RA patients’ perceived risks are related to aspects of their rheumatic disease that may positively or negatively influence their self-care-related behavior. Such complex intervention may be more successfully maintained when the rheumatologist embraces a patient-centered-care model, which has additional ethical implications. ConclusionsĬompliance with therapy was not associated with significant RP in RA outpatients.Ĭurrent recommendations for rheumatoid arthritis (RA) patients emphasize the use of disease-modifying anti-rheumatic drugs (DMARDs) according to a treat-to-target strategy, lifestyle changes, regular visits to the rheumatologist, laboratory testing, and sometimes, additional diagnostic procedures. There were 56 patients with unrealistic RP significant RP and more unfavorable medical criteria were associated with unrealistic RP. The patients’ treatment behavior was not retained in the regression analysis meanwhile, rheumatoid nodes, surgical joint replacement, family history of RA, and higher RAPID-3 score were associated with significant RP. There were 44.1% of the patients concordant with treatment and 22.6% had significant RP. Almost half of the patients were receiving corticosteroids and 15.9% intensive RA-related treatment. There were 415 patients included, primarily middle-aged women with long-standing disease and moderate disease activity.
Patients provided written informed consent and the study received Internal Review Board approval. Multiple logistic regression analysis was used. Unrealistic RP was defined based on the coincidence of the presence/absence of significant RP and less/more than 7 unfavorable medical criteria. Significant RP was defined according to a cut-off based on the 75th percentile value of the sample in which the RPQ was validated.
Patients and methodsīetween January 2018 and June 2019, 450 consecutive outpatients who received RA-related treatment were invited to a face-to-face interview to obtain socio-demographic data, RA-related information, comorbidities, and the following outcomes: adherence, persistence, and concordance with medications assessed with a questionnaire locally designed RP with the RP questionnaire (RPQ) disease activity with the Routine Assessment of Patient Index Data-3 (RAPID-3) disability with the Health Assessment Questionnaire Disability Index (HAQ-DI) quality of life with Medical Outcomes Study Short Form-36 (SF-36) instrument pain and overall disease with the respective visual analogue scale (VAS) and health literacy assessed with 3 questions. The secondary objective was to identify factors associated with judgment bias such as unrealistic RP.
The primary objective was to determine a potential association between RP and compliance with therapy in RA outpatients and to identify additional factors. Compliance with treatment impacts disease-related outcomes and could be associated with RP to variable degrees and at different levels. Assessing risk perception (RP) helps explain how rheumatoid arthritis (RA) patients integrate their ideas concerning the disease and how this understanding affects their self-care management.
0 kommentar(er)
