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Knowledge gap effects in health education on mass screening with mammography

Hogrefe & Huber Publishers
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  • Education
  • Medicine
  • Psychology


PII: S0049-0172(97)80006-6 Compliance in Rheumatoid Arthritis and the Role of Formal Patient Education Herman Brus, Martin van de Laar, Erik Taal, Johannes Rasker, and Oene Wiegman Objective: This study was performed to determine the compliance with the basic treatments for rheumatoid arthritis (RA; medication, physical therapy, and ergonomic measures), to study psychological factors that influence compli- ance in light of the social learning theory, to learn whether patient education positively influences compliance and health, and to find an approach to patient education that improves compliance. Methods: A NIEDLINE search of the English language literature was performed. Results: Few studies have dealt with compliance in RA patients; levels of adherence are generally low. According to the social learning theory, human function involves a continuous interaction between behavior, personal factors, and external environment. Self-efficacy is a personal factor that refers to the belief in one's capabilities and opportunities for being compliant with treat- ment advice. Patient education may improve ergonomic performance and compliance with physical exercise programs. Conclusions: Compliance with medication was infrequently studied. Whether improved compliance leads to better health status could not be determined. Compliance with RA treatments are generally low. Systematic study of the effect of patient education on treatment and health is warranted. Self-efficacy enhancing techniques in patient education may improve compliance. Semin Arthritis Rheum 26:702-710. Copyright © 1997 by W.B. Saunders Com- pany INDEX WORDS: Rheumatoid arthritis; compliance; patient education. I T IS NOW generally recognized that rheumatoid arthritis (RA) is not benign, but severe and progressive. The patients themselves see depen- dency, pain, disability, and affective disturbances as their main problems. 1-3 Their survival rate is lower than that of the general population, 4-9

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