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Less than 20% of adults with arthritis attend self-management classes – Healio



November 29, 2021

3 min read

The researchers report no relevant financial disclosures.

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A median of just 16.2% of adults with arthritis attended a self-management class in 2019, while that same year 69.3% received counseling for physical activity from their provider, according to CDC researchers.

Although self-management class attendance was low across all adults with arthritis, the researchers, who published their findings in Morbidity and Mortality Weekly Report, additionally noted that men, those with a high school education or less, and those in small cities or rural areas demonstrated particularly low rates of attendance and physical activity counseling from providers.

A median of just 16.2% of adults with arthritis attended a self-management class in 2019, while that same year 69.3% received counseling for physical activity from their provider, according to CDC researchers. Data derived from Duca LM, et al. MMWR Morb Mortal Wkly Rep. 2021;doi:10.15585/mmwr.mm7042a2.

“Arthritis is a common and disabling chronic condition among U.S. adults,” Lindsey M. Duca, PhD, of the CDC Epidemic Intelligence Service and the National Center for Chronic Disease Prevention and Health Promotion, told Healio Rheumatology. “Self-management education and physical activity can reduce arthritis pain and improve overall health status and quality of life of adults with arthritis.”

She added: “Health care providers play an important role in promoting self-management class attendance and physical activity by counseling arthritis patients about their benefits and referring them to evidence-based programs.”

Lindsey M. Duca

To examine self-reported self-management class attendance and the receipt of physical activity counseling among adults with arthritis, Duca and colleagues analyzed data from the 2019 Behavioral Risk Factor Surveillance System (BRFSS). According to the researchers, BRFSS is an annual, cross-sectional, state-based telephone survey of noninstitutionalized U.S. adults. Participants with arthritis were identified through a survey question that asked, “Have you ever been told by a doctor or other health care professional that you have arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?”

In all, there were 135,862 adults who reported having arthritis in the survey. The researchers defined self-management class attendance through a question on the survey that asked, “Have you ever taken an educational course or class to teach you how to manage problems related to your arthritis or joint symptoms?” Meanwhile, participants were found to have received physical activity counseling if they answered affirmatively to the question, “Has a doctor or other health professional ever suggested physical activity or exercise to help your arthritis or joint symptoms?”

According to the researchers, among adults with arthritis in 49 states — New Jersey was excluded from the 2019 BRFSS public-use data set for not having sufficient data — and Washington, D.C., an age-standardized state median of 16.2% reported ever attending a self-management class. Meanwhile, 69.3% reported ever being counseled by a provider to maintain physical activity.

Prevalence for both outcomes differed by state — ranging from 9.8% in Washington, D.C., to 24.9% in Hawaii — and sociodemographic characteristics. For example, the age-adjusted prevalence of self-management class attendance among men was 15.4%, compared with 17% among women.

Groups with attendance prevalence rates of less than 15% included those with a high school education or less (12.8%), the employed (14.8%), the unemployed (13.4%), students and homemakers (12.8%), those residing in small cities (14.5%) or rural areas (14.7%), those who were inactive in the last 30 days (12.9%), and those with no or mild joint pain (13.6%).

“Findings from this report show that fewer than two in 10 adults with arthritis reported ever attending a self-management class, and nearly 7 in 10 reported receiving health care provider counselling to encourage physical activity,” Duca said. “Persons with arthritis who received a health care provider recommendation to attend a self-management class were nine times more likely to attend a class than were those who did not receive a recommendation.

“Health care providers can reduce arthritis patients’ pain and improve their health status and quality of life by talking to patients about the benefits of physical activity and self-management education, and by supporting referrals to evidence-based programs,” she added. “Health care providers can talk with their arthritis patients about the benefits of physical activity and self-management education and support referrals to evidence-based arthritis appropriate programs.”

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Truckers fighting government vaccine mandate march to Canadian capital



A convoy of truckers started their march from Vancouver on Sunday to the Canadian capital city of Ottawa protesting the government’s COVID-19 vaccine mandate for truckers, which the industry says would create driver shortages and fuel inflation.

Truckers under the banner Freedom Convoy 2022 had raised C$2.7 million ($2.2 million) by Sunday through a gofundme campaign to fight the mandate. The funds raised would be used to help with the costs of fuel, food and lodgings, the gofundme page said. The convoy is expected to reach Ottawa on Jan. 29.

The trucking industry is vital to ensure smooth flow of goods since more than two-thirds of the C$650 billion ($521 billion) in goods traded annually between Canada and the United States travels on roads.

But as many as 32,000, or 20%, of the 160,000 Canadian and American cross-border truck drivers may be taken off the roads due to the mandate, the Canadian Trucking Alliance (CTA) estimates.

The CTA, however, said in a statement on Saturday it does not support any protests on public road ways and the only way to cross the border on a commercial truck is by getting vaccinated.

Canada imposed the vaccine mandate for the trucking industry from Jan. 15, under which unvaccinated Canadian truckers re-entering Canada from the United States must get tested for COVID-19 and quarantine themselves.

Driver shortages are further expected to fuel red-hot inflation which is running at a three-decade high, industry lobby groups gave said.

Prime Minister Justin Trudeau has resisted industry pressure to delay the mandate since it was first announced in November.

($1 = 1.2572 Canadian dollars)


(Reporting by Denny Thomas; Editing by Himani Sarkar)

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P.E.I. reports another COVID-19 death; 9 people in hospital –



P.E.I. has announced announced another death related to COVID-19, raising the province’s total to six.

The person was over age 80, according to a release from the Chief Public Health Office on Sunday. No further details were released about the death.

The number of people hospitalized for COVID-19 increased to nine as of early Sunday. One person is in intensive care.

Four other people in hospital for other reasons have also tested positive for the virus.

The province has declared a new outbreak at the Summerset Manor long-term care facility in Summerside. 

There are currently six long-term care facilities, two community care facilities, 19 early learning and child-care centres and five other congregate settings with outbreaks:

  • Andrews of Park West.
  • Atlantic Baptist.
  • Beach Grove Home.
  • Clinton View Lodge.
  • Garden Home.
  • Summerset Manor.
  • Bevan Lodge.
  • Miscouche Villa.
  • Nineteen early learning and child-care centres. Five open, six closed and eight operating at reduced capacity.
  • Population that accesses shelter and outreach services in Charlottetown.
  • Prince County Correctional Centre.
  • Provincial Addictions Treatment Facility.
  • Provincial Correctional Centre.
  • St. Eleanor’s House.

There are 209 new cases and 214 recoveries in Sunday’s update. On average, 279 cases per day have been reported over the last week.

P.E.I. has 2,484 active cases and there have been 6,125 cases since the pandemic began.

Hundreds of vaccination appointments are still available this week, according to the release, including dedicated appointments for children.

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New Brunswick reports two additional deaths related to COVID-19 Sunday – CTV News Atlantic



Health officials in New Brunswick said Sunday that a person in their 80s in the Moncton region and a person in their 70s in the Bathurst region have died as a result of COVID-19.


In a news release Sunday, public health reported there are a total of 126 people hospitalized with COVID-19 in the province. Ten people are currently in intensive care.

Of those currently hospitalized, 74 were admitted for reasons other than COVID-19.

Of those in hospital, 101 are 60 or over, and six people are on a ventilator. Public health said Sunday that three people 19 and under are currently hospitalized.

The province said the rate of people hospitalized and in ICU continues to most greatly impact people who are unvaccinated and those who are over six months from their second dose.


Officials are urging parents and guardians to book a COVID-19 vaccine appointment for their child’s first or second dose if they have not yet done so.

Children aged five to 11 who have already received their first dose of the vaccine are eligible to receive their second dose once eight weeks have passed since their first dose.

“Children are expected to return to in-person school by the end of the month and will benefit greatly from vaccination,” said Dr. Jennifer Russell, chief medical officer of health in a news release Sunday.

“I’m calling on all parents with kids in this age group to book an appointment now for their child’s first dose if they are not yet vaccinated, or for their second dose if they are eligible.”


The New Brunswick government is encouraging those eligible for a booster dose of a COVID-19 vaccine to book their appointment to help slow the spread of the virus.

Booster doses are available to everyone 18 and older, as long as five months have passed since their second dose.

To date, 62.3 per cent of the eligible population of people 50 and older have received their booster dose.

Appointments can be booked online at vaccination clinics offered through the Vitalité and Horizon health networks.

Many pharmacies across the province are also offering vaccine clinics. Appointments can be made by contacting a participating pharmacy directly.

Those unable to book an appointment online, or who otherwise need assistance booking through a health authority clinic or pharmacy, may call 1-833-437-1424.

Since Jan. 10, more than 44,000 appointments have been booked for booster doses of an mRNA vaccine.


New Brunswick is currently in Level 3 phase of the winter plan to manage COVID-19.

Premier Blaine Higgs said Friday that vaccinating more children against COVID-19 and ensuring more adults receive their booster dose over the next week will help New Brunswick return to Level 2 of the winter plan on Jan. 30 at 11:59 p.m.

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