Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomized controlled trial
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| Titel: | Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomized controlled trial |
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| Autoren: | Line R Knudsen, Mwidimi Ndosi, Ellen-Margrethe Hauge, Kirsten Lomborg, Lene Dreyer, Sidsel Aaboe, Marie B Kjær, Lis Sørensen, Lena Volsmann, Heidi M Christensen, Annette de Thurah |
| Quelle: | Knudsen, L R, Ndosi, M, Hauge, E-M, Lomborg, K, Dreyer, L, Aaboe, S, Kjær, M B, Sørensen, L, Volsmann, L, Christensen, H M & de Thurah, A 2024, 'Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomized controlled trial', Rheumatology, vol. 63, no. 9, keae177, pp. 2547-2556. https://doi.org/10.1093/rheumatology/keae177 Raunsbæk Knudsen, L, Ndosi, M, Hauge, E M, Lomborg, L, Dreyer, L, Aaboe, S, Bækmark Kjær, M, Sørensen, L, Volsmann, L, Christensen, H M & de Thurah, A 2024, 'Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomised controlled trial', Annals of the Rheumatic Diseases, vol. 83, no. Suppl. 1, OP0238-HPR, pp. 210. https://doi.org/10.1136/annrheumdis-2024-eular.1200 Raunsbæk Knudsen, L, Ndosi, M, Hauge, E M, Lomborg, L, Dreyer, L, Aaboe, S, Bækmark Kjær, M, Sørensen, L, Volsmann, L, Christensen, H M & de Thurah, A 2024, ' Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomised controlled trial ', Annals of the Rheumatic Diseases, vol. 83, no. Suppl. 1, OP0238-HPR, pp. 210 . https://doi.org/10.1136/annrheumdis-2024-eular.1200 Knudsen, L R, Ndosi, M, Hauge, E M, Lomborg, K, Dreyer, L, Aaboe, S, Kjær, M B, Sørensen, L, Volsmann, L, Christensen, H M & De Thurah, A 2024, 'Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis : a randomized controlled trial', Rheumatology, vol. 63, no. 9, pp. 2547-2556. https://doi.org/10.1093/rheumatology/keae177 |
| Verlagsinformationen: | Oxford University Press (OUP), 2024. |
| Publikationsjahr: | 2024 |
| Schlagwörter: | rheumatoid arthritis, Male, self-management, Health Knowledge, Attitudes, Practice, Patient Education as Topic/methods, tele-health, Self-Management, 4. Education, Middle Aged, health services research, Self Efficacy, Health Literacy, 3. Good health, digital patient education, Arthritis, Rheumatoid, Patient Education as Topic, Arthritis, Rheumatoid/therapy, Quality of Life, Humans, Female, Self-Management/education, Aged |
| Beschreibung: | Objectives To evaluate the effectiveness of a novel digital patient education (PE) programme in improving self-management in patients newly diagnosed with rheumatoid arthritis (RA). Methods This was a parallel, open-label, two-armed, randomized controlled trial with superiority design. Patients from five rheumatology clinics were randomized into digital PE (intervention) or face-to-face PE (control). The primary outcome was self-efficacy, measured by average difference in the Rheumatoid Arthritis Self-Efficacy (RASE) score from baseline to month 12. Secondary outcomes were RA knowledge, health literacy, adherence and quality of life. Healthcare utilization data and digital PE programme usage were recorded. Self-efficacy, knowledge and health literacy data were analysed using mixed-effects repeated measures modelling; adherence using logistic regression, and quality of life and healthcare utilization using descriptive statistics with the Wilcoxon rank-sum test. Results Of the 180 patients randomized (digital PE, n = 89; face-to-face PE, n = 91), 175 had data available for analysis. Median age was 59.0 years and 61% were women. The average difference in self-efficacy between groups from baseline to month 12 was significant by a −4.34 difference in RASE score, favouring the intervention group (95% CI: −8.17 to −0.51; P = 0.026). RA knowledge, health literacy and quality of life showed minor improvements over time but no difference between groups, except out-patient clinic contacts, which were fewer in the intervention group. Conclusion The findings suggest that digital PE is effective in improving self-efficacy and therefore self-management in patients with early RA. This intervention has potential to lower healthcare costs by decreasing out-patient clinic contacts. Trial registration number clinicaltrials.gov, NCT04669340. |
| Publikationsart: | Article Conference object |
| Sprache: | English |
| ISSN: | 1462-0332 1462-0324 |
| DOI: | 10.1093/rheumatology/keae177 |
| DOI: | 10.1136/annrheumdis-2024-eular.1200 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/38498833 http://www.scopus.com/inward/record.url?scp=85203125373&partnerID=8YFLogxK https://vbn.aau.dk/da/publications/16c31cf8-74da-4f2e-bbf2-ff688de43458 https://doi.org/10.1093/rheumatology/keae177 https://vbn.aau.dk/da/publications/69953566-02e3-42cb-b1b9-4cc4eccb9b2a https://doi.org/10.1136/annrheumdis-2024-eular.1200 https://pure.au.dk/portal/en/publications/c0ac932b-4051-4ea6-be0b-1ab698f1cc6b http://www.scopus.com/inward/record.url?scp=85203125373&partnerID=8YFLogxK https://doi.org/10.1093/rheumatology/keae177 |
| Rights: | OUP Standard Publication Reuse |
| Dokumentencode: | edsair.doi.dedup.....2dbaef4126727480957d48e9cd9cac1d |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Objectives To evaluate the effectiveness of a novel digital patient education (PE) programme in improving self-management in patients newly diagnosed with rheumatoid arthritis (RA). Methods This was a parallel, open-label, two-armed, randomized controlled trial with superiority design. Patients from five rheumatology clinics were randomized into digital PE (intervention) or face-to-face PE (control). The primary outcome was self-efficacy, measured by average difference in the Rheumatoid Arthritis Self-Efficacy (RASE) score from baseline to month 12. Secondary outcomes were RA knowledge, health literacy, adherence and quality of life. Healthcare utilization data and digital PE programme usage were recorded. Self-efficacy, knowledge and health literacy data were analysed using mixed-effects repeated measures modelling; adherence using logistic regression, and quality of life and healthcare utilization using descriptive statistics with the Wilcoxon rank-sum test. Results Of the 180 patients randomized (digital PE, n = 89; face-to-face PE, n = 91), 175 had data available for analysis. Median age was 59.0 years and 61% were women. The average difference in self-efficacy between groups from baseline to month 12 was significant by a −4.34 difference in RASE score, favouring the intervention group (95% CI: −8.17 to −0.51; P = 0.026). RA knowledge, health literacy and quality of life showed minor improvements over time but no difference between groups, except out-patient clinic contacts, which were fewer in the intervention group. Conclusion The findings suggest that digital PE is effective in improving self-efficacy and therefore self-management in patients with early RA. This intervention has potential to lower healthcare costs by decreasing out-patient clinic contacts. Trial registration number clinicaltrials.gov, NCT04669340. |
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| ISSN: | 14620332 14620324 |
| DOI: | 10.1093/rheumatology/keae177 |