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Non-pharmacological Community Intervention, Especially Pain Management, in Rheumatoid Arthritis: A Review of the Literature

DOI: 
10.7727/wimj.2015.468

ABSTRACT

Objective: Rheumatoid arthritis (RA) is a crippling disease with significant affection in a patient’s life. The objective of this study is to describe the role of uni-modular and multi-modular non-pharmacological community intervention effectiveness, especially pain management interventions in rheumatoid arthritis.

Methods: This review built on a preliminary literature search, covering 2009 up to December 2013. Selective review of current literature was produced by searching the term non-pharmacological intervention, "self-management programme", "self-care", "rheumatoid arthritis" to capture all spectrums of rheumatoid arthritis non-pharmacological intervention. 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 indicated a beneficial effect of cognitive-behavioural therapy and psychotherapeutic intervention, self management, physical therapy (exercise) but a few studies indicated a beneficial effect of the multidisciplinary 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 clinically and cost-effective strategies to deliver individual, non-pharmacological treatment modalities as well as comprehensive arthritis service delivery models for RA patients.

Conclusion: This review gives a summary of the available evidence regarding the effectiveness of non-pharmacological treatment modalities are often prescribed as an adjunct to standard care in RA, but the data need scientific appraisal into the most clinically and cost-effective strategies

 

 

Accepted: 
11 Sep, 2015
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e-Published: 10 Mar, 2016

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