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Omgaan met reumatoide arthritis: Ontwikkeling en evaluatie van een groepsprogramma voor patiënten met reumatoide arthritis. Eindrapport projekt Patiëntenvoorlichting: De ontwikkeling van interventiemodellen voor de thuiszorg van patiënten

Universiteit Twente, vakgroep Psychologie
Publication Date
  • Design
  • Education
  • Medicine


PII: 0738-3991(93)90131-F Patient Education and Counseling, 20 (1993) 117-187 Elsevier Scientific Publishers Ireland Ltd. 177 Group Education for Patients with Rheumatoid Arthritis Erik Taal, MA”, Rob P. Riemsma, MA”, Herman LM Brus, MDb, Erwin R. Seydel, PhDa, Johannes J. Rasker, MDaTb and Oene Wiegman, PhD” “Department of Psychology, University of Twente, P. 0. B. 217, 7500 AE Enschede, hDepartment of Rheumatology, Medisch Spectrum Twente. P.O.B. 50000, 7500 KA Enschede (Netherlands) Abstract Patients with rheumatoid arthritis must learn to adjust their exercise, rest and medication to the varying activity of the disease. Patient education can help patients in making the right decisions about adjustments in their treatment regimen and in at- taining rSelf-management ” behaviors. We developed a group education program based on so- cial learning theory and the ‘Arthritis Self- Management Course’ developed in the USA by Lorig. Goal of the program is the strengthening of self-efficacy, outcome expectations and self- management behaviors of RA patients which may lead to better health status. The program has been evaluated in an experimental design. We established significant positive effects of the group training on functional disability, joint tenderness, practice of re- laxation and physical exercises, self-management behavior, outcome expectations, self-efficacy func- tion and knowledge. After 14 months we still found effects on practice of physical exercises, self- efficacy function and knowledge. Key words: Rheumatoid arthritis; Patient education; Self-management; Self-efficacy. Introduction Rheumatoid arthritis (RA) is a chronic, disabling disease characterized by an unpre- dictable course with periods of exacerbation and remission of disease activity (Rasker and Cosh, 1987; Schumacher, 1988). Since RA cannot be cured, the goals of treatment and management are the relief of pain, the prevention of joint destruction, and the preserv

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