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Related Experiment Videos

Clinical implications of patients' knowledge

T Mahmud1, M Comer, K Roberts

  • 1Department of Rheumatology, King's College Hospital, London.

Clinical Rheumatology
|November 1, 1995
PubMed
Summary

Patient education on medication side effects for rheumatoid arthritis (RA) and osteoarthritis (OA) is often inadequate. This deficiency is linked to poorer overall disease management and treatment effectiveness.

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Area of Science:

  • Rheumatology
  • Patient Education
  • Clinical Practice

Background:

  • Current patient education strategies in routine clinical practice require evaluation.
  • Understanding patient knowledge regarding diagnosis, treatment, and side effects is crucial for effective disease management.

Purpose of the Study:

  • To assess the effectiveness of patient education in routine clinical practice for rheumatoid arthritis (RA) and osteoarthritis (OA).
  • To determine the level of patient knowledge regarding disease diagnosis, treatment effects, and adverse drug reactions.
  • To evaluate the relationship between patient education and overall disease management in RA patients.

Main Methods:

  • Three studies were conducted involving patients with RA and OA.
  • Study 1: Assessed overall knowledge in 100 RA/OA patients.

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  • Study 2: Assessed detailed drug therapy knowledge in 50 RA/OA patients.
  • Study 3: Evaluated patient education's impact on disease management in 89 RA patients using specialist care guidelines.
  • Main Results:

    • High knowledge of diagnosis (86%) and treatment effects (83%) was observed, but only 37% were well-informed about side effects.
    • While 56%-92% understood drug purpose and effects, many patients lacked awareness of main adverse reactions and management strategies.
    • Inadequate drug therapy education in RA patients correlated with reduced overall care levels.

    Conclusions:

    • Patient education regarding medication side effects and management is frequently insufficient.
    • Despite patients valuing education, its current provision is often inadequate.
    • Inadequate patient education is associated with less effective overall treatment outcomes in rheumatic diseases.