RT Journal Article
SR Electronic
T1 Effect of a collective educational program for patients with rheumatoid arthritis: a prospective 12-month randomized controlled trial.
JF The Journal of Rheumatology
JO J Rheumatol
FD The Journal of Rheumatology
SP 1684
OP 1691
VO 34
IS 8
A1 Janine-Sophie Giraudet-Le Quintrec
A1 Anne Mayoux-Benhamou
A1 Philippe Ravaud
A1 Karine Champion
A1 Emmanuelle Dernis
A1 Djamila Zerkak
A1 Amel Ouslimani
A1 Jean-Pierre Courpied
A1 Michel Revel
A1 André Kahan
A1 Maxime Dougados
YR 2007
UL http://www.jrheum.org/content/34/8/1684.abstract
AB OBJECTIVE: To evaluate the effect on health and functional status of an 8-week group-education program for rheumatoid arthritis (RA) in addition to usual medical care. METHODS: All consecutive inpatients and outpatients with RA (ACR criteria) were asked to participate in this randomized, prospective, controlled trial. The educational intervention consisted of 8 weekly ambulatory sessions, each lasting 6 hours. Followup was undertaken after 1 year. The primary criterion for judging effectiveness was the Health Assessment Questionnaire (HAQ) score; secondary criteria consisted of coping, medical knowledge, patient global satisfaction, and quality of life scores before the intervention and after 1 year. RESULTS: We asked 1242 inpatients and outpatients to participate in the study: 208 (16.75%) agreed (104 in each group). At baseline, there was no statistically significant difference between the 2 groups. After 1 year, no statistically significant difference was observed between the 2 groups in change in HAQ score: -0.04 +/- 0.46 (education group) vs -0.06 +/- 0.47 (control group) (p = 0.79). Statistically significant differences were found in 3 domains: patient coping (-1.22 +/- 5.55 vs -0.22 +/- 3.81; p = 0.03), knowledge (3.42 +/- 4.73 vs 0.73 +/- 3.78; p < 0.0001), and satisfaction (10.07 +/- 11.70 vs 5.72 +/- 13.77; p = 0.02), all of which were better for the group attending the education sessions. CONCLUSION: Despite improvements in patient coping, knowledge, and satisfaction, the education program was not found to be effective at 1 year. There may have been methodological problems relating to the sensitivity of questionnaires and patient selection, and tailored educational interventions should be considered.