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Effective Self-Management Interventions for Patients With Lupus: Potential Impact of Peer Mentoring.

Abstract Systemic lupus erythematosus (SLE) is associated with significant mortality, morbidity and cost for the individual patient and society. In the United States, African Americans (AAs) have 3-4 times greater prevalence of lupus, risk of developing lupus at an earlier age and lupus-related disease activity, organ damage and mortality compared with whites. Evidence-based self-management interventions that incorporate both social support and health education have reduced pain, improved function and delayed disability among patients with lupus. However, AAs and women are still disproportionately affected by lupus. This article presents the argument that peer mentoring may be an especially effective intervention approach for AA women with SLE. SLE peers with a track record of success in lupus management and have a personal perspective that clinicians often lack. This commonality and credibility can establish trust, increase communication and, in turn, decrease disparities in healthcare outcomes.
PMID
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Authors

Mayor MeshTerms

Social Support

Keywords

African American

Peer mentoring

Systemic lupus erythematosus

Women

Journal Title the american journal of the medical sciences
Publication Year Start




PMID- 28641721
OWN - NLM
STAT- MEDLINE
DA  - 20170623
DCOM- 20170628
LR  - 20170628
IS  - 1538-2990 (Electronic)
IS  - 0002-9629 (Linking)
VI  - 353
IP  - 6
DP  - 2017 Jun
TI  - Effective Self-Management Interventions for Patients With Lupus: Potential Impact
      of Peer Mentoring.
PG  - 580-592
LID - S0002-9629(17)30013-7 [pii]
LID - 10.1016/j.amjms.2017.01.011 [doi]
AB  - Systemic lupus erythematosus (SLE) is associated with significant mortality,
      morbidity and cost for the individual patient and society. In the United States, 
      African Americans (AAs) have 3-4 times greater prevalence of lupus, risk of
      developing lupus at an earlier age and lupus-related disease activity, organ
      damage and mortality compared with whites. Evidence-based self-management
      interventions that incorporate both social support and health education have
      reduced pain, improved function and delayed disability among patients with lupus.
      However, AAs and women are still disproportionately affected by lupus. This
      article presents the argument that peer mentoring may be an especially effective 
      intervention approach for AA women with SLE. SLE peers with a track record of
      success in lupus management and have a personal perspective that clinicians often
      lack. This commonality and credibility can establish trust, increase
      communication and, in turn, decrease disparities in healthcare outcomes.
CI  - Copyright (c) 2017 Southern Society for Clinical Investigation. Published by
      Elsevier Inc. All rights reserved.
FAU - Williams, Edith M
AU  - Williams EM
AD  - Department of Public Health Sciences, Medical University of South Carolina,
      Charleston, South Carolina. Electronic address: [email protected]
FAU - Egede, Leonard
AU  - Egede L
AD  - Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
FAU - Faith, Trevor
AU  - Faith T
AD  - Department of Public Health Sciences, Medical University of South Carolina,
      Charleston, South Carolina.
FAU - Oates, James
AU  - Oates J
AD  - Division of Rheumatology and Immunology, Medical University of South Carolina,
      Charleston, South Carolina; Rheumatology Section, Ralph H. Johnson VA Medical
      Center, Charleston, South Carolina.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20170203
PL  - United States
TA  - Am J Med Sci
JT  - The American journal of the medical sciences
JID - 0370506
SB  - AIM
SB  - IM
MH  - African Americans
MH  - Female
MH  - Humans
MH  - Lupus Erythematosus, Systemic/psychology/*therapy
MH  - Mentoring/*standards
MH  - Self Care/*methods
MH  - *Social Support
OTO - NOTNLM
OT  - African American
OT  - Peer mentoring
OT  - Systemic lupus erythematosus
OT  - Women
EDAT- 2017/06/24 06:00
MHDA- 2017/06/29 06:00
CRDT- 2017/06/24 06:00
PHST- 2016/11/14 [received]
PHST- 2016/12/28 [revised]
PHST- 2017/01/20 [accepted]
AID - S0002-9629(17)30013-7 [pii]
AID - 10.1016/j.amjms.2017.01.011 [doi]
PST - ppublish
SO  - Am J Med Sci. 2017 Jun;353(6):580-592. doi: 10.1016/j.amjms.2017.01.011. Epub
      2017 Feb 3.