Polyarthritis Clinical Trial
Official title:
The Effect of Patient Education on Coping and Well Being in Patients With Arthritis.
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.
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. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
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