Effect of Patient Education in Rheumatic Diseases

NCT ID: NCT00623922

Last Updated: 2015-04-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 141 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-02-29
• Study Completion Date: 2010-03-31

Brief Summary

The purpose of this study is to explore the effect of patient education (PE) in patients with arthritis. PE has become a task that is dictated by law in Norway, and is increasingly used as an element in the treatment of patients with chronic complaints. Our hypothesis is that

• PE delivered as group education, followed by an individual nurse consultation increases the patients wellbeing an ability to cope with the disease.

Detailed Description

There has been a rather long tradition of PE for patients with arthritis. A recent systematic review found that PE had small short-term effects on disability, joint counts, patient global assessment, psychological status and depression, but this effect disappeared on the latest time of follow up (3-14 months). A recent large British study also failed to show an effect on pain, physical functioning, or contact with primary care after 12 months, but found a significant effect on anxiety and improved the participants' perceived self efficacy. This indicates that the present forms of interventions fails to show a long term effect. One possible reason for the lack of long term effect might be that these interventions are given to groups only. Patients seem to prefer one-to-one interaction regarding information about the disease and its treatment together with emotional aspects, while education in groups are preferred for physical training and relational topics.

Conditions

Polyarthritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Study Groups

1

Patient education

Group Type: EXPERIMENTAL

Patient education with individual nurse consultations

Intervention Type: BEHAVIORAL

3 group meetings followed by 1-2 individual nurse consultations.

2

Usual care

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Patient education with individual nurse consultations

3 group meetings followed by 1-2 individual nurse consultations.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Polyarthritis
• 18-80 years
• native Norwegian speaking
• able to understand and participate in the PE program

Exclusion Criteria

• Participated in a patient educational program the latest 12 months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

The Research Council of Norway

OTHER

Sponsor Role: collaborator

Norwegian University of Science and Technology

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Aslak Steinsbekk

Role: PRINCIPAL_INVESTIGATOR

Norwegian University of Science and Technology

Kjersti Grønning

Role: PRINCIPAL_INVESTIGATOR

Norwegian University of Science and Technology

Locations

Norwegian University of Science and Technology and St. Olavs Hospital HF

Trondheim, Trondheim, Norway

Countries

Norway

References

Riemsma RP, Taal E, Kirwan JR, Rasker JJ. Systematic review of rheumatoid arthritis patient education. Arthritis Rheum. 2004 Dec 15;51(6):1045-59. doi: 10.1002/art.20823. No abstract available.

Reference Type: BACKGROUND

PMID: 15593105 (View on PubMed)

Gronning K, Skomsvoll JF, Rannestad T, Steinsbekk A. The effect of an educational programme consisting of group and individual arthritis education for patients with polyarthritis--a randomised controlled trial. Patient Educ Couns. 2012 Jul;88(1):113-20. doi: 10.1016/j.pec.2011.12.011. Epub 2012 Jan 23.

Reference Type: RESULT

PMID: 22277625 (View on PubMed)

Gronning K, Rannestad T, Skomsvoll JF, Rygg LO, Steinsbekk A. Long-term effects of a nurse-led group and individual patient education programme for patients with chronic inflammatory polyarthritis - a randomised controlled trial. J Clin Nurs. 2014 Apr;23(7-8):1005-17. doi: 10.1111/jocn.12353. Epub 2013 Jul 22.

Reference Type: RESULT

PMID: 23875718 (View on PubMed)

Gronning K, Midttun L, Steinsbekk A. Patients' confidence in coping with arthritis after nurse-led education; a qualitative study. BMC Nurs. 2016 May 4;15:28. doi: 10.1186/s12912-016-0150-x. eCollection 2016.

Reference Type: DERIVED

PMID: 27147905 (View on PubMed)

Other Identifiers

NSD 17975

Identifier Type: -

Identifier Source: secondary_id

4.2007.2472

Identifier Type: -

Identifier Source: org_study_id