More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis (ETP-PR)

Study Overview
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Brief Summary
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Taking into account the recommendations of the Health Authority [1] and the application of patients' associations, we have structured a course of therapeutic education includes three stages for patients with rheumatoid arthritis and followed at Nantes University Hospital. Step 1: initial interview with a nurse patient education for diagnosis and education with the patient to choose three subjects from among 10 offered him problematic; Step 2: Orientation in an educational path that provides access to 6 months group workshops (3 maximum) and / or interviews tailored to the three selected topics; Step 3: final interview with a nurse said therapeutic education formative assessment to take stock. The main objective of our work is to ensure that the patient finds it easier solutions to the three problematic topics him after 6 months of education after six months without treatment.

Official Title
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More Added Value of Therapeutic Education in the Management of Patients With Rheumatoid Arthritis

Conditions
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Rheumatoid Arthritis

Intervention / Treatment
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* Other: immediate therapeutic education
* Other: therapeutic education delayed


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient presenting at clinics for Rheumatology or the Rheumatology Day Hospital at the University Hospital or hospitalized in the department of Rheumatology Men or women Having signed the consent major Affiliated to social security or covered by the CMU Patient with rheumatoid arthritis meeting the ACR criteria Patient with rheumatoid arthritis stable for at least 6 months (change in DAS 28 <1.2) Exclusion Criteria: Patient can not understand the information Patient confined to bed or chair, unable to care for himself or not doing with difficulty pregnant patient minors Adults under guardianship

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Immediate Education therapeutic<br>Access to the course of immediate therapeutic education | Other: immediate therapeutic education<br>* Access to the course of immediate therapeutic education<br>|
| Other: therapeutic education delayed<br>Group receiving therapeutic education 6 months later (control group) | Other: therapeutic education delayed<br>* Group receiving therapeutic education 6 months later (control group)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EVA measures the overall ability to find solutions applicable to their situation | Investigate whether, overall, the patient is more easily applicable solutions to the situation after six months of therapeutic education after six months without therapeutic education for three problems identified after the initial filling of the questionnaire (controls ) and after the initial interview with the nurse (test group) | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EVA measures the ability to find solutions applicable to their situation for each of the three problems identified. | Ability to find solutions applicable to their situation for each of the three problems identified | 12 months | 
| Knowledge (score / 10) treatments for rheumatoid arthritis, knowledge (note/10) signs of a flare of rheumatoid arthritis. | Skills that we consider indispensable | 12 months | 
| Self-efficacy against a disease flare (EVA), self-efficacy against a side effect of treatment (EVA) | Perceived self-efficacy compared to rheumatoid arthritis | 12 months | 
| RAPID score 4 (scale) | Scalability of rheumatoid arthritis | 12 months | 
| EVA measuring fatigue | Fatigue | 12 months | 
| Duration of morning stiffness in minutes or hours. | Duration of stiffness | 12 months | 
| CRP and VS | Biological criteria | 12 months | 
| Scale of STAI S Scale of STAI S | Anxiety | 12 months | 
| Beck Scale | Depression | 12 months | 
| Evaluation Test of adherence of Girerd | Observance | 12 months | 
| Dosage Cortancyl or Solupred. | Use of steroids | 12 months | 
| Number of visits to physician, rheumatologist at at therapist, psychiatrist, occupational physician, number of hospitalizations, number of meetings with occupational therapist, social worker, dietician, physiotherapist, psychologist... | Consumption of medical and paramedical | 12 months | 
| Patient satisfaction with respect to information received, the caller and the improvement in different areas of health (EVA) | Satisfaction with patient education | 12 months | 
| Attendance at meetings / workshops offered after the initial diagnosis. | Membership | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Therapeutic Education, Rheumatoid Arthritis