Session Type: ACR Poster Session B
Session Time: 9:00AM-11:00AM
The SpENAT, a Spanish version of the Educational Needs Assessment Tool (ENAT), is a self-completed questionnaire that assesses educational needs (ENs) in ostheoathritis (OA) patients, with the purpose of providing tailored and patient-centered information.
Objectives: To establish the sources of information that patients use as well as to describe the educational needs of OA patients by using the SpENAT.
International multicenter, prospective cross-sectional study in patients with OA (Altman R. et al.1986). Those patients with inability to read, write or understand the questionnaire were excluded. Demographic data, educational level, clinics and sources of information consulted were recorded. SpENAT Questionnaire: 39 questions grouped into 7 domains (pain, movement, feelings, OA, medical treatments, self-help and help from others); Likert scale of 0-4; score of ENs 0 to 156. Analysis of variables according to type and distribution: Fisher exact test, Student, Mann-Whitney U and X2. Spearman correlation test.
1158 patients (79% women) from 8 Latin American countries were included. Mean age 65.5 years (SD +/- 11 IC95% 65-66). Mestizos 50%, whites 33%, LA / Africans 7%, and Amerindian 3%. With 79% urban residence and rural 21% . Average years of study 9 (RIC 6-12). Occupation: housewives 47%, trade 10%, administrative 2.2%, teachers 3%, professionals 4%, unemployed 6,4%, retired 14%, estudents 0.2%; Work disability 1.5%. BMI: low 1%, normal 22%, overweight 46%, obese 29%, and morbid obesity 2%. Average of years of evolution 3 (RIC 2-6). Comorbidities at 69%. (HTA 45%, DM 16%, Osteoporosis 6%, hypothyroidism 4%, dyslipidemias 4%, gastrointestinal 1.2%, otras 6%). EVA of pain 50 mm (RIC 9-80) and activity 50 mm (RIC 10-80), EVA medical activity 40 (RIC 10-70). RAPID3 Average 16 (RIC 12-20). Treatment with NSAIDs 63%, paracetamol 58.4%, opioids 4.4%, PPI 33% and SYSADOAs 63.9% (Degree of Satisfaction: Medium 7 (RIC: 5-8) Tolerance Level: Medium 8 RIC: 7-9). Intra-articular treatment: 29% (3,6% with Hyaluronic Ac). SpENAT median 117 (RIC 102-134); median for pain domain 18 (RIC 14-20), mobility 15 (RIC 12-18), feelings 12 (RIC 10-16), OA 21 (RIC 18-25), medical treatments 21 (RIC 16-24), self-help 18 (RIC15-21). Search for information: Rheumatologist 85%, Traumatologist 18%, Clinician 10.4%, other health professionals 9%, TV 1%, internet 16% and family and friends 12.3%.
The majority of patients show considerable educational needs and a greater interest in knowing about OA and its treatment. There is a low correlation between SpENAT and RAPID3. The greatest value of SpENAT was associated with resorting to the rheumatologist for better information. We consider it important to recognize both the NEs and the sources of communication with our patients and then have a starting point to develop better therapeutic strategies.
To cite this abstract in AMA style:Garcia Coello A, Rillo O, Brigante A Jr., Quintero M, Ponce Y, Espinoza R, Papasidero SB, Rodriguez G, Sosa J, Kohan MP, Pereira D, Capelusnik D, Heredia L, Pineda C, González de Urizar M, Sapag Durán AM, Rossi C, Santos-Moreno P, Juarez V, Esquivel-Valerio J, Khoury V, Herrera Velasco B, Souto R. Appraisal of the Educational Needs in Patients with Osteoarthritis Using the Educational Needs Assessment Tool Questionnaire [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 10). https://acrabstracts.org/abstract/appraisal-of-the-educational-needs-in-patients-with-osteoarthritis-using-the-educational-needs-assessment-tool-questionnaire/. Accessed July 11, 2020.
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