THU0641-HPR ILLITERACY IS NOT AN OBSTACLE FOR ASSIMILATION OF A PATIENT EDUCATION SESSION ON METHOTREXATE SELF-INJECTION IN RA PATIENTS A PROSPECTIVE PILOT STUDY

Background:Patient education for RA patients has been shown to improve adherence and self-management of this chronic disease.Objectives:To assess the impact of illiteracy on assimilation of a patient education session on methotrexate self-injection in RA patients.Methods:Prospective pilot study that included 27 consecutive patients (81.5% female, mean age 44.4 years, illiteracy rate 40.7%) with RA (median duration of progression of 4 years, mean delay in referral for specialist of 6 months, median duration of methotrexate use of 1 year). The patients benefited from an individual patient education session to learn how to self-inject with methotrexate subcutaneously. The patient education session was supervised by a nurse and a rheumatologist. A 10-question dichotomous questionnaire was then administered to patients to assess the level of uptake of messages passed during the patient education session. The prevalence of correct answers was compared between illiterate and non-illiterate patients.Results:The mean duration of patient education session is 13 min.Table I illustrates the results of the correct responses prevalence and the comparison of correct response rates between illiterate and non-illiterate patients.Table 1.Prevalence of correct responses and comparison of correct response rates between illiterate and non-illiterate patients.QuestionsN=27IlliteratePYes (N=11)No (N=16)1.Do I always have to self-inject on the same day of the week? (%)96,390,9100NS2.Should Methotrexate be protected from light and away from children? (%)96,310093,7NS3.Can I self-inject anywhere on my thigh and belly 5 cm from the navel? (%)85,210075NS4.Is it important to change the injection sites? (%)70,472,768,75NS5.Do I need to pinch the skin before self-injection? (%)92,610087,5NS6.Can I always use the same needle for each injection? (%)81,590,975NS7.Do I have to wear gloves to inject Methotrexate? (%)81,590,975NS8.Do I have to apply an antiseptic product (alcohol, Betadine) to the injection site before self-injecting? (%)88,990,987,5NS9.Can I use the rest of the MTX ampoule for the next injection? (%)74,181,868,7NS10.Do I tell my doctor if I have side effects? (%)100100100NSConclusion:This study suggests that illiteracy does not affect the assimilation of information given during a patient education session. These preliminary results should encourage the development of patient education programs in our context where illiteracy rate is high.Disclosure of Interests:None declared

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THU0642-HPR EVOLUTION OF THE PERCEPTIONS OF RA PATIENTS AFTER EDUCATION PATIENT SESSION TEACHING METHOTREXATE SELF-INJECTION A PROSPECTIVE PILOT STUDY

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2020-eular.5505 ◽

2020 ◽

Vol 79 (Suppl 1) ◽

pp. 566.1-566

Author(s):

S. Afilal ◽

H. Rkain ◽

B. Berchane ◽

J. Moulay Berkchi ◽

S. Fellous ◽

...

Keyword(s):

Pilot Study ◽

Patient Education ◽

Median Duration ◽

Large Scale ◽

Education Session ◽

Prospective Pilot Study ◽

Mean Delay ◽

Lack Of Information ◽

Level Of Satisfaction ◽

Before And After

Background:Methotrexate is a gold standard for treatment of RA. In our context, RA patients prefer to be injected by paramedics rather than self-injecting. This can be explained by patients’ bad perceptions of self-injection or lack of information. Appropriate self-injection education can therefore be an important element in overcoming these obstacles and improving disease self-management.Objectives:Compare the RA patients’ perceptions on methotrexate self-injection before and after a patient education session.Methods:Prospective pilot study that included 27 consecutive patients (81.5% female, mean age 44.4 years, illiteracy rate 40.7%) with RA (median duration of progression of 4 years, mean delay in referral for specialist of 6 months, median duration of methotrexate use of 1 year). The patients benefited from an individual patient education session to learn how to self-inject with methotrexate subcutaneously. The patient education session was supervised by a nurse and a rheumatologist with a control a week later. Perceptions of the reluctance to self-inject and the difficulties encountered by patients were assessed before the patient education session, after the 1st and 2nd self-injection of methotrexate using a 10 mm visual analog scale. Patients also reported their level of satisfaction (10 mm VAS) after the 1st and 2nd self-injection.Results:The mean duration of patient education session is 13 min.Table I compares the evolution of the degrees of reluctance to self-injection, the difficulties encountered, and the satisfaction experienced by the patients.Table 1.Evolution of RA patients’ perceptions on the methotrexate self-injection. (N = 27)BeforeAfter the 1stself-injectionAfter the 2end self-injectionpVAS reluctance (0-10mm)6,5 ± 3,62,2 ± 2,91,0 ± 2,3<0,0001VAS difficulty (0-10mm)7,5 ± 2,62,5 ± 2,71,0 ± 1,9<0,0001VAS satisfaction (0-10mm)-8,9 ± 1,89,5 ± 1,50,002Conclusion:This study suggests the effectiveness of a methotrexate self-injection patient education session in RA patients. It also highlights the value of patient education in rheumatologic care. A large-scale study is necessary to better interpret and complete these preliminary results from this pilot study.Disclosure of Interests:None declared

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Exercise therapy, patient education, and patellar taping in the treatment of adolescents with patellofemoral pain: a prospective pilot study with 6 months follow-up

Pilot and Feasibility Studies ◽

10.1186/s40814-017-0227-7 ◽

2018 ◽

Vol 4 (1) ◽

Cited By ~ 7

Author(s):

Michael S. Rathleff ◽

Camilla R. Rathleff ◽

Sinead Holden ◽

Kristian Thorborg ◽

Jens L. Olesen

Keyword(s):

Pilot Study ◽

Patient Education ◽

Exercise Therapy ◽

Patellofemoral Pain ◽

Prospective Pilot Study ◽

Patellar Taping

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FEASIBILITY OF MOBILE HEALTH FOR LOW-INCOME MINORITY HISPANIC PATIENTS WITH A STROKE

Innovation in Aging ◽

10.1093/geroni/igz038.1215 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S334-S334

Author(s):

Stuti Dang ◽

Kasra Sarhadi ◽

Sonjia Kenya ◽

Chuanhui Dong ◽

Natalie Ferras ◽

...

Keyword(s):

Blood Pressure ◽

Patient Education ◽

Mobile Health ◽

Low Income ◽

Health Knowledge ◽

Randomized Study ◽

Response Rates ◽

Text Messages ◽

Stroke Patients ◽

The Impact

Abstract Stroke is a leading cause of death and functional impairment that disproportionately impacts Hispanics. Several studies have supported the feasibility of mobile health interventions (mHealth) to provide health monitoring and patient education for improving chronic disease management, but none have focused on Latino stroke patients. The Hispanic Secondary Stroke Prevention Initiative is a randomized study of 200 stroke patients designed to evaluate the impact of a 12-month multi-modal Community Health Worker (CHW) and mHealth intervention on blood pressure control. Eligible participants were Latinos who experienced a mild-moderate stroke within the last five years. The CHW component included home visits, telephone calls, and daily text messages to obtain home blood pressure readings and provide patient navigation and health education. Feasibility was defined as the proportion of patients that responded to at least half the messages. Pre-post paired t-tests assessed improvements in question accuracy while correlation coefficients highlighted improvements in response rates. Among the 65 participants randomized to the intervention, the response rate was as follows: 37% - >50% response, 21% - 25-50%, 19% - 10-25%, and 23% - <10%, This finding suggests that mHealth interventions may be challenging in this population. However, the proportion of questions answered correctly increased from 63% to 84% in the intervention period’s last two months (p<0.05). There was a positive correlation between increased response rates and response accuracy to patient education assessments (r=0.82, p<0.05). These improvements in health knowledge suggest that a subset of patients may benefit from mHealth interventions, and the benefit correlates with use.

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Development and Validation of a Questionnaire Evaluating the Impact of Prosthetic Dental Treatments on Patients’ Oral Health Quality of Life: A Prospective Pilot Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17145037 ◽

2020 ◽

Vol 17 (14) ◽

pp. 5037 ◽

Cited By ~ 1

Author(s):

Eitan Mijiritsky ◽

Yael Lerman ◽

Ori Mijiritsky ◽

Asaf Shely ◽

Joseph Meyerson ◽

...

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Pilot Study ◽

Post Treatment ◽

Self Report ◽

Measurement Tool ◽

The Novel ◽

Prospective Pilot Study ◽

The Impact

Objectives: the aims of this study were the development of a novel questionnaire to assess the impact of prosthetic treatments on oral health-related quality of life (OHRQoL) and the performance of a prospective pilot study. Background: the currently preferred OHRQoL measurement tool is the oral health impact profile-49 (OHIP-49), a self-report questionnaire which mainly focuses on general effects related to oral health. Materials and methods: A total of 24 adult participants (9 females and 15 males) were recruited and asked to complete the novel questionnaire twice: once before the prosthetic treatment began and 4–6 weeks post-treatment. The assessment of the change in OHRQoL was based on the differences in participants’ answers before and after treatment. Data were analyzed using ANOVA with a repeated-measures method and t-tests. The reliability of the questionnaire was tested using Cronbach’s alpha and intraclass coefficient (ICC). Results: The questionnaire was found to be reliable (α ≥ 0.6), with “social disability” having the highest score (α = 0.868). All domains showed an improvement (α < 0.005) in OHRQoL scores after treatment. Conclusions: the novel questionnaire tested in this study was found to be reliable and convenient to use, and demonstrated that prosthetic treatments have a significant positive effect on OHRQoL post-treatment scores.

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