{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:11:09Z","timestamp":1783944669339,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[1999,10,1]],"date-time":"1999-10-01T00:00:00Z","timestamp":938736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[1999,10]]},"abstract":"<jats:p> Objective: To evaluate the effects of an education programme in improving adherence with joint protection by people with rheumatoid arthritis (RA). <\/jats:p><jats:p> Design: A repeated measures design. Subjects were assessed at six weeks and one week before and six and twelve weeks after education. <\/jats:p><jats:p> Setting: Rheumatology unit in a large district general hospital. <\/jats:p><jats:p> Subjects: Twenty-one people diagnosed with RA (mean age 48.95 years (SD 12.54) and disease duration of 6.43 years (SD 7.7)). <\/jats:p><jats:p> Intervention: An 8-hour arthritis education programme delivered over four sessions, including two hours of joint protection education designed to be typical of current UK practice. <\/jats:p><jats:p> Main outcome measures: The Joint Protection Behaviour Assessment (JPBA), an observational assessment of hand joint protection methods used during kitchen activities, to measure adherence with education. Other assessments included a joint protection knowledge questionnaire, hand joint counts, hand pain visual analogue scale, the Health Assessment Questionnaire (HAQ) and HAQ Pain scale to identify any short-term changes in hand pain, pain on activity and functional status. At the beginning and end of the study subjects were interviewed to obtain their self-report of joint protection behaviours and reasons for following or not following the advice given. <\/jats:p><jats:p> Results: Median JPBA scores did not improve pre- to posteducation (18.4% to 23.7%; p= 0.65) and neither did hand joint count, hand pain, HAQ and HAQ Pain scores. However, joint protection knowledge improved significantly (p = 0.01) and the majority of people believed joint protection to be a beneficial strategy. Reasons for not changing behaviour included problems recalling information; joint protection being considered inappropriate as \u2018hands were not that bad yet\u2019; lack of skill; and difficulties changing habits. <\/jats:p><jats:p> Conclusion: The joint protection education programme improved knowledge but not use of taught methods. Educational strategies being used by therapists need to be focused on enhancing adherence. <\/jats:p>","DOI":"10.1191\/026921599667005364","type":"journal-article","created":{"date-parts":[[2003,5,13]],"date-time":"2003-05-13T05:30:08Z","timestamp":1052803808000},"page":"392-400","source":"Crossref","is-referenced-by-count":38,"title":["The effect of a joint protection education programme for people with rheumatoid arthritis"],"prefix":"10.1177","volume":"13","author":[{"given":"Alison","family":"Hammond","sequence":"first","affiliation":[{"name":"School of Health and Community Studies, University of Derby, Derby"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadina","family":"Lincoln","sequence":"additional","affiliation":[{"name":"University of Nottingham, Nottingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,10,1]]},"reference":[{"key":"atypb1","volume-title":"Rheumatological rehabilitation, Volume I: assessment and management","author":"Cordery J","year":"1988"},{"key":"atypb2","volume-title":"Joint protection \u2013 rehabilitation in chronic rheumatic disorders","author":"Brattstrom M","year":"1987"},{"key":"atypb3","volume-title":"Rheumatic disease: occupational therapy and rehabilitation","author":"Melvin J.","year":"1989"},{"key":"atypb4","volume-title":"Clinical care in the rheumatic diseases","author":"Noaker JA","year":"1996"},{"key":"atypb5","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/S0307-742X(21)00531-2","volume":"10","author":"Chamberlain MA","year":"1984","journal-title":"Clin Rheum Dis"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1177\/030802269706000905"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/33.12.1171"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/35.8.775"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790060306"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1017\/S0266462300006255"},{"key":"atypb11","doi-asserted-by":"publisher","DOI":"10.1016\/0738-3991(93)90131-F"},{"key":"atypb12","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790100507"},{"key":"atypb13","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/28.1.7"},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/34.7.647"},{"key":"atypb15","first-page":"907","volume":"12","author":"Wetstone S","year":"1985","journal-title":"J Rheumatol"},{"key":"atypb16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1630.1984.tb01449.x"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790070103"},{"key":"atypb18","volume-title":"The SPIRE arthritis education programme","author":"Unsworth H","year":"1990"},{"key":"atypb19","unstructured":"Hammond A. Evaluating joint protection education for people with rheumatoid arthritis. Unpublished PhD thesis, University of Nottingham, 1994."},{"key":"atypb20","first-page":"200","volume":"20","author":"Hammond A","journal-title":"Arthritis Care Res"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1177\/030802269906200307"},{"key":"atypb22","volume-title":"Arthritis and allied conditions: a textbook of rheumatology","author":"McCarty DJ","year":"1979"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780230202"},{"key":"atypb24","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780300605"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1002\/art.1790070102"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4684-5359-1"},{"key":"atypb27","doi-asserted-by":"publisher","DOI":"10.3109\/09638288809164130"},{"key":"atypb28","doi-asserted-by":"publisher","DOI":"10.7748\/ns.10.41.45.s50"},{"key":"atypb29","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780280612"},{"key":"atypb30","volume-title":"Failures in behaviour therapy","author":"Foa EB","year":"1983"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/026921599667005364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1191\/026921599667005364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T07:46:40Z","timestamp":1740815200000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1191\/026921599667005364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,10]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1999,10]]}},"alternative-id":["10.1191\/026921599667005364"],"URL":"https:\/\/doi.org\/10.1191\/026921599667005364","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,10]]}}}