Ignite Creation Date:
2024-05-06 @ 3:32 PM
Last Modification Date:
2024-10-26 @ 1:51 PM
Study NCT ID:
NCT04669340
Status:
COMPLETED
Last Update Posted:
2023-08-02
First Post:
2020-11-27
Brief Title:
E-learning in Patient Education to Patients With Rheumatoid Arthritis
Sponsor:
Aarhus University Hospital
Organization:
Aarhus University Hospital
Study Overview
Official Title:
E-learning in Patient Education to Patients With Rheumatoid Arthritis - An Evaluation of the Effectiveness the Patient Perspective and the Implementation
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
WEB-RA
Brief Summary:
Rheumatoid arthritis RA is a chronic inflammatory disease that primarily causes pain swelling and stiffness in the joints The disease may reduce normal functioning and thereby quality of life
Patient education PE with the aim of supporting patients to self-manage their disease is an important part of the treatment and care to patients with RA PE supports people in living with RA by offering knowledge of the disease symptoms and treatment as well as guidance in coping with the disease in everyday life In recent years the number of people with RA has risen and in general people lives longer This places new demands on the healthcare system for alternatives to conventional care eg through web technology and remote care
Often PE is provided through face-to-face interactions with health professionals at the hospital and thus far only a small number of studies have been conducted within the area of web-based PE targeting people with RA A few studies within RA and other chronic diseases shows that online tools and online educational programs may enhance patients knowledge of the disease and treatment and improve self-management and quality of life
Internet and technology is a great part of everyday life however variation is seen in computer skills and likewise in health literacy skills
Even so PE based on web technology may have several advantages eg the accessibility and the possibility to seek for information as needed and repeatedly in familiar surroundings and possibly with relatives
Moreover the integration of words and images can promote deeper understanding and learning since both auditory and visual channels are used Possible disadvantages may be related to the absence of face-to-face contact with healthcare professionals
Given the need for alternative solutions to the conventional face-to-face contact the investigators have developed an e-learning program targeting newly diagnosed patients with RA The purpose of the program is to support self-management of the disease The program takes into consideration peoples different competencies and assumptions by presenting information in an easy inspiring and entertaining way The program consists of three learning modules covering knowledge of the disease medication examinations complications and daily living with RA eg coping with emotions pain fatigue physical activity work etc
In keeping with different ways of learning and to support peoples different competencies the program offers a combination of animations graphics videos podcasts quizzes written text and spoken words
Given the limited evidence about the effectiveness of web-based PE in RA the intention behind the study is to evaluate the e-learning program
The project will be divided into three parts In the first part the effect of the e-learning program will be evaluated Approximately 200-230 patients from four rheumatology clinics in Denmark will be included Half of the participants will receive education at home through the e-learning program and the other half will receive conventional education at the hospital
The effect of PE will be evaluated through questionnaires covering self-efficacy knowledge of RA and medication medication taking health literacy skills and quality of life Additionally disease activity physical functioning pain and fatigue will be measured
Furthermore the investigators will examine the use of the e-learning program such as time consumption and completed modules Finally telephone contacts from patients to the outpatient clinics will be measured to investigate possible causal relationships between the information provided through PE and the need for additional information or guidance related to self-management The number of out-patient visits in the clinic will also be measured
In the second part the investigators will explore the perceptions of receiving PE through the e-learning program from the perspective of patients with RA This will be explored through individually interviews with approximately 20-25 patients
In the third part the complexities in the e-learning program to improve chances of success in implementation of the technology in clinical practice ie outside the project will be explored Through focus group interviews with nurses and doctors involved in the project the investigators will explore perspectives of using the program The interviews will be based on a framework covering both successes challenges and failures in relation to the technology the patient group values and the organisation
Furthermore the investigators will revisit the patient interviews from the second part in order to obtain information about these aspects from the patient perspective
The investigators hypothesize that the e-learning PE program will be superior to standard face-to-face PE in improving self-efficacy
Patient education PE with the aim of supporting patients to self-manage their disease is an important part of the treatment and care to patients with RA PE supports people in living with RA by offering knowledge of the disease symptoms and treatment as well as guidance in coping with the disease in everyday life In recent years the number of people with RA has risen and in general people lives longer This places new demands on the healthcare system for alternatives to conventional care eg through web technology and remote care
Often PE is provided through face-to-face interactions with health professionals at the hospital and thus far only a small number of studies have been conducted within the area of web-based PE targeting people with RA A few studies within RA and other chronic diseases shows that online tools and online educational programs may enhance patients knowledge of the disease and treatment and improve self-management and quality of life
Internet and technology is a great part of everyday life however variation is seen in computer skills and likewise in health literacy skills
Even so PE based on web technology may have several advantages eg the accessibility and the possibility to seek for information as needed and repeatedly in familiar surroundings and possibly with relatives
Moreover the integration of words and images can promote deeper understanding and learning since both auditory and visual channels are used Possible disadvantages may be related to the absence of face-to-face contact with healthcare professionals
Given the need for alternative solutions to the conventional face-to-face contact the investigators have developed an e-learning program targeting newly diagnosed patients with RA The purpose of the program is to support self-management of the disease The program takes into consideration peoples different competencies and assumptions by presenting information in an easy inspiring and entertaining way The program consists of three learning modules covering knowledge of the disease medication examinations complications and daily living with RA eg coping with emotions pain fatigue physical activity work etc
In keeping with different ways of learning and to support peoples different competencies the program offers a combination of animations graphics videos podcasts quizzes written text and spoken words
Given the limited evidence about the effectiveness of web-based PE in RA the intention behind the study is to evaluate the e-learning program
The project will be divided into three parts In the first part the effect of the e-learning program will be evaluated Approximately 200-230 patients from four rheumatology clinics in Denmark will be included Half of the participants will receive education at home through the e-learning program and the other half will receive conventional education at the hospital
The effect of PE will be evaluated through questionnaires covering self-efficacy knowledge of RA and medication medication taking health literacy skills and quality of life Additionally disease activity physical functioning pain and fatigue will be measured
Furthermore the investigators will examine the use of the e-learning program such as time consumption and completed modules Finally telephone contacts from patients to the outpatient clinics will be measured to investigate possible causal relationships between the information provided through PE and the need for additional information or guidance related to self-management The number of out-patient visits in the clinic will also be measured
In the second part the investigators will explore the perceptions of receiving PE through the e-learning program from the perspective of patients with RA This will be explored through individually interviews with approximately 20-25 patients
In the third part the complexities in the e-learning program to improve chances of success in implementation of the technology in clinical practice ie outside the project will be explored Through focus group interviews with nurses and doctors involved in the project the investigators will explore perspectives of using the program The interviews will be based on a framework covering both successes challenges and failures in relation to the technology the patient group values and the organisation
Furthermore the investigators will revisit the patient interviews from the second part in order to obtain information about these aspects from the patient perspective
The investigators hypothesize that the e-learning PE program will be superior to standard face-to-face PE in improving self-efficacy
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None