Tali Heiman, Dorit Olenik-Shemesh
Social-Emotional Profile of Children with and without Learning Disabilities: The Relationships with Perceived Loneliness, Self-Efficacy and Well-Being
International journal of environmental research and public health
evaluate effectiveness novel digital patient education pe programme improving selfmanagement patients newly diagnosed rheumatoid arthritis ra parallel openlabel two arms randomised controlled trial superiority design patients five rheumatology clinics randomised digital pe intervention facetoface pe control primary outcome selfefficacy measured average difference rheumatoid arthritis selfefficacy rase score baseline month 12 secondary outcomes ra knowledge health literacy adherence quality life healthcare utilisation data digital pe programme usage recorded selfefficacy knowledge health literacy data analysed using mixedeffects repeated measures modelling adherence using logistic regression quality life healthcare utilization using descriptive statistics wilcoxon ranksum test 180 patients randomised digital pe n 89 facetoface pe n 91 175 data available analysis median age 590 years 61 women average difference selfefficacy groups baseline month 12 significant 434 difference rase score favouring intervention group 95ci 817 051 p 0026 ra knowledge health literacy quality life showed minor improvements time difference groups except outpatient clinic contacts fewer intervention group findings suggest digital pe effective improving selfefficacy therefore selfmanagement patients early ra intervention potential lower healthcare costs decreasing outpatient clinic contacts clinicaltrialsgov nct04669340