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Essential knowledge for patients with rheumatoid arthritis or spondyloarthritis: Results of a multicentric survey in France among health professionals and patients.

Authors :
Beauvais, Catherine
Rodère, Malory
Pereira, Bruno
Legoupil, Nathalie
Piperno, Muriel
Pallot Prades, Beatrice
Castaing, Patricia
Wendling, Daniel
Grange, Laurent
Costantino, Félicie
Carton, Laurence
Soubrier, Martin
Coquerelle, Pascal
Pham, Thao
Poivret, Didier
Cohen, Jean-David
Tavares, Isabelle
Nataf, Henri
Pouplin, Sophie
Sordet, Christelle
Source :
Joint Bone Spine. Nov2019, Vol. 86 Issue 6, p747-752. 6p.
Publication Year :
2019

Abstract

<bold>Objective: </bold>Information and education are recommended for patients with inflammatory arthritis including rheumatoid arthritis (RA) and spondyloarthritis (SpA). However, there is no consensus on which knowledge is essential to enhance patients' self-management. The aim of this study was to determine such knowledge.<bold>Methods: </bold>Based on published knowledge questionnaires (KQs) collected by a systematic literature review, a list of items was elaborated, classified in domains and sub domains. A Delphi process was performed with rheumatologists, healthcare professionals and patients in 2014-2015, selecting the items considered useful.<bold>Results: </bold>Three published KQs were analysed: 2 for RA; 1 for SpA and 5 unpublished KQs were collected. In the KQs, 90 knowledge items were mentioned for RA and 67 for SpA. The 1st Delphi round enlarged the list to 322 items for RA and 265 items for SpA. The second round selected 69 and 59 knowledge items for RA and SpA respectively, of which 36 (52%) and 34 (57%) were not present or modified from the published KQs. Key domains included treatment strategies, managing cDMARDs and bDMARDs, managing symptomatic medications. Knowledge on non-pharmacological treatment concerned pain and fatigue, physical activity, adaptative skills to personal and professional environment, patient-HP communication and shared decision-making.<bold>Conclusion: </bold>The present study provides a corpus of knowledge considered essential for patients in the self-management of their arthritis. The selection of many items reflects recent emphasis on professional recommendations and the patients' perspective. Future work should lead to the development of new updated KQs for patients with inflammatory arthritis. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
1297319X
Volume :
86
Issue :
6
Database :
Academic Search Index
Journal :
Joint Bone Spine
Publication Type :
Academic Journal
Accession number :
139652130
Full Text :
https://doi.org/10.1016/j.jbspin.2019.06.006