Abstract
Patient education is a core activity in the management of inflammatory arthritic conditions. However, it may be challenging to decide which educational approach is most appropriate to fit with the individual patient’s needs. This is in parallel with the new trend of empowering patients, providing them with the environment to develop the skills, confidence, and knowledge to move from being a passive recipient of care to an active partner in their own healthcare. The scope of patient-reported outcome measures (PROMs) has gone beyond disease activity assessment and moved toward a dynamic role in the evaluation of the impact of the disease on the patients’ lives and their educational needs to enable them to cope with their illness. This chapter discusses how PROMs can help to deliver an educational program tailored to the patient’s needs, assessing its outcomes as well as identifying new targets to facilitate patients’ empowerment.
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References
Ryan S, Carr A. Applying the biopsychosocial model to the management of rheumatic disease. Rheumatology: evidence-based practice for physiotherapists and occupational therapists. London: Elsevier Health Sciences; 2010.
Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns. 2002;48(2):177–87.
Bishop P, Kirwan J, Windsor K. The arc patient literature evaluation project: brief report. Chesterfield: Arthritis and Rheumatism Council for Research; 1997.
Koehn CL, Esdaile JM. Patient education and self-management of musculoskeletal diseases. Best Pract Res Clin Rheumatol. 2008;22(3):395–405.
Zangi HA, Ndosi M, Adams J, Andersen L, Bode C, Bostrom C, et al. Eular recommendations for patient education for people with inflammatory arthritis. Ann Rheum Dis. 2015;74:954–62.
Combe B, Landewé R, Lukas C, Bolosiu HD, Breedveld F, Dougados M, et al. Eular recommendations for the management of early arthritis: report of a task force of the european standing committee for international clinical studies including therapeutics (escisit). Ann Rheum Dis. 2007;66(1):34–45.
Khanna D, Fitzgerald JD, Khanna PP, Bae S, Singh MK, Neogi T, et al. 2012 american college of rheumatology guidelines for management of gout. Part 1: systematic nonpharmacologic and pharmacologic therapeutic approaches to hyperuricemia. Arthritis Care Res. 2012;64(10):1431–46.
NICE. Rheumatoid arthritis: the management of rheumatoid arthritis in adults. London: Royal College of Physicians; 2009 [cited 29 Jan 2015]. http://www.nice.org.uk/guidance/CG79
Bertsias GK, Ioannidis JP, Aringer M, Bollen E, Bombardieri S, Bruce IN, et al. Eular recommendations for the management of systemic lupus erythematosus with neuropsychiatric manifestations: report of a task force of the eular standing committee for clinical affairs. Ann Rheum Dis. 2010;69(12):2074–82.
Braun J, van den Berg R, Baraliakos X, Boehm H, Burgos-Vargas R, Collantes-Estevez E, et al. 2010 update of the asas/eular recommendations for the management of ankylosing spondylitis. Ann Rheum Dis [Consensus Development Conference]. 2011;70(6):896–904.
Smolen JS, Aletaha D, Bijlsma JW, Breedveld FC, Boumpas D, Burmester G, et al. Treating rheumatoid arthritis to target: recommendations of an international task force. Ann Rheum Dis. [Consensus Development Conference Practice Guideline Research Support, Non-U.S. Gov’t]. 2010;69(4):631–7.
Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al. Eular recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72(7):1125–35.
Hoving C, Visser A, Mullen PD, van den Borne B. A history of patient education by health professionals in Europe and north America: from authority to shared decision making education. Patient Educ Couns. [Historical Article Review]. 2010;78(3):275–81.
Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G. Patient preferences for shared decisions: a systematic review. Patient Educ Couns. 2012;86(1):9–18.
Smolen JS, Landewe R, Breedveld FC, Buch M, Burmester G, Dougados M, et al. Eular recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Ann Rheum Dis. 2014;73(3):492–509.
Luqmani R, Hennell S, Estrach C, Birrell F, Bosworth A, Davenport G, et al. British society for rheumatology and british health professionals in rheumatology guideline for the management of rheumatoid arthritis (the first two years). Rheumatology. 2006;45(9):1167–9.
Scottish Intercollegiate Guidelines Network (SIGN). Management of early rheumatoid arthritis—a national clinical guideline. Edinburgh: SIGN; 2011.
Peters M, Symmons D, McCarey D, Dijkmans B, Nicola P, Kvien T, et al. Eular evidence-based recommendations for cardiovascular risk management in patients with rheumatoid arthritis and other forms of inflammatory arthritis. Ann Rheum Dis. 2010;69(2):325–31.
Green LW, Kreuter MW, Deeds SG, Partridge KB, Bartlett E. Health education planning: a diagnostic approach. Mountain View: Mayfield; 1980.
Lorig K, Visser A. Arthritis patient education standards: a model for the future. Patient Educ Couns. 1994;24(1):3–7.
Dreeben-Irimia O. Patient education in rehabilitation. Sudbury: Jones & Bartlett Publishers; 2010.
Bastable SB. Nurse as educator. Sudbury: Jones & Bartlett Publishers; 2008.
Anonymous. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.
Meesters JJ, Vliet Vlieland T, Hill J, Ndosi M. Measuring educational needs among patients with rheumatoid arthritis using the dutch version of the educational needs assessment tool (denat). Ann Rheum Dis. 2009;68 Suppl 3:773.
Ndosi M, Hill J, Hale C, Hardware B. Educational needs of patients with 6 rheumatic diseases. Rheumatology. [Meeting Abstract]. 2009;48:I160–1.
Dragoi RG, Ndosi M, Sadlonova M, Hill J, Duer M, Graninger W, et al. Patient education, disease activity and physical function: can we be more targeted? A cross sectional study among people with rheumatoid arthritis, psoriatic arthritis and hand osteoarthritis. Arthritis Res Ther. 2013;15(5):R156.
Barnes MP, Ward AB, Barnes MPTorm. Oxford handbook of rehabilitation medicine. New ed. Oxford: Oxford University Press; 2005.
Li LC. If knowledge is power, why don’t rheumatoid arthritis education programs show better outcomes? J Rheumatol. 2007;34(8):1645–6.
Niedermann K, Fransen J, Knols R, Uebelhart D. Gap between short- and long-term effects of patient education in rheumatoid arthritis patients: a systematic review. Arthritis Care Res. 2004;51(3):388–98.
Riemsma RP, Taal E, Kirwan JR, Rasker JJ. Systematic review of rheumatoid arthritis patient education. Arthritis Care Res. 2004;51(6):1045–59.
Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self management education programs: a meta analysis of the effect on pain and disability. Arthritis Rheum. 2003;48(8):2207–13.
El Miedany Y, El Gaafary M, El Arousy N, Ahmed I, Youssef S, Palmer D. Arthritis education: the integration of patient-reported outcome measures and patient self-management. Clin Exp Rheumatol. 2012;30(6):899–904.
Ndosi M, Johnson D, Hardware B, Young T, Hill J, Hale C, et al. Effects of needs-based education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single blind, randomised controlled trial. Ann Rheum Dis. 2015. doi:10.1136/annrheumdis-2014-207171.
Ndosi M, Vinall K, Hale C, Bird H, Hill J. The effectiveness of nurse-led care in people with rheumatoid arthritis: a systematic review. Int J Nurs Stud. 2011;48(5):642–54.
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;23(7–8):1005–17.
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;88(1):113–20.
El Miedany Y, El Gaafary M, Youssef S, Palmer D. Incorporating patient reported outcome measures in clinical practice: development and validation of a questionnaire for inflammatory arthritis. Clin Exp Rheumatol. 2009;28(5):734–44.
El Miedany Miedany YE. Joint fitness program for arthritic patients—the value of patient-reported outcome measures in designing a tailored approach to patient education. 2012 [August 28, 2015]. www.touchmusculoskeletal.com
Ndosi M, Tennant A, Bergsten U, Kukkurainen ML, Machado P, de la Torre-Aboki J, et al. Cross-cultural validation of the educational needs assessment tool in RA in 7 European countries. BMC Musculoskelet Disord. 2011;12:110.
Ndosi M, Bremander A, Hamnes B, Horton M, Kukkurainen ML, Machado P, et al. Validation of the educational needs assessment tool as a generic instrument for rheumatic diseases in seven european countries. Ann Rheum Dis. 2014;73(12):2122–9.
Hardware BJD, Hale C, Ndosi M, Adebajo A. Patients and nursing staff views of using the education needs assessment tool in rheumatology clinics: a qualitative study. J Clin Nurs. 2015;24(7–8):1048–58.
Palmer D, El Miedany Y. Proms: a novel approach to arthritis self-management. Br J Nurs. 2012;21(10):601–2, 605–7.
Palmer D, El Miedany Y. From guidelines to clinical practice: cardiovascular risk management in inflammatory arthritis patients. Br J Community Nurs. 2013;18(9):424–8.
Desai SS, Myles JD, Kaplan MJ. Suboptimal cardiovascular risk factor identification and management in patients with rheumatoid arthritis: a cohort analysis. Arthritis Res Ther. 2012;14(6):R270.
Pincus T, Gibofsky A, Weinblatt ME. Urgent care and tight control of rheumatoid arthritis as in diabetes and hypertension: better treatments but a shortage of rheumatologists. Arthritis Rheum. 2002;46(4):851–4.
Smolen JS, Landewé R, Breedveld FC, Buch M, Burmester G, Dougados M, et al. Eular recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2013 update. Ann Rheum Dis. 2013;69(6):964–75.
El Miedany Y, El Gaafary M, Youssef S, Palmer D. Towards a multidimensional patient reported outcome measures assessment: development and validation of a questionnaire for patients with ankylosing spondylitis/spondyloarthritis. Joint Bone Spine. 2010;77(6):575–81.
El Miedany YEGM, El Yassaki A, Ahmed I, Youssef S, Hegazi M, Palmer D. Incorporating patient reported outcome measures in clinical practice: development and validation of a proms questionnaire for sle. Ann Rheum Dis. 2013;72 Suppl 3:484.
El Miedany Y, El Gaafary M, El Aroussi A, Ahmed I, Youssef S, Palmer D. Towards a multidimentional assessment: development and validation of a questionnaire for patients with fibromyalgia. Ann Rheum Dis. 2013;72 Suppl 3:719.
Ghisi GL, Abdallah F, Grace SL, Thomas S, Oh P. A systematic review of patient education in cardiac patients: do they increase knowledge and promote health behavior change? Patient Educ Couns. [Review]. 2014;95(2):160–174.
Lorig K, Konkol L, Gonzalez V. Arthritis patient education: a review of the literature. Patient Educ Couns. 1987;10(3):207–52.
Hirano PC, Laurent DD, Lorig K. Arthritis patient education studies, 1987–1991: a review of the literature. Patient Educ Couns. 1994;24(1):9–54.
Cramer JA, Roy A, Burrell A, Fairchild CJ, Fuldeore MJ, Ollendorf DA, et al. Medication compliance and persistence: terminology and definitions. Value Health. 2008;11(1):44–7.
El Miedany Y, El Gaafary M, Palmer D. Assessment of the utility of visual feedback in the treatment of early rheumatoid arthritis patients: a pilot study. Rheumatol Int. [Randomized Controlled Trial]. 2012;32(10):3061–8.
Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res. 2005;40(6 Pt 1):1918–30.
Hibbard JH, Stockard J, Mahoney ER, Tusler M. Development of the patient activation measure (PAM): conceptualizing and measuring activation in patients and consumers. Health Serv Res. 2004;39(4 Pt 1):1005–26.
Hibbard JH, Mahoney ER, Stock R, Tusler M. Do increases in patient activation result in improved self‐management behaviors? Health Serv Res. 2007;42(4):1443–63.
Alegría M, Sribney W, Perez D, Laderman M, Keefe K. The role of patient activation on patient–provider communication and quality of care for us and foreign born latino patients. J Gen Intern Med. 2009;24(3):534–41.
Mosen DM, Schmittdiel J, Hibbard J, Sobel D, Remmers C, Bellows J. Is patient activation associated with outcomes of care for adults with chronic conditions? J Ambul Care Manage. 2007;30(1):21–9.
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Appendices
Appendix 1: Multidimensional Questionnaire for Patient-Reported Outcome Measures: Arthritis
Appendix 2: Patient-Reported Outcome Measures for Spondyloarthritis (AS, Psoriasis, IBD)
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Palmer, D., Ndosi, M. (2016). PROMs and Patient Education. In: El Miedany, Y. (eds) Patient Reported Outcome Measures in Rheumatic Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-32851-5_16
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