Modifications to Objectives and Subobjectives

The following discussion highlights the modifications, including changes, additions, and deletions, to this focus area's objectives and subobjectives as a result of the midcourse review.

Several objectives became measurable and were revised at the midcourse review. Mean days without severe pain (2-1) became measurable and was revised from "increase the mean number of days without severe pain among adults who have chronic joint symptoms" to "reduce the mean level of joint pain among adults with doctor-diagnosed arthritis." Activity limitations due to arthritis (2-2) was revised from "reduce the proportion of adults with chronic joint symptoms who experience a limitation in activity due to arthritis" to "reduce the proportion of adults with doctor-diagnosed arthritis who experience a limitation in activity due to arthritis or joint symptoms." Personal care limitations (2-3) was revised from "reduce the proportion of all adults with chronic joint symptoms who have difficulty in performing two or more personal care activities, thereby preserving independence" to "reduce the proportion of adults with doctor-diagnosed arthritis who have difficulty in performing two or more personal care activities, thereby preserving independence." Objective 2-4 became measurable and was revised from "increase the proportion of adults aged 18 years and older with arthritis who seek help in coping if they experience personal and emotional problems" to "increase the proportion of adults with doctor-diagnosed arthritis who receive health care provider counseling." In addition, subobjectives were added to objective 2-4 to track nondrug, nonsurgical interventions: "health care provider counseling for weight reduction among overweight and obese persons (2-4a)" and "health care provider counseling for physical activity and exercise (2-4b)." Subobjectives were added to objective 2-5 to track the general measure of "unemployment rate among adults with doctor-diagnosed arthritis" (2-5a) and "adults with doctor-diagnosed arthritis who are limited in their ability to work for pay due to arthritis (2-5b)."

Racial differences in total knee replacement (2-6) became measurable and was revised from "eliminate racial disparities in the rate of total knee replacements" to "eliminate racial disparities in the rate of total knee replacements among persons aged 65 years and older." Seeing a health care provider (2-7) became measurable and was revised from "increase the proportion of adults who have seen a health care provider for their chronic joint symptoms" to "increase the proportion of adults with chronic joint symptoms who have seen a health care provider for their symptoms." Arthritis education (2-8) became measurable and was revised from "increase the proportion of persons with arthritis who had effective, evidence-based arthritis education as an integral part of the management of their condition" to "increase the proportion of adults with doctor-diagnosed arthritis who have had effective, evidence-based arthritis education as an integral part of the management of their condition."

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