The Effect of Patient Education on Coping and Well Being in Patients With Arthritis.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 141
- Locations
- 2
- Primary Endpoint
- Self efficacy
Study Overview
Brief Summary
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.
Detailed Description
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Polyarthritis
- •18-80 years
- •native Norwegian speaking
- •able to understand and participate in the PE program
Exclusion Criteria
- •Participated in a patient educational program the latest 12 months
Outcomes
Primary Outcomes
Self efficacy
Time Frame: Baseline, 4 and 12 months
Well being (Arizona Integrative Outcomes Scale)
Time Frame: Baseline, 4 and 12 months
Secondary Outcomes
- Educational Needs Assessment Tools(Baseline, 4 and 12 months)
- Patient Activation Measurement (PAM)(Baseline, 4 and 12 months)
- Cost- benefit(Baseline, 4 and 12 months)
- Physical activity(Baseline, 4 and 12 months)
- Use of medications(Baseline, 4 and 12 months)
- fatigue (VAS scale)(Baseline, 4 and 12 months)
- Pain (VAS scale)(Baseline, 4 and 12 months)
- Arthritis Impact Measurement Scale 2 (affect, symptoms, social interaction, role)(Baseline, 4 and 12 months)
- The Hospital Anxiety and Depression Scale(Baseline, 4 and 12 months)
- Modified Health Assessment Questionnaire(Baseline, 4 and 12 months)
- DAS 28 score (Disease activity score)(Baseline, 4 and 12 months)