The proposed study will examine the applicability and effectiveness of an efficacy-enhancing Arthritis Self-Management Program (ASMP) for Spanish-speaking populations.
The specific aims of the study are fourfold: 1) to translate and revalidate Spanish arthritis specific scales, as well as scales to determine general health status In 5 diverse Spanish-speaking arthritis patient populations; 2) to determine the most effective and efficient means of collecting data from Spanish-speaking patients; 3) to study the effectiveness of the Spanish Arthritis Self-Management Program with Spanish-speaking arthritis patients; and 4) to determine the applicability of self-efficacy theory to Spanish-speaking patients. In study 1 we will translate and revalidate arthritis self-efficacy and health outcome scales with diverse Hispanic populations. Methods will Include back translation and standard psychometric testing. In study 2 we will randomize 150 subjects to three methods of data collection: self- administered, administration by home interview, and telephone interview. In study 3 we will randomize 200 patients to take the Spanish ASMP or to control status. The applicability of self-efficacy theory to Hispanics will be tested by comparing changes in self-efficacy In Hispanics with historical data in Anglos. The proposed study will contribute significantly to the field of patient education by creating a low cost, community-based Spanish patient education program. In addition, it will determine the applicability of self-efficacy theory to Spanish-speaking populations. It will contribute to Nursing and Health Service Research by translating and revalidating Spanish health status scales that can be used for health outcome studies with Spanish-speaking patients. Finally, it has the potential to lower research costs by determining the most efficient data collection methods.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
1R01NR003146-01
Application #
3392771
Study Section
Nursing Research Study Section (NURS)
Project Start
1992-08-05
Project End
1997-07-31
Budget Start
1992-08-05
Budget End
1993-07-31
Support Year
1
Fiscal Year
1992
Total Cost
Indirect Cost
Name
Stanford University
Department
Type
Schools of Medicine
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
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Lorig, K; Gonzalez, V M; Ritter, P (1999) Community-based Spanish language arthritis education program: a randomized trial. Med Care 37:957-63
Gonzalez-Calvo, J; Gonzalez, V M; Lorig, K (1997) Cultural diversity issues in the development of valid and reliable measures of health status. Arthritis Care Res 10:448-56
Abraido-Lanza, A F (1997) Latinas with arthritis: effects of illness, role identity, and competence on psychological well-being. Am J Community Psychol 25:601-27
Lorig, K; Gonzalez, V M; Ritter, P et al. (1997) Comparison of three methods of data collection in an urban Spanish-speaking population. Nurs Res 46:230-4
Nacif de Brey, V; Gonzalez, V M (1997) Recruiting for arthritis studies in hard-to-reach populations: a comparison of methods used in an urban Spanish-speaking community. Arthritis Care Res 10:64-71
Superio-Cabuslay, E; Ward, M M; Lorig, K R (1996) Patient education interventions in osteoarthritis and rheumatoid arthritis: a meta-analytic comparison with nonsteroidal antiinflammatory drug treatment. Arthritis Care Res 9:292-301
Abraido-Lanza, A F; Guier, C; Revenson, T A (1996) Coping and social support resources among Latinas with arthritis. Arthritis Care Res 9:501-8
Gonzalez, V M; Stewart, A; Ritter, P L et al. (1995) Translation and validation of arthritis outcome measures into Spanish. Arthritis Rheum 38:1429-46