The Effects of a Pilot Intervention for Community-Dwelling Adults with Rheumatoid Arthritis in Wuhan, China

Deng, Wenwen; Hu, Jie

doi:10.3389/fpubh.2013.00043

Cited by 7 publications

(6 citation statements)

References 41 publications

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“…Also, 14% of patients felt that they lacked knowledge bDMARD biologic disease-modifying antirheumatic drug, BMI body mass index, csDMARD conventional synthetic disease-modifying antirheumatic drug, HCQ hydroxychloroquine, IQR interquartile range, LEF leflunomide, MTX methotrexate, NSAIDs nonsteroidal antiinflammatory drugs, RA rheumatoid arthritis, SASP salazosulfapyridine, SD standard deviation, tsDMARD targeted synthetic disease-modifying antirheumatic drug a Sum of n does not add up to 400 because patients may be prescribed two csDMARDs b Includes medication for RA and comorbidities or understanding of RA management. A pilot educational intervention study conducted in China revealed that the educational program on RA management not only significantly improved patients' knowledge but also their confidence in managing their disease effectively [27]. Though many reasons contribute to the differences in perceptions of AEs, our study suggests that it is important to optimize communication between patients and their rheumatologists to improve AE recognition and reporting, and the management of RA.…”

Section: Discussionmentioning

confidence: 68%

“…Also, 14% of patients felt that they lacked knowledge or understanding of RA management. A pilot educational intervention study conducted in China revealed that the educational program on RA management not only significantly improved patients’ knowledge but also their confidence in managing their disease effectively [ 27 ]. Though many reasons contribute to the differences in perceptions of AEs, our study suggests that it is important to optimize communication between patients and their rheumatologists to improve AE recognition and reporting, and the management of RA.…”

Section: Discussionmentioning

confidence: 99%

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Investigating the safety and compliance of using csDMARDs in rheumatoid arthritis treatment through face-to-face interviews: a cross-sectional study in China

et al. 2020

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Rheumatoid arthritis (RA) significantly impacts the health of Chinese patients. Conventional synthetic disease-modifying antirheumatic drugs (csDMARDs) are used as the standard treatment for patients with RA. However, Chinese patients with RA have reported poor compliance with csDMARDs. This study aims to better understand the safety and compliance of using csDMARDs in RA treatment. Face-to-face interviews were conducted by questionnaires on safety and compliance of csDMARDs in 400 patients with RA and 100 rheumatologists from 13 cities in China. Rheumatologists were from Tier 3 Class A hospitals with independent rheumatology departments, who admitted more than 30 patients with RA per week. All patients were diagnosed for > 3 months before the survey and had been treated with csDMARDs for > 3 months. The incidence of adverse events (AEs) that attributed to csDMARDs estimated by rheumatologists was lower than that reported by patients for all four prescribed csDMARDs. Also, types of common AEs in rheumatologist’s perception differed from those in the patient’s report. Only 86% (116/135) of patients claimed they notified their rheumatologist about AEs, and 40.8% (150/368) of patients did not strictly adhere to their prescribed treatment. Reasons why patients were not compliant with their treatment, other than AEs, included symptoms being less severe, travel, and busy working life/business trips. This study revealed gaps in perceptions of csDMARDs-related AEs and medication adherence between rheumatologists and patients. These findings suggested adequate doctor-patient communications, and considerations of multiple real-world situations may improve adherence in the treatment of RA patients. Key Points• This study identified gaps in rheumatologists’ perception of the prevalence and type of AEs experienced by their patients, which could potentially help them improve their patients’ compliance with treatment.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Investigating the safety and compliance of using csDMARDs in rheumatoid arthritis treatment through face-to-face interviews: a cross-sectional study in China

et al. 2020

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“…Sezgin's study showed predisposing factors were screening of the film at the ICU (Sezgin and Esin, 2018). The Deng study has referented the role of self-efficacy in the therapy of prophylactic behavior of rheumatoid arthritis (Deng and Hu, 2013). The mean score for studied factors before the intervention 1 and 2 were at low range, but after the intervention, significantly accelerated.…”

Section: Discussionmentioning

confidence: 99%

Effects of educational program based on Precede-Proceed model in promoting low back pain behaviors (EPPLBP) in health care workers Shahid Beheshti University of medical sciences: randomized trial

Pourhaji

Delshad

Tavafian

et al. 2020

Heliyon

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The PRECEDE-PROCEED model is an adaptable planning model that could be served in public health issues. The purpose of this study is to investigate the effects of an educational program based on Precede-Proceed model on promoting Low Back Pain (LBP) behaviors among health care workers (HCWs). This Double-blinded randomized trial study was conducted on 112 from 120 HCWs aged from 30 to 55 years The eligible HCWs were randomly divided to intervention group 1 (N ¼ 38), respectively intervention group 2 and control group (N ¼ 37) for which the Precede-Proceed-based educational program was implemented and control group (N ¼ 37). The random multi-stage cluster sampling method was used to recruit HCWs. HCWs completed a self-reported questionnaire on their Low Back Pain Behaviors assessment questionnaire based on the Precede-Proceed Model and a visual analogue scale (VAS) was also used. The data were gathered at initial of the study, 6 and 12 months follow-ups from three groups and were analyzed through SPSS version 19. There was a significant interaction between the factors "group" and "test time" (p < 0.05, p < 0.001) of knowledge, perceived self-efficacy, and attitude, reinforcing factors, enabling factors, public health, quality of life and LBP preventive behaviors of the intervention group., although, no significant alternate became located in the mean score of above structures of the control group. The findings of the present study confirmed the effectiveness of the PRECEDE-PROCEED model-based educational program on preventing LBP by enhancing scores of model constructs. However, these results should be repeated in further studies to be able to apply this program in health system.

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“… 52 Both group-based and individual-based educational programs with various modalities, such as face to face, telephone and internet, were successfully explored in the past 3 decades. 53 – 55 Cognitive-behavioral approach was used to enhance patient’s self-efficacy in these educational intervention programs. Specifically, four primary strategies have been suggested in clinical practice: 1) identify and facilitate patient’s performance accomplishments or skills mastery; 2) guide patient to observe vicarious experiences; 3) give social and verbal persuasion and 4) pay attention to patient’s physiological and emotional states.…”

Section: Discussionmentioning

confidence: 99%

Moderating role of self-efficacy on the associations of social support with depressive and anxiety symptoms in Chinese patients with rheumatoid arthritis

Liu

Wang

2017

NDT

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PurposeRheumatoid arthritis (RA) is significantly associated with depression and anxiety. Social support and self-efficacy are the coping resources of psychological distress. However, little research is available on the interaction of social support and self-efficacy in RA patients. This study aimed to identify the prevalence of depressive and anxiety symptoms and to examine whether or not self-efficacy moderates the associations of social support with depressive and anxiety symptoms in Chinese RA patients.MethodsA multicenter, cross-sectional study was conducted in northeast of China from December 2014 to January 2016. A total of 297 RA patients completed the Center for Epidemiologic Studies Depression Scale, Zung Self-Rating Anxiety Scale, Multidimensional Scale of Perceived Social Support and General Self-Efficacy Scale. The associations of social support, self-efficacy and social support × self-efficacy interaction with depressive and anxiety symptoms were examined by hierarchical regression analysis. If the interaction was statistically significant, simple slope analysis was conducted.ResultsThe prevalence of depressive symptoms was 58.2%, while 47.5% RA patients had anxiety symptoms. Social support and social support × self-efficacy interaction were significantly associated with depressive symptoms. Social support, self-efficacy and their interaction were significantly associated with anxiety symptoms. The association between social support and depressive symptoms was gradually reduced in the low (1 standard deviation [SD] below the mean, B=−0.614, β=−0.876, P<0.001), mean (B=−0.395, β=−0.563, P<0.001) and high (1 SD above the mean, B=−0.176, β=−0.251, P=0.002) groups of self-efficacy. For anxiety symptoms, the association was also gradually reduced in the low (B=−0.527, β=−0.774, P<0.001), mean (B=−0.288, β=−423, P<0.001) and high (B=−0.049, β=−0.071, P=0.447) groups of self-efficacy.ConclusionThere was a high prevalence of depressive and anxiety symptoms in Chinese RA patients. Self-efficacy could attenuate the associations of social support with depressive and anxiety symptoms. Adequate social support and self-efficacy intervention should be provided to alleviate psychological distress.

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The Effects of a Pilot Intervention for Community-Dwelling Adults with Rheumatoid Arthritis in Wuhan, China

Cited by 7 publications

References 41 publications

Investigating the safety and compliance of using csDMARDs in rheumatoid arthritis treatment through face-to-face interviews: a cross-sectional study in China

Investigating the safety and compliance of using csDMARDs in rheumatoid arthritis treatment through face-to-face interviews: a cross-sectional study in China

Effects of educational program based on Precede-Proceed model in promoting low back pain behaviors (EPPLBP) in health care workers Shahid Beheshti University of medical sciences: randomized trial

Moderating role of self-efficacy on the associations of social support with depressive and anxiety symptoms in Chinese patients with rheumatoid arthritis

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