The purpose of this study is to explore the effect of patient education (PE) in patients with arthritis. PE has become a task that is dictated by law in Norway, and is increasingly used as an element in the treatment of patients with chronic complaints. Our hypothesis is that \- PE delivered as group education, followed by an individual nurse consultation increases the patients wellbeing an ability to cope with the disease.
There has been a rather long tradition of PE for patients with arthritis. A recent systematic review found that PE had small short-term effects on disability, joint counts, patient global assessment, psychological status and depression, but this effect disappeared on the latest time of follow up (3-14 months). A recent large British study also failed to show an effect on pain, physical functioning, or contact with primary care after 12 months, but found a significant effect on anxiety and improved the participants' perceived self efficacy. This indicates that the present forms of interventions fails to show a long term effect. One possible reason for the lack of long term effect might be that these interventions are given to groups only. Patients seem to prefer one-to-one interaction regarding information about the disease and its treatment together with emotional aspects, while education in groups are preferred for physical training and relational topics.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
141
3 group meetings followed by 1-2 individual nurse consultations.
Norwegian University of Science and Technology and St. Olavs Hospital HF
Trondheim, Trondheim, Norway
Self efficacy
Time frame: Baseline, 4 and 12 months
Well being (Arizona Integrative Outcomes Scale)
Time frame: Baseline, 4 and 12 months
Arthritis Impact Measurement Scale 2 (affect, symptoms, social interaction, role)
Time frame: Baseline, 4 and 12 months
The Hospital Anxiety and Depression Scale
Time frame: Baseline, 4 and 12 months
Educational Needs Assessment Tools
Time frame: Baseline, 4 and 12 months
Modified Health Assessment Questionnaire
Time frame: Baseline, 4 and 12 months
DAS 28 score (Disease activity score)
Time frame: Baseline, 4 and 12 months
Patient Activation Measurement (PAM)
Time frame: Baseline, 4 and 12 months
Cost- benefit
Time frame: Baseline, 4 and 12 months
Physical activity
Time frame: Baseline, 4 and 12 months
Use of medications
Time frame: Baseline, 4 and 12 months
fatigue (VAS scale)
Time frame: Baseline, 4 and 12 months
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Pain (VAS scale)
Time frame: Baseline, 4 and 12 months