More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 62
- 试验地点
- 2
- 主要终点
- EVA measures the overall ability to find solutions applicable to their situation
研究概览
简要总结
Taking into account the recommendations of the Health Authority [1] and the application of patients' associations, we have structured a course of therapeutic education includes three stages for patients with rheumatoid arthritis and followed at Nantes University Hospital. Step 1: initial interview with a nurse patient education for diagnosis and education with the patient to choose three subjects from among 10 offered him problematic; Step 2: Orientation in an educational path that provides access to 6 months group workshops (3 maximum) and / or interviews tailored to the three selected topics; Step 3: final interview with a nurse said therapeutic education formative assessment to take stock. The main objective of our work is to ensure that the patient finds it easier solutions to the three problematic topics him after 6 months of education after six months without treatment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient presenting at clinics for Rheumatology or the Rheumatology Day Hospital at the University Hospital or hospitalized in the department of Rheumatology
- •Men or women
- •Having signed the consent
- •Affiliated to social security or covered by the CMU
- •Patient with rheumatoid arthritis meeting the ACR criteria
- •Patient with rheumatoid arthritis stable for at least 6 months (change in DAS 28 <1.2)
排除标准
- •Patient can not understand the information
- •Patient confined to bed or chair, unable to care for himself or not doing with difficulty
- •pregnant patient
- •Adults under guardianship
结局指标
主要结局
EVA measures the overall ability to find solutions applicable to their situation
时间窗: 12 months
Investigate whether, overall, the patient is more easily applicable solutions to the situation after six months of therapeutic education after six months without therapeutic education for three problems identified after the initial filling of the questionnaire (controls ) and after the initial interview with the nurse (test group)
次要结局
- Beck Scale(12 months)
- Self-efficacy against a disease flare (EVA), self-efficacy against a side effect of treatment (EVA)(12 months)
- RAPID score 4 (scale)(12 months)
- Knowledge (score / 10) treatments for rheumatoid arthritis, knowledge (note/10) signs of a flare of rheumatoid arthritis.(12 months)
- EVA measuring fatigue(12 months)
- Dosage Cortancyl or Solupred.(12 months)
- Number of visits to physician, rheumatologist at at therapist, psychiatrist, occupational physician, number of hospitalizations, number of meetings with occupational therapist, social worker, dietician, physiotherapist, psychologist...(12 months)
- Patient satisfaction with respect to information received, the caller and the improvement in different areas of health (EVA)(12 months)
- Attendance at meetings / workshops offered after the initial diagnosis.(12 months)
- EVA measures the ability to find solutions applicable to their situation for each of the three problems identified.(12 months)
- Scale of STAI S Scale of STAI S(12 months)
- Evaluation Test of adherence of Girerd(12 months)
- Duration of morning stiffness in minutes or hours.(12 months)
- CRP and VS(12 months)