Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Taking into account the recommendations of the Health Authority [1] and the application of patients' associations, we have structured a course of therapeutic education includes three stages for patients with rheumatoid arthritis and followed at Nantes University Hospital. Step 1: initial interview with a nurse patient education for diagnosis and education with the patient to choose three subjects from among 10 offered him problematic; Step 2: Orientation in an educational path that provides access to 6 months group workshops (3 maximum) and / or interviews tailored to the three selected topics; Step 3: final interview with a nurse said therapeutic education formative assessment to take stock. The main objective of our work is to ensure that the patient finds it easier solutions to the three problematic topics him after 6 months of education after six months without treatment.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate Education therapeutic | Other | Access to the course of immediate therapeutic education |
|
| therapeutic education delayed | Other | Group receiving therapeutic education 6 months later (control group) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| immediate therapeutic education | Other | Access to the course of immediate therapeutic education |
|
| Measure | Description | Time Frame |
|---|---|---|
| EVA measures the overall ability to find solutions applicable to their situation | Investigate whether, overall, the patient is more easily applicable solutions to the situation after six months of therapeutic education after six months without therapeutic education for three problems identified after the initial filling of the questionnaire (controls ) and after the initial interview with the nurse (test group) | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| EVA measures the ability to find solutions applicable to their situation for each of the three problems identified. | Ability to find solutions applicable to their situation for each of the three problems identified | 12 months |
| Knowledge (score / 10) treatments for rheumatoid arthritis, knowledge (note/10) signs of a flare of rheumatoid arthritis. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Yves Maugars, PU-PH | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maugars | Nantes | 44000 | France |
Not provided
| ID | Term |
|---|---|
| D001172 | Arthritis, Rheumatoid |
| ID | Term |
|---|---|
| D001168 | Arthritis |
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| therapeutic education delayed | Other | Group receiving therapeutic education 6 months later (control group) |
|
Skills that we consider indispensable |
| 12 months |
| Self-efficacy against a disease flare (EVA), self-efficacy against a side effect of treatment (EVA) | Perceived self-efficacy compared to rheumatoid arthritis | 12 months |
| RAPID score 4 (scale) | Scalability of rheumatoid arthritis | 12 months |
| EVA measuring fatigue | Fatigue | 12 months |
| Duration of morning stiffness in minutes or hours. | Duration of stiffness | 12 months |
| CRP and VS | Biological criteria | 12 months |
| Scale of STAI S Scale of STAI S | Anxiety | 12 months |
| Beck Scale | Depression | 12 months |
| Evaluation Test of adherence of Girerd | Observance | 12 months |
| Dosage Cortancyl or Solupred. | Use of steroids | 12 months |
| Number of visits to physician, rheumatologist at at therapist, psychiatrist, occupational physician, number of hospitalizations, number of meetings with occupational therapist, social worker, dietician, physiotherapist, psychologist... | Consumption of medical and paramedical | 12 months |
| Patient satisfaction with respect to information received, the caller and the improvement in different areas of health (EVA) | Satisfaction with patient education | 12 months |
| Attendance at meetings / workshops offered after the initial diagnosis. | Membership | 12 months |
| D003240 |
| Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |