A Randomized Controlled Trial Comparing Two Self-Administered Educational Strategies for Patients With Knee Osteoarthritis.
A Randomized Controlled Trial Comparing Two Self-Administered Educational Strategies for Patients With Knee Osteoarthritis.
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DOI：
10.1002/acr2.11222
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发表时间：
2021-03
影响因子：
3.4
通讯作者：
Suarez-Almazor ME
中科院分区：
文献类型：
--
作者：
Lopez-Olivo MA;des Bordes JK;Lin H;Volk RJ;Rizvi T;Suarez-Almazor ME
本研究的目的是评估自我管理的患者教育工具在提高膝关节骨关节炎管理知识和行为方面的功效。我们在膝骨关节炎患者中进行了一项随机临床试验，以评估提供娱乐教育视频并结合两本小册子与单独提供小册子的效果。我们评估了患者知识问卷、决策冲突量表、关节炎自我效能量表和有效消费者量表在基线和干预后当天、3个月和6个月之间的得分变化。我们使用线性回归模型来探索人口统计学特征和结果之间的关联，检验相互作用。219名参与者被随机分配接受视频+小册子（n = 109）或单独接受小册子（n = 110）。参与者的平均年龄为64.6（±8.3）岁。6个月时，两组的知识和决策冲突得分均有统计学意义上的改善，视频+宣传册组的参与医疗保健行为均有统计学意义上的改善。视频+小册子组在干预后立即比小册子组更有知识（平均差0.39[95%可信区间0.02‐0.76]）。在6个月时，两组之间没有观察到其他显著变化。视频+小册子的组合与西班牙语使用者的决策冲突减少和高中以下教育程度者的自我效能感增加有关。虽然这两种教育策略都与6个月时知识的提高和决策冲突的减少有关，但事实证明，与单独接受小册子相比，接受视频+小册子的组合在改变行为方面更有效，并且对讲西班牙语的人和受教育程度较低的人似乎有一些优势。
The objective of this study was to assess the efficacy of self‐administered patient educational tools in improving knowledge and behaviors for the management of knee osteoarthritis. We conducted a randomized clinical trial in patients with knee osteoarthritis to assess the efficacy of providing a video for entertainment education, in combination with two booklets, compared with providing the booklets alone. We evaluated changes in scores on a patient knowledge questionnaire, the Decisional Conflict Scale, the Arthritis Self‐Efficacy Scale, and the Effective Consumer Scale between baseline and same day, 3 months, and 6 months post intervention. We used linear regression models to explore associations between demographic characteristics and outcomes, testing for interactions. Two hundred nineteen participants were randomly assigned to receive the video + booklets (n = 109) or the booklets alone (n = 110). The mean age of participants was 64.6 (±8.3) years. At 6 months, statistically significant improvements were observed in knowledge and decisional conflict scores for both groups, and statistically significant improvements in the behavior to participate in their health care were observed in the video + booklets group. The video + booklets group was more knowledgeable immediately post intervention than the booklet group (mean difference 0.39 [95% confidence interval 0.02‐0.76]). No other significant changes in outcomes were observed at 6 months between the two groups. The video + booklets combination was associated with decreased decisional conflict in Spanish speakers and increased self‐efficacy in those with less than a high school education. Although both education strategies were associated with improved knowledge and reduced decisional conflict at 6 months, receiving the video + booklets in combination, compared with receiving the booklets alone, proved to be more effective in changing behaviors and appeared to have some advantages for Spanish speakers and those who were less educated.
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影响因子：
1.3
作者：
Allen, Kelli D.;Sanders, Linda L.;Williams, John W., Jr.
通讯作者：
Williams, John W., Jr.
影响因子：
0.7
作者：
Cox, Carol
通讯作者：
Cox, Carol
影响因子：
4.4
作者：
Bass, SB;Ruzek, SB;Moore, D
通讯作者：
Moore, D
影响因子：
4.9
作者：
Drăgoi RG;Ndosi M;Sadlonova M;Hill J;Duer M;Graninger W;Smolen J;Stamm TA
通讯作者：
Stamm TA
影响因子：
2.1
作者：
Jotterand, Fabrice;Amodio, Antonio;Elger, Bernice S.
通讯作者：
Elger, Bernice S.