Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis: a randomized controlled trial
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Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis : a randomized controlled trial. / Knudsen, Line R.; Ndosi, Mwidimi; Hauge, Ellen-Margrethe; Lomborg, Kirsten; Dreyer, Lene; Aaboe, Sidsel; Kjær, Marie B.; Sørensen, Lis; Volsmann, Lena; Christensen, Heidi M.; de Thurah, Annette.
In: Rheumatology, 18.03.2024.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Effectiveness of a novel digital patient education programme to support self-management of early rheumatoid arthritis
T2 - a randomized controlled trial
AU - Knudsen, Line R.
AU - Ndosi, Mwidimi
AU - Hauge, Ellen-Margrethe
AU - Lomborg, Kirsten
AU - Dreyer, Lene
AU - Aaboe, Sidsel
AU - Kjær, Marie B.
AU - Sørensen, Lis
AU - Volsmann, Lena
AU - Christensen, Heidi M.
AU - de Thurah, Annette
N1 - © The Author(s) 2024. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For permissions, please email: journals.permissions@oup.com.
PY - 2024/3/18
Y1 - 2024/3/18
N2 - 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 arms, randomised controlled trial with superiority design. Patients from five rheumatology clinics were randomised 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 utilisation 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 randomised (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.CONCLUSIONS: 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.
AB - 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 arms, randomised controlled trial with superiority design. Patients from five rheumatology clinics were randomised 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 utilisation 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 randomised (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.CONCLUSIONS: 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.
U2 - 10.1093/rheumatology/keae177
DO - 10.1093/rheumatology/keae177
M3 - Journal article
C2 - 38498833
JO - Rheumatology
JF - Rheumatology
SN - 1462-0324
ER -
ID: 392662100