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Effects of a self-care promoting problem-based learning programme in people with rheumatic diseases: a randomized controlled study
Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
Research and Development Centre, Spenshult Hospital for Rheumatic Diseases, Oskarström, Sweden.
Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
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2013 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, no 7, 1500-1514 p.Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
2013. Vol. 69, no 7, 1500-1514 p.
Keyword [en]
empowerment, nursing, patient education, problem-based learning, rheumatic diseases, self-care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hj:diva-22668DOI: 10.1111/jan.12008OAI: oai:DiVA.org:hj-22668DiVA: diva2:678578
Available from: 2013-12-12 Created: 2013-12-12 Last updated: 2014-03-11Bibliographically approved

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