Individualized intervention plans improved stress management and pain management in African American lupus patients compared to usual care.
This randomized controlled trial investigated the effects of individualized intervention plans (IIPs) versus a standardized chronic disease self-management program or usual care. The intervention offered one to four options, including a mail-delivered arthritis kit, a message board, a support group, and enrollment in a self-management program. The study population consisted of African American individuals with lupus. The sample size was not reported, and the follow-up duration was not reported.
Primary outcomes included quality of life, depression, and perceived and biological indicators of stress. Secondary outcomes covered pain management, stress management, activity limitation, and the frequency of managing pain or stress using specific techniques. Improvements were observed in stress management and pain management with a p-value of 0.05. The frequency of managing pain by applying positive techniques increased in the intervention group with a p-value of 0.08. An increasing trend persisted in the frequency of applying stress management techniques with a p-value of 0.02. Decreasing trends were observed for activity limitation, though the p-value was not reported for this outcome.
Safety and tolerability data were not reported. Adverse events, serious adverse events, discontinuations, and overall tolerability were not reported. The study limitations included the lack of reported sample size and follow-up duration. Funding or conflicts of interest were not reported. The practice relevance indicates that self-selection of program components has the potential to improve disparate trends in quality of life, disease activity, and stress among African American lupus patients.
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