This lecture was given by Dr Marta Buszewicz, General Practitioner from North London and Senior Lecturer in Community Based Teaching & Research at UCL, to the North British Pain Association Spring Scientific Meeting in Edinburgh on Friday 18th May, 2007. Her lecture forms part of a conference "Blurring the Boundaries - Managing Pain in Primary Care and Secondary Care".

1. Does Arthritis Self-management Help? A Randomised Controlled Trial of an Arthritis Self-Management Programme in Primary Care

18. Results - recruitment

19. Results – baseline characteristics Intervention n=406 Control n=406 Age (yrs) Mean (S.D.) 68.4 (8.2 ) 68.7 (8.6) Gender Female 255 (62.8%) 255 (62.8%) Owner Occupier 323 (82.6%) 302 (78.6%) Ethnicity White 388 (99.5%) 382 (99.2%) Age left school < 16 years 249 (63.8%) 259 (67.6%) Higher education 107 (27.6%) 102 (26.7%)

21. OUTCOMES Adjusted difference in means & (95% C.I.) at 4 months Adjusted difference in means & (95% C.I.) at 12 months SF 36 MENTAL HEALTH Intention to Treat (ITT) Per protocol analysis 0.11 (-1.18,1.40) 0.82 (-0.94,2.57) 1.35 (-0.03, 2.74) 1.56 (- 0.28, 3.39) SF 36 PHYSICAL HEALTH Intention to Treat (ITT) Per protocol analysis 0.22 (-1.5, 1.94) - 0.37 (-2.02,1.28) 0.33 (- 1.31, 1.98) 0.24 (- 1.63, 2.11) WOMAC PAIN Intention to Treat (ITT) Per protocol analysis - 0.15 (- 0.57,0.28) - 0.30 (- 0.79,0.19) - 0.33 (- 0.78, 0.13) - 0.47 (- 1.05, 0.10) WOMAC STIFFNESS Intention to Treat (ITT) Per protocol analysis - 0.05 (-0.28,0.17) - 0.12 (- 0.36,0.11) - 0.17 (- 0.43, 0.09) - 0.13 (- 0.40, 0.14) WOMAC FUNCTION Intention to Treat (ITT) Per protocol analysis - 1.22 (- 2.59, 0.16) - 0.80 (- 2.24, 0.63) - 1.17 (- 2.84, 0.50) - 0.95 (- 2.63, 0.74) HADS ANXIETY Intention to Treat (ITT) Per protocol analysis - 0.36 (- 0.76,0.05) - 0.68 (- 1.15,- 0.20) * - 0.62 (-1.08,- 0.16) * - 0.72 (-1.24,- 0.21) * HADS DEPRESSION Intention to Treat (ITT) Per protocol analysis - 0.40 (- 0.76,- 0.03) * - 0.57 (- 0.96,- 0.18) * - 0.41 (- 0.82, 0.01) - 0.33 (- 0.76, 0.10) ASE - PAIN Intention to Treat (ITT) Per protocol analysis 1.63 (0.83, 2.43) * 2.55 (1.56, 3.56) * 0.98 (0.07, 1.89) * 1.43 (0.37, 2.48) * ASE - OTHER Intention to Treat (ITT) Per protocol analysis 1.83 (0.74, 2.92) * 2.81 (1.74, 3.87) * 1.58 (0.25, 2.90) * 1.54 (0.48, 2.60) *

22. Outcome plots - positive difference in means favours treatment SF 36 Mental Health SF 36 Physical Health

23. Outcome plots continued ASE Pain ASE Other

24. Outcome plots - negative difference in means favours treatment HADS Anxiety HADS Depression

25. Outcome plots continued WOMAC Pain WOMAC Stiffness WOMAC Physical Functioning