Impact of education on rheumatoid arthritis patients’ health - pilot study

Authors

DOI:

https://doi.org/10.11606/issn.2238-6149.v31i1-3p54-59

Keywords:

Arthritis, rheumatoid, Occupational therapy^i2^spsychol, Education, Quality of life, Pain

Abstract

Background: Educational groups of patients with rheumatoid arthritis (RA) have good acceptance, but controversial benefits for its treatment. This study aims to evaluate quality of life and pain in RA patient attending education groups. Methods: Pilot clinical intervention study of educational groups including 15 RA patients. Twelve weekly appointments lasting two hours each were held. They addressed educational actions on the disease treatment, joint protection and energy conservation measures, occupational therapeutic activities and workshops on sharing experiences. The pain visual analogue scale (VAS-pain) and the 5 domain-threedimensional descriptive system of EuroQol (EQ-5D-3L) and its visual analogue scale (EQ-VAS) were applied to assess pain and quality of life. Results: Fourteen (93%) patients were female, with a mean age of 61,27 years, mean disease time of 19,93 years. Thirteen (87%) of them had hand joint deformities due to RA. There was a significant improvement in the personal care domain of the EQ-5D-3L (P= 0,046) and a tendency to pain reduction (VAS-pain) and improvement of quality of life (EQ-5D-3L and EQVAS index), without statistical significance (P>0.05). Conclusion: Despite the evaluation of few RA patients, the improvement of patients’ personal care, pain self-perception and quality of life suggests that there was a positive impact of education, occupational therapy interventions and sharing experiences among patients with RA.

Downloads

Download data is not yet available.

Author Biographies

  • Lorena Costa Duval Borges, Centro Universitário de Belo Horizonte. Faculdade de Medicina

    Faculdade de Medicina do Centro Universitário de Belo Horizonte, Belo Horizonte, MG.

  • Lidia Assis Chaves, Centro Universitário de Belo Horizonte. Faculdade de Medicina

    Faculdade de Medicina do Centro Universitário de Belo Horizonte, Belo Horizonte, MG.

  • Júnia Amorim Andrade, Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

    Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

  • Luiza Cassimiro Silva, Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

    Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

  • Ana Letícia Fontes de Oliveira Marcelino, Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

    Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

  • Rosalma Aparecida Chaves, Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

    Universidade Federal de Minas Gerais. Faculdade de Terapia Ocupacional

  • Adriana Maria Kakehasi, Universidade Federal de Minas Gerais. Faculdade de Medicina

    Universidade Federal de Minas Gerais.  Departamento do Aparelho Locomotor da Faculdade de Medicina

  • Débora Cerqueira Calderaro, Universidade Federal de Minas Gerais. Faculdade de Medicina

    Universidade Federal de Minas Gerais. Departamento do Aparelho Locomotor da Faculdade de Medicina

References

Ekelman BA, Hooker L, Davis A, Klan J, Newburg D, Detwiler K, et al. Occupational therapy interventions for adults with rheumatoid arthritis: an appraisal of the evidence. Occup Ther Health Care. 2014;28(4):347-61. https://doi.org/10.3109/07380577.2014.919687.

Torquetti A, Campos TS, Noordhoek J, Cassiano JG. Programas de proteção articular para indivíduos com artrite reumatoide: uma revisão da literatura. Rev Ter Ocup Univ Sao Paulo. 2008;19(2):76-84. https://doi.org/10.11606/issn.2238-6149.v19i2p76-84.

Macedo AM, Oakley SP, Panayi GS, Kirkham BW. Functional and work outcomes improve in patients with rheumatoid arthritis who receive targeted, comprehensive occupational therapy. Arthritis Rheum (Arthritis Care Res). 2009;61(11):1522-30. https://doi.org/10.1002/art.24563.

Goeldner I, Skare TL, Razão ITM, Utiyama, SRR. Artrite reumatoide: uma visão atual. J Bras Patol Med Lab. 2011;47(5):495-503. https://doi.org/10.1590/S1676-24442011000500002.

Almeida PHTQ, Pontes TB, Matheus JPC, Muniz LF, Mota LMH. Occupational therapy in rheumatoid arthritis: what rheumatologists need to know? Rev Bras Reumatol. 2015,55(3):272-80. https://doi.org/10.1016/j.rbr.2014.07.008.

Noordhoek J, Loschiavo FQ. Intervenção da terapia ocupacional no tratamento de indivíduos com doenças reumáticas utilizando a abordagem da proteção articular. Rev Bras Reumatol. 2005;45(4):242-4. https://doi.org/10.1590/S0482-50042005000400008.

Aletaha D, Neogi T, Silman A, Funovits J, Felson D, Bingham C, et al. The 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology / European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2010;62(9):2569-81. https://doi.org/10.1002/art.27584.

Rabin R, Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5):337-43. https://doi.org/10.3109/07853890109002087.

Martinez JE, Grassi DC, Marques LG. Análise da aplicabilidade de três instrumentos de avaliação de dor em distintas unidades de atendimento: ambulatório, enfermaria e urgência. Rev Bras Reumatol. 2011;51(4):304-8. https://doi.org/10.1590/S0482-50042011000400002.

Ferreira PL, Ferreira LN, Pereira LN. Contributos para a validação da versão Portuguesa do EQ-5D. Acta Med Port. 2013;26(6): 664-75. Disponível em: http://www.actamedicaportuguesa.com/revista/index.php/amp/article/viewFile/1317/3807.

Brooks R. EuroQol: the current state of play. Health Policy. 1996;37(1):53-72. https://doi.org/10.1016/0168-8510(96)00822-6.

Andrade MV, Noronha K, MPhil PK, Maia AC, Menezes RM, Reis CB, et al. Societal Preferences for EQ-5D health states from a Brazilian Population Survey. Value Health Reg Issues. 2013;2(3):405-12. https://doi.org/10.1016/j.vhri.2013.01.009.

Wells G, Becker J-C, Teng J, Dougados M, Schiff M, Smolen J, Aletaha D, van Riel PLCM. Validation of the 28-joint Disease Activity Score (DAS28) and European League Against Rheumatism response criteria based on C-reactive protein against disease progression in patients with rheumatoid arthritis, and comparison with the DAS28 based on erythrocyte sedimentation rate. Ann Rheum Dis. 2009;68:954-60. http://dx.doi.org/10.1136/ard.2007.084459.

da Rocha Castelar-Pinheiro G, Vargas-Santos AB, de Albuquerque CP, Bértolo MB, Júnior PL, Giorgi RDN, Radominski SC, et al. The REAL study: a nationwide prospective study of rheumatoid arthritis in Brazil. Adv Rheumatol. 2018;58(1):9. https://doi.org/10.1186/s42358-018-0017-9.

Santos AB, Martins AR, Leitão JMSR, Barros AGTS, Cavalcante GL, Menese CES, et al. Perfil fármaco epidemiológico de portadores de artrite reumatoide. Rev Eletrônica Acervo Saúde. 2018;12:e213. https://doi.org/10.25248/reas.e213.2018.

Hoshi D, Tanaka E, Igarashi A, Inoue E, Kobayashi A, Sugimoto N, et al. Profiles of EQ-5D utility scores in the daily practice of Japanese patients with rheumatoid arthritis; Analysis of the IORRA database. Mod Rheumatol. 2018;26(1):40-5. https://doi.org/10.3109/14397595.2015.1059983.

Kim H-L, Kim D, Jang EJ, Lee M-Y, Song HJ, Park S-Y, et al. Mapping health assessment questionnaire disability index (HAQ-DI) score, pain visual analog scale (VAS), and disease activity score in 28 joints (DAS28) onto the EuroQol-5D (EQ-5D) utility score with the KORean Observational study Network for Arthritis (KORONA) registry data. Rheumatol Int. 2016; 36 (4):505-13. https://doi.org/10.1007/s00296-016-3427-1.

Katchamart W, Narongroeknawin P, Chanapai W, Thaweeratthakul P. Health-related quality of life in patients with rheumatoid arthritis. BMC Rheumatol. 2019;3:34. https://doi.org/10.1186/s41927-019-0080-9.

Gomes CMS, Coutinho GC, Miyamoto ST. Efeitos do programa de educação em pacientes com artrite reumatoide do Serviço de Reumatologia do Hospital Universitário Cassiano Antônio de Moraes (HUCAM) - projeto piloto. Rev Ter Ocup Univ Sao Paulo. 2014;24(3):250-8. https://doi.org/10.11606/issn.2238-6149.v24i3p250-258.

Lindroth Y, Brattstrom M, Bellman I, Ekestaf G, Olofsson Y, Strömbeck B, et al. A problem-based education program for patients with rheumatoid arthritis: evaluation after three and twelve months. Arthritis Care Res. 1997;10(5):325-32. https://doi.org/10.1002/art.1790100507.

Hammond A, Lincoln N, Sutcliffe L. A crossover trial evaluating an educational-behavioural joint protection programme for people with rheumatoid arthritis. Patient Educ Couns. 1999;37(1):19-32. https://doi.org/10.1016/S0738-3991(98)00093-7.

Hammond A, Jeffreson P, Jones N, Gallagher J, Jones T. Clinical Applicability of an Educational-Behavioural Joint Protection Programme for People with Rheumatoid Arthritis. Br J Occup Ther. 2002;65(9):405-12. https://doi.org/10.1177/030802260206500903.

Carvalho MGR, Noordhoek J, Silva MCO. Grupo de orientação a indivíduos acometidos por doenças reumáticas: espaço educativo e terapêutico. Rev Bras Reumatol. 2006;46(2):134-6. https://doi.org/10.1590/S0482-50042006000200008.

Published

2020-05-18

Issue

Section

Articles

How to Cite

Borges, L. C. D., Chaves, L. A., Andrade, J. A., Silva, L. C., Marcelino, A. L. F. de O. ., Chaves, R. A., Kakehasi, A. M., & Calderaro, D. C. (2020). Impact of education on rheumatoid arthritis patients’ health - pilot study. Revista De Terapia Ocupacional Da Universidade De São Paulo, 31(1-3), 54-59. https://doi.org/10.11606/issn.2238-6149.v31i1-3p54-59