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Prevalence of Abuse Among Patients With Rheumatic Diseases

Recruiting
Conditions
Abuse Neglect
Abuse
Rheumatic Diseases
Interventions
Other: Rheumatic diseases Mistreatment Scale (RDMS)
Other: Health Assessment Questionnaire (HAQ)
Other: Depression, Anxiety and Stress Scale (DASS-21)
Other: Brief Resilient Coping Scale
Other: WHOQOL-BREF
Other: Routine assessment of patient index data 3 (RAPID-3)
Other: Big Five Inventory
Other: Family APGAR Questionnaire
Registration Number
NCT06233760
Lead Sponsor
National Institute of Medical Sciences and Nutrition, Salvador Zubiran
Brief Summary

Patients with rheumatic diseases (RD) have a relevant representation in the adult population in Mexico. RD are characterized by their chronic and progressive nature, which can impact functionality during the disease and can present various factors that can be associated with the presence of abuse, among others, economic dependence, decreased physical capacity, and need for care and support in different health processes.

Regarding abuse in patients with RD, there is little information in the literature; however, it is possible that the prevalence could be similar to that of the occurrence in older adults since both populations share important states of vulnerability.

The study aimed to identify the prevalence of abuse in patients with RD. The study will be conducted in two phases: the first one in which the GAS will be adapted for patients with RD, and this version will be validated in a population of our Institute, and the second one in which, applying the validated instrument, the magnitude of abuse is evaluated, and the factors associated with this phenomenon among patients with RD are explored.

Detailed Description

Patients with rheumatic diseases (RD) have a relevant representation in the adult population in Mexico. RD are characterized by their chronic and progressive nature, which can impact functionality during the disease and can present various factors that can be associated with the presence of abuse, among others, economic dependence, decreased physical capacity, and need for care and support in different health processes.

In 1970, the phenomenon of abuse in geriatric patients was described for the first time as a phenomenon identified as a public health problem and an issue of human rights violation.

In 2012 Giraldo-Rodríguez developed and validated the Geriatric Abuse Scale (GAS), an instrument that, with adequate psychometric properties, reported a prevalence of abuse of 10.28% in Mexico.

Regarding abuse in patients with RD, there is little information in the literature; however, it is possible that the prevalence could be similar to that of the occurrence in older adults since both populations share important states of vulnerability.

The study aimed to identify the prevalence of abuse in patients with RD. The study will be conducted in two phases: the first one in which the GAS will be adapted for patients with RD, and this version will be validated in a population of our Institute, and the second one in which, applying the validated instrument, the magnitude of abuse is evaluated, and the factors associated with this phenomenon among patients with RD are explored.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
244
Inclusion Criteria
  • Patients with a rheumatic disease diagnosis according to their primary rheumatologist who agree to participate
Exclusion Criteria
  • Patients with a not confirmed rheumatic disease

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Patients with rheumatic diseasesHealth Assessment Questionnaire (HAQ)All the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesWHOQOL-BREFAll the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesFamily APGAR QuestionnaireAll the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesDepression, Anxiety and Stress Scale (DASS-21)All the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesBig Five InventoryAll the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesBrief Resilient Coping ScaleAll the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesRoutine assessment of patient index data 3 (RAPID-3)All the rheumatic diseases outpatients from the National Institute of Medical Sciences
Patients with rheumatic diseasesRheumatic diseases Mistreatment Scale (RDMS)All the rheumatic diseases outpatients from the National Institute of Medical Sciences
Primary Outcome Measures
NameTimeMethod
Number of Mexican patients with RD who will present the phenomenon of mistreatmentAt inclusion (baseline moment) (cross-sectional study)

Identify the percentage of patients with rheumatic diseases that present mistreatment using the instrument developed by Giraldo-Rodríguez et al (translation, cultural adaptation, and validation performed)

Secondary Outcome Measures
NameTimeMethod
Identify factors associated with mistreatment among patients with rheumatic diseasesAt inclusion (baseline moment) (cross-sectional study)

Identify factors associated with mistreatment among patients with rheumatic diseases using an instrument locally development

Trial Locations

Locations (1)

Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

🇲🇽

Mexico City, Mexico

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