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Rheumatoid arthritis knowledge gap and intervention in Nigeria study
Olaosebikan B Hakeem1, Yerima Abubakar2, Uhunmwangho Courage3
1Department of Medicine, Rheumatology Unit, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
International Journal of Rheumatic Diseases
|December 18, 2023
Summary
A study on Nigerian family physicians revealed significant knowledge gaps in rheumatoid arthritis (RA) diagnosis and management. An educational intervention successfully improved their understanding, emphasizing the need for enhanced rheumatology training.
Area of Science:
- Rheumatology
- Medical Education
- Public Health
Background:
- Family physicians in Nigeria are primary points of contact for rheumatoid arthritis (RA) due to limited rheumatology services.
- A significant knowledge gap exists among these physicians regarding RA diagnosis and management.
Purpose of the Study:
- To assess the existing knowledge gap concerning rheumatoid arthritis (RA) among family physicians in Nigeria.
- To evaluate the effectiveness of an educational intervention in improving RA knowledge.
Main Methods:
- A cross-sectional survey of 609 Nigerian family physicians was conducted.
- Pre- and post-intervention questionnaires assessed RA knowledge.
- An investigator-led PowerPoint presentation served as the educational intervention.
Main Results:
- Pre-intervention, 77.0% of physicians scored below 5/10 on RA knowledge, with a median score of 3.2.
- Post-intervention, the median score significantly improved to 7.1, with 62.6% scoring above 7 (p=.001).
- Key improvements were noted in understanding RA management, diagnostic confidence, and recognizing characteristic features.
Conclusions:
- Educational interventions are crucial for bridging knowledge gaps in rheumatoid arthritis (RA) diagnosis and management.
- A comprehensive approach to rheumatology education and services is recommended for policymakers.
