More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis (ETP-PR)

Not Applicable

Terminated

• Conditions: Rheumatoid Arthritis
• Interventions: Other: immediate therapeutic education; Other: therapeutic education delayed

• Registration Number: NCT01564147
• Lead Sponsor: Nantes University Hospital

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2011-09
• Primary Completion: 2012-02
• Study Completion: 2012-02
• Study First Submitted: 2012-03-21
• Study First Submitted QC: 2012-03-23
• Study First Posted: 2012-03-27
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-05
• Last Update Posted: 2016-08-08

Recruitment & Eligibility

• Status: TERMINATED
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• 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
• major
• 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)

Exclusion Criteria

• Patient can not understand the information
• Patient confined to bed or chair, unable to care for himself or not doing with difficulty
• pregnant patient
• minors
• Adults under guardianship

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Immediate Education therapeutic	immediate therapeutic education	Access to the course of immediate therapeutic education
therapeutic education delayed	therapeutic education delayed	Group receiving therapeutic education 6 months later (control group)

Primary Outcome Measures

Name	Time	Method
EVA measures the overall ability to find solutions applicable to their situation	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)

Secondary Outcome Measures

Name	Time	Method
Self-efficacy against a disease flare (EVA), self-efficacy against a side effect of treatment (EVA)	12 months	Perceived self-efficacy compared to rheumatoid arthritis
RAPID score 4 (scale)	12 months	Scalability of rheumatoid arthritis
Knowledge (score / 10) treatments for rheumatoid arthritis, knowledge (note/10) signs of a flare of rheumatoid arthritis.	12 months	Skills that we consider indispensable
EVA measuring fatigue	12 months	Fatigue
Dosage Cortancyl or Solupred.	12 months	Use of steroids
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	Consumption of medical and paramedical
Patient satisfaction with respect to information received, the caller and the improvement in different areas of health (EVA)	12 months	Satisfaction with patient education
Attendance at meetings / workshops offered after the initial diagnosis.	12 months	Membership
EVA measures the ability to find solutions applicable to their situation for each of the three problems identified.	12 months	Ability to find solutions applicable to their situation for each of the three problems identified
Evaluation Test of adherence of Girerd	12 months	Observance
Duration of morning stiffness in minutes or hours.	12 months	Duration of stiffness
CRP and VS	12 months	Biological criteria
Beck Scale	12 months	Depression
Scale of STAI S Scale of STAI S	12 months	Anxiety

Trial Locations

Locations (1)

Maugars; 🇫🇷 Nantes, France