PATIENT EDUCATION STRATEGIES FOR BETTER OUTCOMES IN OA AND RA

在不断变化的医疗保健环境中，患者在管理中的作用 他们的关节炎越来越重要。耐心教育是 教授病人如何完成这一角色的主要手段 成功了。自我管理健康教育的目标不仅仅是 提供信息，但改变受试者的态度和行为 患者的预后得到了改善。这些计划代表了一种新的 治疗关节炎。关节炎自我管理计划是一种经过验证的 有效的干预，但受限于提供 足够数量的面对面干预 网站的数量。 该项目将评估对健康状况和成本的相对影响- 两种关节炎患者教育方案的效果评价 不同的输送系统。关节炎自我管理计划(ASMP) 采用小团体、多班级的形式。它是由训练有素的门外汉教授的 领导，并已被评估的有效性，并已被广泛 散播的。自行管理的关节炎缓解疗法(SMART)计划 是一种计算机驱动的、个性化的、邮件递送的干预。基座 在试点研究中，它在改善健康状况和减少 卫生保健利用情况。 此外，该项目还将评估SMART 方案及其对不同疾病患者的有效性 诊断(骨关节炎和类风湿关节炎)。它还将确定患者的属性 选择和不选择参加患者教育计划的人 以及完成和未完成 ASMP和SMART程序。通过利用Aramis数据 采集系统，让我们来描述项目的不同之处 自愿接受患者教育的患者和那些 拒绝对病人进行教育。 该项目旨在改善RA和OA患者的预后 通过广泛提供一种低成本、邮寄的自行关节炎 管理计划；关节炎健康教育的下一代。

In a changing health care environment, the role of patients in managing their arthritis is increasingly important. Patient education is the primary means for teaching patients how to fulfill this role successfully. The goal of self-management health education is not merely to provide information, but to change subject attitudes and behavior so that patient outcomes are improved. These programs represent a new treatment for arthritis. Arthritis Self-Management Programs are a proven effective intervention, but are limited by the logistics of providing a sufficient number of face-to-face interventions at a sufficient number of sites. This project will evaluate the relative effect on health status and cost- effectiveness of two arthritis patient education programs which utilize different delivery systems. The Arthritis Self-Management Program (ASMP) utilizes a small group, multi-class format. It is taught by trained lay leaders and has been evaluated for effectiveness and has been widely disseminated. The Self-Managed Arthritis Relief Therapy (SMART) Program is a computer-driven, individualized, mail-delivered intervention. Based on pilot study, it is effective in improving health status and reducing health care utilization. In addition, the project will evaluate the generalizability of the SMART program as well as its effectiveness for patients with different diagnoses (OA and RA). It will also determine the attributes of patients who choose and do not choose to participate in patient education programs as well as the attributes of those who complete and do not complete the ASMP and SMART Programs. Through utilization of the ARAMIS data collection system, the project allows us to describe the differences between patients who volunteer to receive patient education and those who refuse patient education. This project is directed at improving patient outcomes in both RA and OA through wide availability of a low-cost, mail-delivered Arthritis Self- Management Program; the next generation in arthritis health education.