Effects of an Educational Program Using Treat to Target Strategy in Korean Patients with Rheumatoid Arthritis

SeungIn Paek¹, Seo Hwa Kim², Haneul Kim³, Min Kyung Chung⁴, Jennifer Lee⁵, Seung-Ki Kwok⁶, Ji Hyeon Ju⁷, Sung-Hwan Park⁷ and Kyeong Yae Sohng⁸, ¹Center for Rheumatic Diseases, Seoul ST Mary's Hospital, The Catholic University of Korea, Seoul, South Korea, ²Division of Rheumatology,, Division of Rheumatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea, The Republic of, ³Division of Rheumatology,, Department of Internal Medicine, School of Medicine, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, Republic of Korea, Seoul, Korea, The Republic of, ⁴Division of Rheumatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea, The Republic of, ⁵Division of Rheumatology, Department of Internal Medicine, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, South Korea, ⁶[email protected], Division of Rheumatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea, ⁷Division of Rheumatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, South Korea, ⁸College of Nursing, The Catholic University of Korea, Seoul, South Korea

Meeting: 2016 ACR/ARHP Annual Meeting

Date of first publication: September 28, 2016

Keywords: Disease Activity, Education, patient, quality of life and rheumatoid arthritis (RA)

Session Information

Date: Monday, November 14, 2016

Title: Education - ARHP Poster

Session Type: ACR Poster Session B

Session Time: 9:00AM-11:00AM

Background/Purpose:

The purpose of this study was to investigate the effects of an educational program using T2T (Treat RA to Target, T2T) strategy on Korean patients with moderate to severe rheumatoid arthritis

Methods:

Patients with moderate-severe RA were randomly assigned to an educational intervention group or conventional care group. The intervention was a nurse-delivered 9 month educational program consisting of 3 monthly sessions lasting 30~40 minutes each and monthly telephone counseling. Assessments occurred at baseline and every 3 months with both two groups, but only intervention group was completed 9 month- education follow up. Primary outcome variables were as follows: disease activity (DAS28), pain (VAS 100mm), functional disability (Korean Health Assessment Questionnaire, KHAQ), fatigue (FACIT-Fatigue scale), illness perception (Brief Illness Perception Questionnaire, BIPQ), self-esteem (self-esteem questionnaire) and quality of life (Short form Health Survey 36, SF-36). We used the ANOVA test with repeated measures to evaluate the outcome variables in comparison between groups and follow-up times.

Results: Patients in the interventional group (n=33) had significant improvement in disease activity (DAS28) (p=.029), pain(p=.023), fatigue(p=.019), illness perception(p=.000), quality of life (physical function: p=.028, role physical: p=.035, bodily pain: p=.007, general health: p=.003, vitality: p=.009, social function: p=.001, mental health: p=.037) compared to patients in conventional care group(n=33). There was no significant difference between the groups and follow-up times in functional disability, self-esteem and SF-36 subscale of role emotion

Conclusion: This patient educational program using T2T strategy consisting of nurse-delivered individual session had statistically significant benefits for disease activity, pain, fatigue, illness perception and quality of life in Korean patients with moderate to severe rheumatoid arthritis. The results suggested that patient educational program using T2T strategy contribute to positive clinical outcome as a good practical nursing intervention.

Disclosure: S. Paek, None; S. H. Kim, None; H. Kim, None; M. K. Chung, None; J. Lee, None; S. K. Kwok, None; J. H. Ju, None; S. H. Park, None; K. Y. Sohng, None.

To cite this abstract in AMA style:

Paek S, Kim SH, Kim H, Chung MK, Lee J, Kwok SK, Ju JH, Park SH, Sohng KY. Effects of an Educational Program Using Treat to Target Strategy in Korean Patients with Rheumatoid Arthritis [abstract]. Arthritis Rheumatol. 2016; 68 (suppl 10). https://acrabstracts.org/abstract/effects-of-an-educational-program-using-treat-to-target-strategy-in-korean-patients-with-rheumatoid-arthritis/. Accessed .

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