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. 2003 Apr 22;2003(2):CD003688. doi: 10.1002/14651858.CD003688

Lorig 1985.

Methods A 4 months, community based, cross‐over study. 
 Assessments were done at baseline and after 4 months. 
 Quality: 0/0/1/0
Participants 199 arthritis patients randomised (134 exp/65 contr), 9 drop‐outs (5/4), 10.7% RA (N=31). Diagnosis confirmed by their physician. Recruited by public service announcements. Mean age 67.4 (SD=11.84), 83% female.
Interventions Arthritis Self‐Management Programme: 6 sessions (15‐20 persons, plus family) in 4 months, taught by 2 lay leaders. Including: nature of arthritis, use of medications, range of motion and isometric exercises, relaxation techniques, joint protection, nutrition, patient‐physician interaction and evaluation of non‐traditional treatments. Based on group discussion, practice, use of contracts and diaries to improve compliance and weekly feedback. 
 Controls: waiting list controls.
Outcomes Included: None. 
 Not reported: VAS‐pain, Ordinale pain scale (mild, moderate, severe), HAQ. 
 Others: Wallston Health Locus of Control.
Notes VAS = Visual Analogue Scale 
 HAQ = Health Assessment Questionnaire