Evaluation of a self-management patient education programme for fibromyalgia—results of a cluster-RCT in inpatient rehabilitation
| Autor: | I Ehlebracht-Kï Nig, C. Gerlich, D Schlittenhardt, C Tomiak, M Dorn, A. Reusch, G Musekamp, A Hï Fter, Hermann Faller |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Program evaluation Health Knowledge Attitudes Practice Coping (psychology) medicine.medical_specialty Fibromyalgia medicine.medical_treatment Education law.invention 03 medical and health sciences 0302 clinical medicine Patient Education as Topic Randomized controlled trial law Adaptation Psychological medicine Humans 030212 general & internal medicine Inpatients 030505 public health Self-management Rehabilitation business.industry Self-Management Public Health Environmental and Occupational Health Middle Aged medicine.disease Self Care Clinical trial Treatment Outcome Quality of Life Physical therapy 0305 other medical science business Program Evaluation Patient education |
| Zdroj: | Health Education Research. 34:209-222 |
| ISSN: | 1465-3648 0268-1153 |
| DOI: | 10.1093/her/cyy055 |
| Popis: | The objective was to evaluate the effectiveness of a self-management patient education programme for fibromyalgia syndrome (FMS) as compared with usual care education in inpatient rehabilitation. In a multicentre cluster-randomized controlled trial, 583 inpatients in 3 rehabilitation centres received an advanced self-management patient education programme or usual care education. Patients completed questionnaires at admission, discharge and after 6 and 12 months. Primary outcomes were disease- and treatment-specific knowledge at discharge, and self-management-competencies after 6 months. Secondary outcomes included satisfaction, attitudes, coping competencies, psychological distress and health impairment. We found a medium-sized effect on disease- and treatment-specific knowledge at discharge (P < 0.05, Cohen's d = 0.45, 95% CI = 0.27-0.63), and small effects for subjective knowledge, pain-related control, self-monitoring and insight, communication about disease, action planning for physical activity and treatment satisfaction (all P < 0.05). Only the effect on knowledge persisted for 6 and 12 months. This advanced education programme seemed to be more effective in the short term than usual education. However, intermediate- and long-term effects did not emerge. While superior long-term effects on knowledge as well as short-term effects on self-management skills may suggest implementation, additional long-term effects on other patient-relevant outcomes would be desirable. Trial registration: German Clinical Trials Register, DRKS00008782, Registered 8 July 2015. |
| Databáze: | OpenAIRE |
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