Responsible Party):
Kate Lorig, Stanford University

Brief Summary:
This project will evaluate the effectiveness and general usefulness of two arthritis patient education programs. The first, the Arthritis Self-Management Program, is a 6-week, community-based program taught in small groups by peer leaders. The second, the Self-Managed Arthritis Relief Therapy (SMART) Program, is a computer-driven program delivered through the mail. Participants in this project are people with rheumatoid arthritis or osteoarthritis who are taking part in the larger long-term studies being conducted by ARAMIS (the Arthritis, Rheumatism and Aging Medical Information System).

Condition or disease Intervention/treatment Phase
Rheumatoid Arthritis Osteoarthritis Behavioral: Arthritis Self-Management Program Behavioral: SMART Program Not Applicable

Detailed Description:

In a changing health care environment, the role of patients in managing their arthritis is increasingly important. Patient education is the primary means for teaching patients how to fulfill this role successfully. The goal of self-management health education is not merely to provide information but also to change patient attitudes and behavior so that patient outcomes are improved. These programs represent a new treatment for arthritis.

This project will evaluate the relative effect on health status and cost-effectiveness of two arthritis patient education programs that use different delivery systems. The Arthritis Self-Management Program (ASMP) uses a small group, multi-class format. It is taught by trained lay leaders and has been evaluated for effectiveness and widely disseminated. The Self-Managed Arthritis Relief Therapy (SMART) Program is a computer-driven, individualized, mail-delivered intervention. Results of a pilot study suggest that it is effective in improving health status and reducing health care use.

The project will also evaluate how generalizable the SMART program is and its effectiveness for patients with different diagnoses (OA and RA). It will also determine the attributes of patients who choose and do not choose to participate in patient education programs as well as the attributes of those who complete and do not complete the ASMP and SMART programs.

Through use of the ARAMIS data collection system, the project allows us to describe the differences between people who volunteer to receive patient education and those who refuse patient education. This project is directed at improving patient outcomes in both RA and OA through wide availability of a low-cost, mail-delivered arthritis self-management program that is the next generation in arthritis health education.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Patient Education Strategies for Better Outcomes in Rheumatoid Arthritis (RA) and Osteoarthritis (OA)
Study Start Date : July 1996
Actual Primary Completion Date : April 2001
Actual Study Completion Date : April 2001

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Arthritis Self-Management Program
small group self-management program
Behavioral: Arthritis Self-Management Program
Experimental: SMART Program
Self-Managed Arthritis Relief Therapy: mailed self management material
Behavioral: SMART Program
Other Name: Self-Managed Arthritis Relief Therapy (SMART)

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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

Inclusion Criteria:

  • Physician diagnosis of OA or RA
  • Participation in the ARAMIS longitudinal study

Exclusion Criteria:

  • Age under 18

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 identifier (NCT number): NCT00000414

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United States, California
Stanford University
Palo Alto, California, United States, 94305
United States, Kansas
Wichita Arthritis Center
Wichita, Kansas, United States
United States, Pennsylvania
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
United States, Tennessee
Vanderbilt University
Nashville, Tennessee, United States
Canada, Alberta
University of Saskatoon
Edmonton, Alberta, Canada
Sponsors and Collaborators
Stanford University
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
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Principal Investigator: Kate R. Lorig, DrPH Stanford University
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Responsible Party: Kate Lorig, professor, Stanford University Identifier: NCT00000414    
Other Study ID Numbers: P01 AR43584 Substudy 004
P01AR043584 ( U.S. NIH Grant/Contract )
First Posted: November 4, 1999    Key Record Dates
Last Update Posted: June 21, 2013
Last Verified: November 2004
Keywords provided by Kate Lorig, Stanford University:
Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Arthritis education
Health care service evaluation
Outcomes research
Arthritis Self-Management Program (ASMP)
Self-Managed Arthritis Relief Therapy (SMART) Program
Additional relevant MeSH terms:
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Arthritis, Rheumatoid
Joint Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Connective Tissue Diseases
Autoimmune Diseases
Immune System Diseases