| Long-term effects of therapeutic education for patients with rheumatoid arthritis. | |
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MedLine Citation:
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PMID: 19775924 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The objective of this study was to assess the effects of an educational program on the course of rheumatoid arthritis (RA) after 3 years. METHODS: From December 2002 to December 2003, 39 RA patients participated in a 3-day education program delivered to groups of four or five patients. Effects of the program were evaluated after 3 years in 33 patients, comparatively to baseline, based on the following variables: knowledge of RA (self-questionnaire), disease activity (DAS 28), functional impairment (health assessment questionnaire [HAQ]) and quality of life (arthritis impact measurement scale 2 [AIMS2], short-form). We also compared patient knowledge in the educational program participants and in 38 controls with RA. Direct questions were used to evaluate the program after 3 years. RESULTS: Patient knowledge 3 years after the education program was significantly improved compared to baseline (P<0.0001) and was significantly better than in the controls (P<0.0001). Disease activity was significantly lower in the education group after 3 years than at baseline (DAS28, 3.1 vs. 3.8, P<0.005). Neither the HAQ nor the AIMS2 scores changed significantly after 3 years compared to baseline. The replies to the direct questions indicated a very high level of overall satisfaction with the educational program. CONCLUSION: An educational program tailored to patient needs can produce lasting improvements in knowledge of the disease and may help to control the activity of RA. These results warrant the development of education programs for patients with chronic inflammatory joint disease. |
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Authors:
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Fati Abourazzak; Laila El Mansouri; Doroth?e Huchet; Rita Lozac'hmeur; Najia Hajjaj-Hassouni; Anne Ingels; G?rard Chal?s; Aleth Perdriger |
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Publication Detail:
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Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Joint, bone, spine : revue du rhumatisme Volume: 76 ISSN: 1778-7254 ISO Abbreviation: Joint Bone Spine Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-16 Completed Date: 2010-02-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100938016 Medline TA: Joint Bone Spine Country: France |
Other Details:
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Languages: eng Pagination: 648-53 Citation Subset: IM |
Affiliation:
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Service de rhumatologie, h?pital El Ayachi, CHU de Rabat-Sal?, Rabat-Sal?, Morocco. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Aged Arthritis, Rheumatoid / physiopathology, rehabilitation* Disability Evaluation Female Health Knowledge, Attitudes, Practice Health Status Humans Male Middle Aged Outcome Assessment (Health Care)* Pain / physiopathology Pain Measurement Patient Education as Topic* Patient Satisfaction Program Evaluation Quality of Life Questionnaires Severity of Illness Index |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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