Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-3816
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial
Authors: Niedermann Schneider, Karin
de Bie, Rob
Kubli, Regula
Ciurea, Adrian
Steurer-Stey, Claudia
Villiger, Peter M.
Buchi, Stefan
DOI: 10.21256/zhaw-3816
10.1016/j.pec.2010.02.014
Published in: Patient Education and Counseling
Volume(Issue): 82
Issue: 1
Page(s): 42
Pages to: 48
Issue Date: 2011
Publisher / Ed. Institution: Elsevier
ISSN: 0738-3991
1873-5134
Language: English
Subject (DDC): 616.7: Diseases of musculoskeletal system and orthopaedics
Abstract: Objective: The modern joint protection (JP) concept for people with rheumatoid arthritis (RA) is an active coping strategy to improve daily tasks and role performance by changing working methods and using assistive devices. Effective group JP education includes psycho-educational interventions. The Pictorial Representation of Illness and Self Measure (PRISM) is an interactive hands-on-tool, assessing (a) the individual's perceived burden of illness and (b) relevant individual resources. Both issues are important for intrinsic motivation to take action and change behaviour. This study compared individual conventional JP education (C-JP) with PRISM-based JP education (PRISM-JP). Methods: An assessor-blinded multicentre randomized controlled trial, including four JP education sessions over 3 weeks, with assessments at baseline and 3 months. Results: In total 53 RA patients participated. At 3 months, the PRISM-JP (n = 26) participants did significantly better compared to the C-JP participants (n = 27) in JP behaviour (p = 0.02 and p = 0.008 when corrected for baseline values), Arthritis Self-efficacy (ASES, p = 0.015) and JP self-efficacy (JP-SES, p = 0.047). Within-group analysis also showed less hand pain (p < 0.001) in PRISM-JP group. Conclusion: PRISM-JP more effectively supported learning of JP methods, with meaningful occupations, resource activation and self-efficacy acting as important mediators. Practice implications: PRISM improved patient–clinician communication and is feasible for occupational therapy.
URI: https://digitalcollection.zhaw.ch/handle/11475/7512
Fulltext version: Accepted version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Occupational Therapy (IER)
Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Niedermann Schneider, K., de Bie, R., Kubli, R., Ciurea, A., Steurer-Stey, C., Villiger, P. M., & Buchi, S. (2011). Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial. Patient Education and Counseling, 82(1), 42–48. https://doi.org/10.21256/zhaw-3816
Niedermann Schneider, K. et al. (2011) ‘Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial’, Patient Education and Counseling, 82(1), pp. 42–48. Available at: https://doi.org/10.21256/zhaw-3816.
K. Niedermann Schneider et al., “Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial,” Patient Education and Counseling, vol. 82, no. 1, pp. 42–48, 2011, doi: 10.21256/zhaw-3816.
NIEDERMANN SCHNEIDER, Karin, Rob DE BIE, Regula KUBLI, Adrian CIUREA, Claudia STEURER-STEY, Peter M. VILLIGER und Stefan BUCHI, 2011. Effectiveness of individualized ressource-oriented joint protection education in people with rheumatoid arthritis : a randomized controlled trial. Patient Education and Counseling. 2011. Bd. 82, Nr. 1, S. 42–48. DOI 10.21256/zhaw-3816
Niedermann Schneider, Karin, Rob de Bie, Regula Kubli, Adrian Ciurea, Claudia Steurer-Stey, Peter M. Villiger, and Stefan Buchi. 2011. “Effectiveness of Individualized Ressource-Oriented Joint Protection Education in People with Rheumatoid Arthritis : A Randomized Controlled Trial.” Patient Education and Counseling 82 (1): 42–48. https://doi.org/10.21256/zhaw-3816.
Niedermann Schneider, Karin, et al. “Effectiveness of Individualized Ressource-Oriented Joint Protection Education in People with Rheumatoid Arthritis : A Randomized Controlled Trial.” Patient Education and Counseling, vol. 82, no. 1, 2011, pp. 42–48, https://doi.org/10.21256/zhaw-3816.


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