The effects of WeChat-based educational intervention in patients with ankylosing spondylitis: a randomized controlled trial

Song, Young Sun; Xie, Xiumin; Chen, Yanling; Wang, Ying; Yang, Hung‐Chih; Nie, Anliu; Chen, Hong

doi:10.1186/s13075-021-02453-7

Cited by 17 publications

(13 citation statements)

References 43 publications

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“…The data of this study were derived from baseline data of a randomized controlled trail (ChiCTR-IPR-16009293) in Chengdu, China. 19 The patients meeting the following criteria were included in the current study: (1) patients were diagnosed as AS according to the modified New York criteria for the diagnosis of AS; (2) patients were ≥14 years old; (3) patients can communicate or read in Chinese language; (4) patients were willing to attend this study. Exclusion criteria were: having severe cognitive impairment and other rheumatic diseases.…”

Section: Methodsmentioning

confidence: 99%

Predictors of Health-Related Quality of Life in Patients with Ankylosing Spondylitis in Southwest China

Song¹,

Chen²

2021

PPA

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Purpose The purpose of this study was to evaluate health-related quality of life (QoL) and explore its predictors in patients with ankylosing spondylitis (AS) in Southwest China. Patients and Methods We recruited AS patients from a tertiary hospital in Chengdu, China. Data were collected by self-reported questionnaires, including sociodemographic and disease-related variables, the Medical Outcomes Study 36-Item Short Form (SF-36), Beck Depression Inventory-Second Edition (BDI-II), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), and Bath Ankylosing Spondylitis Global score (BAS-G). Stepwise multiple linear regression analysis was used to determine the factors affecting physical component summary (PCS) and mental component summary (MCS) of SF-36. Results A total of 125 patients with AS were included in the current study. The PCS, MCS scores of SF-36 were 41.06±9.12, 47.82±9.84, respectively. Stepwise multiple linear regression analysis showed that higher educational level (β=0.237, P <0.001) and income (β=0.141, P =0.017), lower BASDAI (β=−0.195, P =0.006), BASFI (β=−0.317, P <0.001) and BAS-G (β=−0.288, P <0.001) scores were associated with higher PCS scores of SF-36. Higher BDI-II (β=−0.444, P <0.001) and fatigue (β=−0.293, P <0.001) scores were associated with worse MCS scores of SF-36. Conclusion AS patients in Southwest China had impaired health-related QoL. Healthcare providers should take effective strategies to modify the factors affecting health-related QoL, which may prompt disease management and increase QoL.

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Section: Methodsmentioning

confidence: 99%

Predictors of Health-Related Quality of Life in Patients with Ankylosing Spondylitis in Southwest China

Song¹,

Chen²

2021

PPA

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“…The programme consisted of four online educational sessions, and improvements in QoL and depression were found after 12 weeks. 44 …”

Section: Current Evidencementioning

confidence: 99%

“… 15 Web-based self-management programs providing education for improving self-efficacy, problem solving and physical activity guidance have shown improved patient satisfaction, QoL and physical activity in users versus non-users with RA and AS. 44 , 76 – 78 Wearable physical activity monitors for objective assessment of continuous physical activity showed promising construct validity and reliability in patients with idiopathic inflammatory myopathies, 79 while voice-based teleconsultations have been suggested as a useful means for diagnosing and managing relapses in idiopathic inflammatory myopathies during the pandemic. 80 …”

Section: Patient-reported Outcome Data and Self-assessmentmentioning

confidence: 99%

Future challenges in rheumatology – is telemedicine the solution?

Thurah

Marques

Souza

et al. 2022

Therapeutic Advances in Musculoskeletal

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The COVID-19 pandemic has become an unprecedented facilitator of rapid telehealth expansion within rheumatology. Due to demographic shifts and workforce shortages in the future, new models of rheumatology care will be expected to emerge, with a growing footprint of telehealth interventions. Telehealth is already being used to monitor patients with rheumatic diseases and initial studies show good results in terms of safety and disease progression. It is being used as a tool for appointment prioritization and triage, and there is good evidence for using telehealth in rehabilitation, patient education and self-management interventions. Electronic patient-reported outcomes (ePROs) offer a number of long-term benefits and opportunities, and a routine collection of ePROs also facilitates epidemiological research that can inform future healthcare delivery. Telehealth solutions should be developed in close collaboration with all stakeholders, and the option of a telehealth visit must not deprive patients of the possibility to make use of a conventional ‘face-to-face’ visit. Future studies should especially focus on optimal models for rheumatology healthcare delivery to patients living in remote areas who are unable to use or access computer technology, and other patient groups at risk for disparity due to technical inequity and lack of knowledge.

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“…Based on these findings, a randomized controlled trial for AS patients was conducted and aimed to compare patient outcomes in a theory-based mHealth intervention via WeChat with standard care. Results regarding quality of life, depression, and selected clinical outcomes have been published elsewhere [34]. This paper describes the primary outcomes of this intervention, including disease knowledge, self-efficacy, exercise adherence, disease activity, and physical function.…”

Section: Objectivesmentioning

confidence: 99%

The Impact of a Theory-Based mHealth Intervention on Disease Knowledge, Self-efficacy, and Exercise Adherence Among Ankylosing Spondylitis Patients: Randomized Controlled Trial

et al. 2022

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Background Patient education is recommended as an integral part of disease management in ankylosing spondylitis (AS), a chronic rheumatic disease that predominantly affects young males and requires long-term disease management. Convenient and cost-effective approaches to deliver patient education are required to these patients. Objective This study aimed to examine the effects of a theory-based educational intervention delivered through a social networking app, WeChat, on disease knowledge, self-efficacy, exercise adherence, and health outcomes in Chinese AS patients. Methods This study was a single-blind randomized controlled trial conducted in a tertiary hospital in Chengdu, China. Eligible participants were randomly allocated to the intervention or control group. Participants in the control group received standard care. The intervention group received the health belief model (HBM)-based educational intervention, consisting of 4 individual educational sessions and educational information sharing through WeChat, the predominant social networking app in China. The primary outcomes were disease knowledge, self-efficacy, and exercise adherence. The secondary outcomes were disease activity and physical function. Data were collected at baseline and at the end of the intervention (12th week). Chi-square test, t test, Mann-Whitney U tests were used to examine the effects of educational intervention. Results This study included 118 patients with AS. The majority of participants were male (93/118, 78.8%). Around half of them were married (56/118, 47.5%), never smoked (70/118, 59.3%), and had college educational level or above (62/118, 52.5%). At posttest, participants in the intervention group had higher disease knowledge (all P<.001) and self-efficacy (P<.001), and a larger proportion of participants in the intervention group adhered to regular exercise routines than those in the control group (P=.003). The within-group analyses for the intervention group showed increases in all scores of disease knowledge (all P<.001) and self-efficacy score (P<.001), but only correct answer score (P=.04) and general knowledge score (P=.002) of disease knowledge in the control group improved. The within-group analysis for the control group found a decline of physical function (P=.002) but no significant change in disease activity (P>.05). The within-group analysis for the intervention group showed no significant change in disease activity or physical function (P>.05). At posttest, no statistically significant difference was found on disease activity or physical function between the intervention and control groups (P>.05). Conclusions The HBM-based educational intervention through WeChat can effectively improve patient disease knowledge, self-efficacy, and exercise adherence. WeChat is feasible and effective to deliver patient education for patients with chronic diseases such as AS. This mHealth intervention can be integrated into routine rheumatology care. Trial Registration Chinese Clinical Trial Registry ChiCTR-IPR-16009293; https://tinyurl.com/swxt8xk7

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The effects of WeChat-based educational intervention in patients with ankylosing spondylitis: a randomized controlled trial

Cited by 17 publications

References 43 publications

Predictors of Health-Related Quality of Life in Patients with Ankylosing Spondylitis in Southwest China

Predictors of Health-Related Quality of Life in Patients with Ankylosing Spondylitis in Southwest China

Future challenges in rheumatology – is telemedicine the solution?

The Impact of a Theory-Based mHealth Intervention on Disease Knowledge, Self-efficacy, and Exercise Adherence Among Ankylosing Spondylitis Patients: Randomized Controlled Trial

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