Annals of internal medicine
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Although enthusiasm is growing for self-management programs for chronic conditions, there are conflicting data regarding their effectiveness and no agreement on their essential components. ⋯ Self-management programs for diabetes mellitus and hypertension probably produce clinically important benefits. The elements of the programs most responsible for benefits cannot be determined from existing data, and this inhibits specification of optimally effective or cost-effective programs. Osteoarthritis self-management programs do not appear to have clinically beneficial effects on pain or function.
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Randomized Controlled Trial Clinical Trial
A health system program to reduce work disability related to musculoskeletal disorders.
Musculoskeletal disorders (MSDs) are a frequent cause of work disability, accounting for productivity losses in industrialized societies equivalent to 1.3% of the U.S. gross national product. ⋯ Implementation of the program, offered to the general population, improves short- and long-term work disability outcomes and is cost-effective.