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- Title
Non-pharmacological Community Intervention, Especially Pain Management, in Rheumatoid Arthritis: A Review of the Literature.
- Authors
Yousefi, M.; Noghabi, F. Asadi; Chopra, A.; Farrokhseresht, R.; Yousefi, H.; Kulkarni, N.; Golalipoor, E.
- Abstract
Objective: Rheumatoid arthritis (RA) is a crippling disease with significant impact on a patient's life. The objective of this study is to describe the role of unimodular and multi-modular, non-pharmacological community intervention effectiveness, especially pain management interventions in RA. Methods: This review is built on a preliminary literature search, covering 2009 up to December 2013. Selective review of current literature was produced by searching for the terms 'non-pharmacological intervention ', 'self-management programme ', 'self-care ', and 'rheumatoid arthritis', to capture all spectrums of RA non-pharmacological interventions. Twenty-six reviews were included in this overview. Results: A substantial and remarkable number of studies of non-drug care interventions in RA are available. Twenty-six reviews were included in the present overview, which indicated a beneficial effect of cognitive behavioural therapy and psychotherapeutic intervention, selfmanagement, and physical therapy (exercise), but a few studies indicated a beneficial effect of the multi-disciplinary education programme and specific dietary interventions. The evidence of effectiveness varies among the different non-pharmacological modalities and indicates a need for further investigation into the most clinical and cost-effective strategies to deliver individual, non-pharmacological treatment modalities, as well as comprehensive arthritis service delivery models for patients with RA. Conclusion: This article gives a summary of the available evidence regarding the effectiveness of non-pharmacological treatment modalities which are often prescribed as an adjunct to standard care in RA, but the data require scientific appraisal into the most clinically and cost-effective strategies..
- Subjects
LITERATURE reviews; RHEUMATOID arthritis; PAIN management; BEHAVIOR therapy; COGNITIVE therapy; PHYSICAL therapy
- Publication
West Indian Medical Journal, 2024, Vol 71, Issue 1, p85
- ISSN
0043-3144
- Publication type
Article
- DOI
10.7727/wimj.2015.081