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Garbe N, Raberger K, Wienke A, Keyßer G, Schäfer C. An online, two-day educational seminar had no impact on disease-specific knowledge in patients with systemic sclerosis. Sci Rep 2024; 14:13767. [PMID: 38877137 PMCID: PMC11178768 DOI: 10.1038/s41598-024-64532-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 06/10/2024] [Indexed: 06/16/2024] Open
Abstract
Systemic sclerosis (SSc) is a multifaceted disease, and its diagnosis triggers substantial anxiety and uncertainty for those affected. Currently, there are no valid data describing the impact of disease-specific patient education on the disease knowledge available. We created a two-day, online educational seminar to provide SSc patients with disease-specific information. The primary objective of the study was to observe the change in the disease-specific knowledge of the patients. A total of 118 patients were randomized into an intervention group and a waiting list control group. The change in knowledge was assessed using a multiple-choice test. The intervention group completed the questionnaire before, directly after, and 3 months after the seminar, while the waiting list control group also took the test 3 months before the seminar to rule out nonspecific learning. The primary outcome measure was the score difference between baseline and 3 months after baseline. The study was registered in the German Clinical Trials Register (protocol code DRKS00024915). The educational seminar resulted in a small, but measurable, increase in knowledge. While the two tests in the waiting list control group prior to the seminar did not show a nonspecific increase in disease knowledge, the intervention led to a numerical increase in knowledge (mean ± sd score difference 0.34 ± 1.31, 95% CI (- 0.23; 0.86), p = 0.26) that did not reach statistical significance. Multiple linear regression analysis showed that being a member of a self-help group (β = 1.12; p = 0.03) is a positive predictor of a higher disease knowledge. Although highly appreciated by participants, a two-day online seminar may not be the most appropriate format to generate measurable disease-specific knowledge. Self-help group membership was a positive predictor of a higher level of disease-specific knowledge prior to the educational seminar and should be recommended to every affected person.
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Affiliation(s)
- Nancy Garbe
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Ernst-Grube-Straße 40, 06120, Halle (Saale), Germany.
| | - Katja Raberger
- Clinic for Pediatrics I, University Hospital Halle (Saale), Halle (Saale), Germany
| | - Andreas Wienke
- Institute of Medical Epidemiology, Biometrics, and Informatics, Medical Faculty of the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Gernot Keyßer
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Ernst-Grube-Straße 40, 06120, Halle (Saale), Germany
| | - Christoph Schäfer
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Ernst-Grube-Straße 40, 06120, Halle (Saale), Germany
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Gall S, Kiltz U, Kobylinski T, Andreica I, Vaupel K, Waldecker C, Baraliakos X, Braun J. Patient knowledge about biosimilars and satisfaction with the education provided by rheumatologists or nurse specialists in a biosimilar multiswitch scenario – The perception study. Semin Arthritis Rheum 2022; 57:152119. [DOI: 10.1016/j.semarthrit.2022.152119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 10/13/2022] [Accepted: 10/19/2022] [Indexed: 11/19/2022]
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Schwarze M, Fieguth V, Schuch F, Sandner P, Edelmann E, Händel A, Kettler M, Hanke A, Kück M, Stein L, Stille C, Fellner M, De Angelis V, Touissant S, Specker C. [Disease-related knowledge acquisition through structured patient information in rheumatoid arthritis (StruPI-RA) : First results of the StruPI-RA study in Germany]. Z Rheumatol 2021; 80:364-372. [PMID: 32926219 PMCID: PMC8096752 DOI: 10.1007/s00393-020-00871-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND/OBJECTIVE The structured patient information for rheumatoid arthritis (StruPi-RA) program was the first standardized outpatient education program in rheumatoid arthritis (RA) in Germany. The main objective of the study was to determine the efficacy of the StruPi-RA program concerning disease-specific knowledge acquisition in patients with early stage RA or after changing the treatment regimen. METHODS A total of 61 patients were included in a control group design, 32 in the intervention group (IG) and 29 in the control group (CG). Patients of the IG attended 3 modules of 90 min in a structured patient information program (StruPI-RA) including the topics of diagnostics, treatment and living with RA. Patients in the CG only received information material from the German Rheumatism League. The primary target criterion was the disease-related acquisition of knowledge, measured with the patient knowledge questionnaire (PKQ). Data were collected before and after participation in StruPI-RA. RESULTS The improvement in knowledge in the IG attending the StruPI-RA compared to the CG was significant in time and group comparisons. No influence of disease duration or educational level was observed. The subscale treatment alone showed a significant difference in the group and time comparison. CONCLUSION Participation in the StruPI-RA program in early RA was associated with a significant increase in disease-specific knowledge compared to the control group of patients. This leads to better decision-making in terms of treatment, a more beneficial doctor-patient communication and better self-management. In the long term an improvement in treatment adherence and quality of life is expected.
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Affiliation(s)
- M Schwarze
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.
| | - V Fieguth
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - F Schuch
- Rheumatologische Schwerpunktpraxis, Erlangen, Deutschland
| | - P Sandner
- Rheumatologische Schwerpunktpraxis, Erlangen, Deutschland
| | - E Edelmann
- Rheumazentrum Bad Aibling-Erding, Bad Aibling, Deutschland
| | - A Händel
- Rheumazentrum Bad Aibling-Erding, Bad Aibling, Deutschland
| | - M Kettler
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - A Hanke
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - M Kück
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - L Stein
- Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland
| | - C Stille
- Rheumatologie-Praxis, Hannover, Deutschland
| | - M Fellner
- Rheumatologie-Praxis, Hannover, Deutschland
| | | | - S Touissant
- Rheumatologie Centrum, Leverkusen, Deutschland
| | - C Specker
- Klinik für Rheumatologie & Klinische Immunologie, Kliniken Essen-Mitte, Essen, Deutschland
- Arbeitsgemeinschaft Regionaler Kooperativer Rheumazentren in der Deutschen Gesellschaft für Rheumatologie e. V. (DGRh), Berlin, Deutschland
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Schmale-Grede R, Faubel U. [The patient at the center of health services research]. Z Rheumatol 2020; 79:996-1002. [PMID: 33258977 DOI: 10.1007/s00393-020-00905-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2020] [Indexed: 11/29/2022]
Abstract
The article gives an overview of how health services research helps to plan and optimize patient-centered health services. The decision-making processes on the micro-level (individual treatment decisions) and the macro-level (decisions about structuring of the healthcare system) are examined. Examples from the field of rheumatology illustrate how results of health services research can help to improve decisions about treatment by providing relevant information about quality of health services which helps in the joint decision-making process. Furthermore, it becomes clear that political decisions to improve health care service structures can be better achieved if scientific proof of deficits in existing health service structures can be provided. The article also shows how health services research helps to describe and redefine the roles of patients and patient-doctor communication. Additionally, the active role of patients in (health services) research is addressed.
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Affiliation(s)
- R Schmale-Grede
- Deutsche Rheuma-Liga Bundesverband e. V., Welschnonnenstr. 7, 53111, Bonn, Deutschland.
| | - U Faubel
- Deutsche Rheuma-Liga Bundesverband e. V., Welschnonnenstr. 7, 53111, Bonn, Deutschland
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Abstract
Hintergrund Ein neues Rahmenkonzept hat die flexible Ableitung und Nutzung von rheumatologischen Schulungsprogrammen für unterschiedliche Versorgungsbereiche ermöglicht. Auf dieser Grundlage wurde eine 5‑stündige Basisschulung für Patienten mit rheumatoider Arthritis (RA) entwickelt, es wurden rheumatologische Fachärzte und Psychologen trainiert, und dann wurde die Wirksamkeit nach dem Wirkmodell der Patientenschulung evaluiert. Methoden Mit dem Studiendesign einer extern randomisierten Wartekontrollgruppenstudie mit 3 Messzeitpunkten wurde geprüft, wie sich die 5‑stündige Basisschulung auf das Erkrankungs- und Behandlungswissen sowie auf die Gesundheitskompetenz von RA-Patienten (n = 249) auswirkt. Weitere Fragen betrafen Einstellungsparameter, Kommunikationskompetenz, Erkrankungsauswirkungen und die Zufriedenheit mit der Schulung. Die Auswertungen erfolgten auf Intention-to-treat-Basis mit Kovarianzanalysen für die Hauptzielgrößen unter Berücksichtigung des Ausgangswertes. Ergebnisse Die Analysen zeigen, dass die Basisschulung RA wirksam ist. Noch 3 Monate nach der Schulung verfügten die Schulungsteilnehmer über mehr Wissen und Gesundheitskompetenz als die Wartekontrollgruppe mit kleinem bis mittelgroßem Effekt (d = 0,37 bzw. 0,38). In den Nebenzielgrößen zeigten sich mit Ausnahme der Krankheitskommunikation keine weiteren Schulungseffekte. Diskussion Die Basisschulung bietet eine gute Grundlage, auf der weitere Interventionen zur Verbesserung von Einstellungs- und Erkrankungsparametern aufbauen können. Sie eignet sich damit als zentraler Baustein für die rheumatologische Versorgung auf verschiedenen Ebenen. Zusatzmaterial online Die Online-Version dieses Beitrags (10.1007/s00393-020-00769-4) enthält weitere Tabellen. Beitrag und Zusatzmaterial stehen Ihnen auf www.springermedizin.de zur Verfügung. Bitte geben Sie dort den Beitragstitel in die Suche ein, das Zusatzmaterial finden Sie beim Beitrag unter „Ergänzende Inhalte“. ![]()
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Reusch A, Braun J, Lakomek HJ, Lakomek M, Lind-Albrecht G, Jäniche H, Cattelaens K, Hammel L, Demtröder F, Ehlebracht-König I, Polnau U, Specker C, Gerlich C, Küffner R. [Flexible programs and advanced training for rheumatological patient education]. Z Rheumatol 2020; 79:74-77. [PMID: 31754787 DOI: 10.1007/s00393-019-00726-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
In two research projects, rheumatological patient education programmes were updated. The first step was to develop an expert consented framework for all rheumatological patient education programmes. From this, curricula and working materials for rheumatoid arthritis (RA) and axial spondyloarthritis (AS) were derived and two exemplary patient education manuals developed. A randomized controlled trail was designed for the five-hour RA basic education program. Finally, existing train-the-trainer training courses were adapted for these patient education programmes.
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Affiliation(s)
- A Reusch
- Zentrum Patientenschulung und Gesundheitsförderung e. V., Würzburg, Deutschland.
| | - J Braun
- Rheumazentrum Ruhrgebiet, Ruhr Universität Bochum, Herne, Deutschland
| | - H-J Lakomek
- Klinik für Rheumatologie und Geriatrie, Johannes-Wesling-Klinikum Minden, Minden, Deutschland
| | - M Lakomek
- Klinik für Rheumatologie und Geriatrie, Johannes-Wesling-Klinikum Minden, Minden, Deutschland
| | - G Lind-Albrecht
- Rheumatologie, Immunologie, Osteologie, RHIO, Düsseldorf, Deutschland
| | - H Jäniche
- Deutsche Rheuma-Liga, Bonn, Deutschland
| | - K Cattelaens
- Deutsche Rheuma-Liga Bundesverband e. V., Bonn, Deutschland
| | - L Hammel
- DVMB - Deutsche Vereinigung Morbus Bechterew e. V., Schweinfurt, Deutschland
| | - F Demtröder
- Zentrum für Endokrinologie, Diabetologie, Rheumatologie, Dr. Demtröder & Kollegen im Hansakontor Dortmund, Dortmund, Deutschland
| | | | - U Polnau
- Rehazentrum Bad Eilsen, Bad Elisen, Deutschland
| | - C Specker
- Klinik für Rheumatologie und Klinische Immunologie, Evang. Krankenhaus Essen-Werden, Kliniken Essen-Mitte, Essen, Deutschland
| | - C Gerlich
- Julius-Maximilians-Universität Würzburg, Würzburg, Deutschland
| | - R Küffner
- Zentrum Patientenschulung und Gesundheitsförderung e. V., Würzburg, Deutschland
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Cattelaens K, Schewe S, Schuch F. [Treat to target-participation of the patient]. Z Rheumatol 2019; 78:416-421. [PMID: 30937529 DOI: 10.1007/s00393-019-0629-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
An increase in general health literacy and a targeted patient information are important prerequisites for coping with the chronic disease in people with inflammatory rheumatic diseases. The education programs of the Working Group of Regional Cooperative Rheumatism Centers in the German Society for Rheumatology (AGRZ), such as StruPI, the offers of the German Rheumatism League (Deutsche Rheuma-Liga) and other elements provide a framework for those affected and their relatives, in which a participative decision-making (PEF) on equal terms can be possible. The physician-patient communication changes in the sense of a PEF and hopefully leads to a sustainably better patient compliance. Non-medicinal treatment, comorbidities and changes in life style are important issues in such cases. The StruPI is an established format for information and education of patients, particularly in outpatient rheumatism patients. In the midterm patient education (outpatient and inpatient) and self-management courses will be offered and honored nationwide, analogue to other chronic diseases, e.g. asthma and diabetes. Patients can influence the course of the disease by life style changes. The treatment of chronic diseases can only function in the long term in a consensual partnership.
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Affiliation(s)
- K Cattelaens
- Deutsche Rheuma-Liga Bundesverband e. V., Maximilianstr. 14, 53111, Bonn, Deutschland.
| | - S Schewe
- Deutsche Rheuma-Liga Bundesverband e. V., Maximilianstr. 14, 53111, Bonn, Deutschland.,Rheumatologie, Sonnen-Gesundheitszentrum, München, Deutschland
| | - F Schuch
- Praxisgemeinschaft Rheumatologie Nephrologie, Erlangen, Deutschland
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[Standards of care for people with rheumatoid arthritis in Europe : Translation and comments of the eumusc.net recommendations supported by EULAR performed by a national task force of the professional organisations DGRh and VRA supported by "Deutsche Rheumaliga"]. Z Rheumatol 2017; 75:416-28. [PMID: 27138788 DOI: 10.1007/s00393-016-0059-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
In a joint initiative by the boards of the German Society for Rheumatology (DGRh) and the Association of Rheumatology Clinics (VRA) the European "standards of care" for rheumatoid arthritis, recently suggested by the European Musculoskeletal Conditions Surveillance and Information Network (eumusc.net) and supported by the European League Against Rheumatism (EULAR), were translated and annotated. The recommendations include aspects of the management of the disease, actual medical care, and access to information - this includes all types of support people with RA need, and, last but not least communication of the necessary knowledge. Furthermore, health care structures such as the availability of medical staff with relevant expertise are also important.
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10
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Abstract
Zusammenfassung. Die Qualitätssicherung zu Gunsten der Patienten ist im Alltag nicht mehr wegzudenken. Diese Arbeit beschreibt wichtige Aspekte bezüglich Sicherstellung von Standards zur Qualitätssicherung und Qualitätsverbesserung im diagnostischen und interventionellen rheumatologischen Ultraschall in der Schweiz durch die Arbeitsgruppe QIR («Quality in Rheumatology»). Qualitätsindikatoren in der Rheumatologie und Qualitätsstandards in der Arthrosonografie werden hervorgehoben und vorgestellt.
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Affiliation(s)
- Giorgio Tamborrini
- 1 Ultraschall Zentrum Rheumatologie, Basel, Member of the EULAR Network of Imaging Training Centres
- 3 EULAR Study Group on Anatomy for the Image
| | - Christian Marx
- 1 Ultraschall Zentrum Rheumatologie, Basel, Member of the EULAR Network of Imaging Training Centres
| | | | | | - Walter Kaiser
- 5 Rheumatologie Praxis, Thalwil, Präsident der Schweizerischem Gesellschaft für Rheumatologie (SGR)
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Braun J, Schneider M, Lakomek HJ. [Cornerstones of quality assurance in medicine in Germany. Important impulse for the situation in treatment of rheumatism]. Z Rheumatol 2016; 75:203-12. [PMID: 26940558 DOI: 10.1007/s00393-016-0054-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The recently passed German hospital structure act (Krankenhausstrukturgesetz) stresses the immense importance of quality for the medical care of the population. How can inpatient and outpatient treatment in the field of rheumatology be improved and how can this be assessed? A very important basis for such measurement approaches are quality indicators, i.e. parameters that indicate to what degree a certain level of quality has already been reached or is planned to be reached in the future. The work performed by the German Rheumatism Research Center (DRFZ) and the Association of Rheumatological Acute Clinics (VRA) in Germany has already used certain quality indicators and this topic has been recently described elsewhere. International quality indicators have also been published in recent years, all for rheumatoid arthritis (RA), the most prevalent inflammatory rheumatic disease and are the central subject of this article. This overview of proposed instruments for quality assessment in rheumatology is intended to initiate a broad discussion on the subject of quality of rheumatological care in Germany.
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Affiliation(s)
- J Braun
- Rheumazentrum Ruhrgebiet, Claudiusstr. 45, 44649, Herne, Deutschland.
| | - M Schneider
- Rheumatologie, Universität Düsseldorf, Düsseldorf, Deutschland
| | - H-J Lakomek
- Rheumatologie, Johannes Wesling Klinikum, Minden, Deutschland
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Reusch A, Musekamp G, Küffner R, Dorn M, Braun J, Ehlebracht-König I. Wirksamkeitsprüfung rheumatologischer Schulungen. Z Rheumatol 2016; 76:613-621. [DOI: 10.1007/s00393-016-0120-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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