Randomized Controlled Trial of Patient Education Tools for Patients With Rheumatoid Arthritis.
Randomized Controlled Trial of Patient Education Tools for Patients With Rheumatoid Arthritis.
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DOI：
10.1002/acr.24362
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发表时间：
2021-10
影响因子：
4.7
通讯作者：
Suarez-Almazor ME
中科院分区：
文献类型：
--
作者：
Lopez-Olivo MA;Lin H;Rizvi T;Barbo Barthel A;Ingleshwar A;des Bordes JKA;Jibaja-Weiss M;Volk RJ;Suarez-Almazor ME
我们评估了两种教育工具对类风湿性关节炎(RA)患者的疗效。一个新开发的视频工具，包括故事情节和推荐信，结合一本书面小册子，与单独编写的小册子进行了比较。我们进行了一项随机对照试验。我们的主要结果是疾病知识。次要结果是决策冲突、自我效能、有效的医疗保健管理和满意度。在回顾材料之前和之后、3个月和6个月后对结果进行测量。线性混合效应模型被用来评估随时间的变化。221名参与者收到了教育视频和小册子(n=111)或单独收到小册子(n=110)。平均年龄为50.8岁，平均病程为4.8年，85%为女性，24%的人健康素养水平有限。在组内，大多数结果在基线和随访之间有所改善，但组间没有统计学上的显著差异。收到视频和小册子的患者比只收到小册子的患者更有可能将演示文稿评为“极好”，因为他们提供了有关类风湿关节炎的影响、药物选择、药物证据、药物益处和自我护理选项的信息。从基线到6个月，与知识和决策冲突的更大改善显著相关的因素包括健康素养有限、教育水平较低和疾病持续时间较短。无论采用何种方式，在教材交付后6个月内，结果都会有所改善。我们的发现支持在临床环境中实施自我管理的教育材料，因为它们可以导致疾病知识和决策冲突的持续改善。
We evaluated the efficacy of two educational tools for patients with rheumatoid arthritis (RA). A newly developed video tool including storylines and testimonials combined with a written booklet was compared with the same written booklet alone. We conducted a randomized controlled trial. Our primary outcome was disease knowledge. Secondary outcomes were decisional conflict, self-efficacy, effective healthcare management, and satisfaction.Outcomes were measured before and after reviewing the materials, and 3 and 6 months later. Linear mixed effects models were performed to evaluate changes over time. Two hundred and twenty-one participants received an educational video and booklet (n=111) or a booklet alone (n=110). The mean age was 50.8 years, mean disease duration was 4.8 years, 85% were female, and 24% had limited health literacy levels. Within groups, most outcomes improved between baseline and follow-up, but there were no statistically significant differences across groups. Patients receiving the video and booklet were more likely than those receiving the booklet alone to rate the presentation as “excellent” for providing information about the impact of RA, medication options, evidence about medications, benefits of medication, and self-care options. Factors significantly associated with greater improvements in knowledge and decisional conflict from baseline to 6 months included limited health literacy, lower educational level, and shorter disease duration. Regardless of the delivery method, outcomes were improved up to 6 months after educational materials were delivered. Our findings support the implementation of self-administered educational materials in clinical settings as they can result in sustained improvements in disease knowledge and decisional conflict.
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影响因子：
16.2
作者：
Kim, S;Love, F;Shea, JA
通讯作者：
Shea, JA
影响因子：
5.7
作者：
Chew, Lisa D.;Griffin, Joan M.;VanRyn, Michelle
通讯作者：
VanRyn, Michelle
影响因子：
5.5
作者：
Hammond, A.;Bryan, J.;Hardy, A.
通讯作者：
Hardy, A.
影响因子：
8.8
作者：
Cull, A;Miller, H;Porterfield, T;Mackay, J;Anderson, E D;Steel, C M;Elton, R A
通讯作者：
Elton, R A
影响因子：
3
作者：
BARRY, MJ;FOWLER, FJ;WENNBERG, JE
通讯作者：
WENNBERG, JE