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Effects of a self‐care promoting problem‐based learning programme in people with rheumatic diseases: a randomized controlled study
Author(s) -
Arvidsson Susann,
Bergman Stefan,
Arvidsson Barbro,
Fridlund Bengt,
Tingström Pia
Publication year - 2013
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12008
Subject(s) - randomized controlled trial , medicine , self care , physical therapy , psychology , health care , economics , economic growth
Aim To evaluate the effects of a self‐care promoting problem‐based learning programme for people with rheumatic diseases in terms of health‐related quality of life, empowerment, and self‐care ability. Background Individuals with rheumatoid arthritis express a great need for education and support in adapting to the disease, but the average qualities of studies about patient education interventions are not high. There is no evidence of long‐term benefits of patient education. Design Randomized controlled trial. Methods A randomized controlled design was selected with test at baseline, 1‐week and 6‐month post‐interventions after completed the 1‐year programme. The tests consisted of validity and reliability tested instruments. The participants were randomly assigned in spring 2009 to either the experimental group ( n = 54) or the control group ( n = 148). The programme was running alongside the standard care the participants received at a rheumatology unit. Parametric and non‐parametric tests were used in the analyses. Results The participants in the experimental group had statistically significant stronger empowerment after participation in the self‐care promoting problem‐based learning programme compared with the control group, at the 6‐month post‐intervention. Approximately, two‐thirds of the participants in the experimental group stated that they had implemented lifestyle changes due to the programme. Conclusion The self‐care promoting problem‐based learning programme enabled people with rheumatic diseases to improve their empowerment compared with the control group. It is important to continue to develop problem‐based learning in patient education to find the very best way to use this pedagogical method in rheumatology care.