Coordinated individual education with an arthritis passport for patients with rheumatoid arthritis
Version of Record online: 8 DEC 2005
Copyright © 1997 American College of Rheumatology
Arthritis & Rheumatism
Volume 10, Issue 4, pages 238–249, August 1997
How to Cite
Riemsma, R. P., Taal, E., Brus, H. L. M., Rasker, J. J. and Wiegman, O. (1997), Coordinated individual education with an arthritis passport for patients with rheumatoid arthritis. Arthritis & Rheumatism, 10: 238–249. doi: 10.1002/art.1790100405
- Issue online: 8 DEC 2005
- Version of Record online: 8 DEC 2005
- Manuscript Accepted: 11 MAR 1997
- Manuscript Received: 1 MAY 1996
- Nationaal Reumafonds
- Ministry of Health, Welfare and Sport of The Netherlands
- Rheumatoid arthritis;
- Patient education;
- Arthritis passport
Objective. To evaluate the effects of a program for individual education in combination with the use of an arthritis passport.
Methods. We studied 3 groups of patients with rheumatoid arthritis. The first experimental group received educational materials and followed the program under the guidance of their regular providers of health care whose activities were coordinated through arthritis passports. The second experimental group only received education materials; the control group received only usual care.
Results. There were no effects on self-efficacy expectations, knowledge, health status, or behavior in either experimental group. Opinions of general practitioners, physiotherapists, and visiting nurses concerning the arthritis passport were very positive, but rheumatologists' opinions were not. Opinions on coordination of care were more positive among the physiotherapists of the experimental group.
Conclusions. Individual education for patients with rheumatoid arthritis by health care providers during routine consultations, as implemented in this program, had no effect on self-efficacy expectations, knowledge, health status, or health behavior. Likewise, the distribution of educational materials by itself without the involvement of health care providers had no effect. The use of the arthritis passport improved coordination of care, especially for physiotherapists.