Self-Management Education for Osteoarthritis
Authors: Joshua Chodosh, Sally C. Morton, Marika J. Suttorp, Paul G. Shekelle
Journal: Annals of Internal Medicine (2006)

Letters18 April 2006Self-Management Education for OsteoarthritisJoshua Chodosh, MD, MSHS, Sally C. Morton, PhD, Marika J. Suttorp, MS, and Paul G. Shekelle, MD, PhDJoshua Chodosh, MD, MSHSFrom Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073; RTI International, Research Triangle Park, NC 27709-2194; and Veterans Affairs Health Services Research and Development Service, RAND Corporation, Santa Monica, CA 90401.Search for more papers by this author, Sally C. Morton, PhDFrom Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073; RTI International, Research Triangle Park, NC 27709-2194; and Veterans Affairs Health Services Research and Development Service, RAND Corporation, Santa Monica, CA 90401.Search for more papers by this author, Marika J. Suttorp, MSFrom Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073; RTI International, Research Triangle Park, NC 27709-2194; and Veterans Affairs Health Services Research and Development Service, RAND Corporation, Santa Monica, CA 90401.Search for more papers by this author, and Paul G. Shekelle, MD, PhDFrom Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073; RTI International, Research Triangle Park, NC 27709-2194; and Veterans Affairs Health Services Research and Development Service, RAND Corporation, Santa Monica, CA 90401.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-144-8-200604180-00015 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We thank Drs. Holman and Lorig for their interest in our paper. Regarding their concern about the effect size in 1 study, our calculated effect size is correct according to our methods because it is based on the follow-up means for pain and function in the 2 groups. The effect size listed by Drs. Holman and Lorig in their letter is a “difference of difference” calculation that adjusts for baseline differences in pain and function between the 2 randomized groups in their study. Although this is 1 valid method to analyze the results of an individual article, we ...References1. Ray JW, Shadish WR. How interchangeable are different estimators of effect size? J Consult Clin Psychol. 1996;64:1316-25. [PMID: 8991318] CrossrefMedlineGoogle Scholar2. Lorig K, Chastain RL, Ung E, Shoor S, Holman HR. Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis Rheum. 1989;32:37-44. [PMID: 2912463] CrossrefMedlineGoogle Scholar3. Lorig K, Gonzalez VM, Ritter P. Community-based Spanish language arthritis education program: a randomized trial. Med Care. 1999;37:957-63. [PMID: 10493473] CrossrefMedlineGoogle Scholar4. Lorig K, Lubeck D, Kraines RG, Seleznick M, Holman HR. Outcomes of self-help education for patients with arthritis. Arthritis Rheum. 1985;28:680-5. [PMID: 4004977] CrossrefMedlineGoogle Scholar5. Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self-management education programs: a meta-analysis of the effect on pain and disability. Arthritis Rheum. 2003;48:2207-13. [PMID: 12905474] CrossrefMedlineGoogle Scholar6. Stone EG, Morton SC, Hulscher ME, Maglione MA, Roth EA, Grimshaw JM, et al. Interventions that increase use of adult immunization and cancer screening services: a meta-analysis. Ann Intern Med. 2002;136:641-51. [PMID: 11992299] LinkGoogle Scholar7. Warsi A, Wang PS, LaValley MP, Avorn J, Solomon DH. Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Arch Intern Med. 2004;164:1641-9. [PMID: 15302634] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Greater Los Angeles Veterans Affairs Healthcare System, Los Angeles, CA 90073; RTI International, Research Triangle Park, NC 27709-2194; and Veterans Affairs Health Services Research and Development Service, RAND Corporation, Santa Monica, CA 90401.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoInterventions That Increase Use of Adult Immunization and Cancer Screening Services Erin G. Stone , Sally C. Morton , Marlies E. Hulscher , Margaret A. Maglione , Elizabeth A. Roth , Jeremy M. Grimshaw , Brian S. Mittman , Lisa V. Rubenstein , Laurence Z. Rubenstein , and Paul G. Shekelle Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults Joshua Chodosh , Sally C. Morton , Walter Mojica , Margaret Maglione , Marika J. Suttorp , Lara Hilton , Shannon Rhodes , and Paul Shekelle Self-Management Education for Osteoarthritis Halsted R. Holman and Kate Lorig Self-Management Education for Osteoarthritis Halsted R. Holman and Kate Lorig Metrics Cited ByOARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines 18 April 2006Volume 144, Issue 8Page: 617-618KeywordsArthritisConflicts of interestElderlyForecastingLongitudinal studiesOsteoarthritis ePublished: 18 April 2006 Issue Published: 18 April 2006 CopyrightCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...