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Biomedical subjects

J Goeppinger

Publications and source records attributed to J Goeppinger.

18 recordsLinked to original sources
PubMed1997

Interventions to reduce the impact of chronic disease: community-based arthritis patient education.

Systematic development and testing of the efficacy of educational interventions to improve functioning, prevent disability, and reduce the impact of chronic disease has been limited, perhaps because many chronic diseases disable, do not kill, and because they are managed largely within home, work, and community environments and not within the medical care system. Until recently, these factors contributed to a paucity of arthritis educational interventions. But since the impetus provided by the establishment of the Multipurpose Arthritis Centers Program of the NIH (1977), a number of arthritis patient education programs have been established and evaluated. This chapter summarizes findings from community-based arthritis patient education studies conducted between 1980 and 1995, critiques the methods of these studies, and provides guidance for state-of-the-art community-based intervention research aimed at reducing the individual and social impact of arthritis and other chronic diseases.

Adult↗
PubMed1995

From research to practice: the effects of the jointly sponsored dissemination of an arthritis self-care nursing intervention.

Various educational programs have been developed and found to be effective in the self-management of arthritis. This study reexamined the effectiveness of one such program, "Bone Up On Arthritis" (BUOA), when the program was delivered by a community-based service organization to a sample of persons (N = 154) who differed widely in disease type and demographic characteristics. Arthritis Foundation staff implemented BUOA at four national sites; data were collected and analyzed by University of Michigan nurse researchers. Investigators found improved scores on all outcome measures (self-care behavior, helplessness, pain, dysfunction, and depression). These findings suggest that "Bone Up" is an effective nursing intervention in multiple organizational and community environments and for diverse patient populations.

Aged↗
PubMed1993

The Albrecht Nursing Model for Home Healthcare. Predictors of satisfaction with a self-care intervention program.

Satisfaction with a self-care intervention program was evaluated through this quantitative study of arthritis clients at home. The results indicate that the clients were highly satisfied with the intervention. In this era of consumer satisfaction with their care, nurse administrator's knowledge of which interventions are satisfying is important for staff development and case management in the community.

Adult↗
PubMed1990

Four psychosocial theories and their application to patient education and clinical practice.

Although the development of theoretically based and empirically verified practice guidelines is now possible, some health education practice still remains uninformed by this research-based knowledge. This article describes four psychosocial theories that have been useful in our practices: self-efficacy, stress and coping, learned helplessness, and social support. The theories are introduced and compared; practical suggestions for their use in the development of health education interventions are then discussed. Skills mastery, modeling, reinterpretation of physical signs and symptoms, and persuasion are presented as ways of enhancing self-efficacy. Some similar strategies are presented as examples of coping techniques, including positive reappraisal or reinterpretation. Other coping strategies such as confronting, distancing, self-care, seeking social support, accepting responsibility, escape avoidance or ignoring, problem solving, activity, distraction, self-talk, and prayer are also introduced. Cognitive restructuring is examined most fully as an example of an intervention strategy derived from learned helplessness theory. And finally, five strategies for fostering positive social support are presented: enhancing personal networks, linking volunteers, establishing mutual aid networks, identifying and supporting neighborhood helpers, and community empowerment.

Adaptation, Psychological↗
PubMed1989

A reexamination of the effectiveness of self-care education for persons with arthritis.

We examined the effectiveness of 2 models of arthritis self-care intervention, the home study model and the small group model. The effects of disease diagnosis and duration, self-care behavior, perceived helplessness, social support, treatment choice, and formal education level on outcomes among persons with arthritis who participated in these programs were evaluated. A pretest-posttest control group design was utilized in the initial experimental study; comparison group designs were used in the longitudinal studies. Three hundred seventy-four subjects completed the interventions and 12 months of research followup. We found that the intervention models had a statistically significant positive impact on arthritis knowledge, self-care behavior, perceived helplessness, and pain. These findings did not vary when the effects of education level, disease diagnosis and duration, informal social support, and treatment choice were controlled. The small group intervention was more effective in bringing about initial improvements in pain and depression, whereas the home study intervention was more effective in maintaining improvements in perceived helplessness. Changes in perceived helplessness and self-care behavior appear to explain in part the observed improvement in pain.

Adult↗
PubMed1988

A nursing perspective on the assessment of function in persons with arthritis.

The psychometric properties of two self-administered measures of function were examined: the Disability Score of the Health Assessment Questionnaire (HAQ) and the Total Health Score of the Arthritis Impact Measurement Scales (AIMS). Data from 140 respondents were analyzed. Respondents had diagnoses of osteoarthritis, rheumatoid arthritis, or diabetes mellitus; resided in rural and urban areas; and were for the most part elderly, female, and white, with educational levels of high school or below. Reliabilities (test-retest and internal consistency) of both measures were high. The concurrent validity also was high. Content analysis suggested the HAQ represented the scope of nursing practice better than the AIMS. An exploratory principal components analysis confirmed that the HAQ is relevant to nursing practice.

Activities of Daily Living↗
PubMed1985

Community competence: a positive approach to needs assessment.

A procedure was developed for assessing residents' perceptions of community functioning. A questionnaire, derived from Cottrell's work in the area of community competence and elaborated upon by community workers and researchers, was constructed and field tested in five rural communities. In a telephone interview, 433 residents were surveyed. Responses were analyzed to determine which items discriminated among the communities and to what extent they represented Cottrell's original model. Representing six of Cottrell's eight conditions of competence, 14 items were judged to discriminate among the communities (analysis of variance, F-test, maximum p = .008). A factor analysis of the 14 items revealed four factors that were labeled Democratic Participation Style, Crime, Resource Adequacy and Use, and Decision-Making Interactions. The factors are consistent with Cottrell's model and explain 35% of the variance. These findings are discussed in relation to current community research and methodological constraints.

Community Participation↗