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Pilot study of a multidisciplinary gout patient education and monitoring program.
Fields, Theodore R; Rifaat, Adam; Yee, Arthur M F; Ashany, Dalit; Kim, Katherine; Tobin, Matthew; Oliva, Nicole; Fields, Kara; Richey, Monica; Kasturi, Shanthini; Batterman, Adena.
Afiliación
  • Fields TR; Department of Medicine, Weill Cornell Medical College, New York, NY; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021. Electronic address: fieldst@hss.edu.
  • Rifaat A; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
  • Yee AMF; Department of Medicine, Weill Cornell Medical College, New York, NY; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
  • Ashany D; Department of Medicine, Weill Cornell Medical College, New York, NY; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
  • Kim K; Department of Nursing, Hospital for Special Surgery, New York, NY.
  • Tobin M; Department of Pharmacy, Hospital for Special Surgery, New York, NY.
  • Oliva N; Department of Pharmacy, Hospital for Special Surgery, New York, NY.
  • Fields K; Healthcare Research Institute, Hospital for Special Surgery, New York, NY.
  • Richey M; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
  • Kasturi S; Department of Medicine, Weill Cornell Medical College, New York, NY; Division of Rheumatology, Hospital for Special Surgery, 535 East 70th St., New York, NY 10021.
  • Batterman A; Department of Social Work, Hospital for Special Surgery, New York, NY.
Semin Arthritis Rheum ; 46(5): 601-608, 2017 04.
Article en En | MEDLINE | ID: mdl-27931979
OBJECTIVE: Gout patient self-management knowledge and adherence to treatment regimens are poor. Our objective was to assess the feasibility and acceptability of a multidisciplinary team-based pilot program for the education and monitoring of gout patients. METHODS: Subjects completed a gout self-management knowledge exam, along with gout flare history and compliance questionnaires, at enrollment and at 6 and 12 months. Each exam was followed by a nursing educational intervention via a structured gout curriculum. Structured monthly follow-up calls from pharmacists emphasized adherence to management programs. Primary outcomes were subject and provider program evaluation questionnaires at 6 and 12 months, program retention rate and success in reaching patients via monthly calls. RESULTS: Overall, 40/45 subjects remained in the study at 12 months. At 12 months, on a scale of 1 (most) to 5 (least), ratings of 3 or better were given by 84.6% of subjects evaluating the usefulness of the overall program in understanding and managing their gout, 81.0% of subjects evaluating the helpfulness of the nursing education program, and 50.0% of subjects evaluating the helpfulness of the calls from the pharmacists. Knowledge exam questions that were most frequently answered incorrectly on repeat testing concerned bridge therapy, the possibility of being flare-free, and the genetic component of gout. CONCLUSIONS: Our multidisciplinary program of gout patient education and monitoring demonstrates feasibility and acceptability. We identified variability in patient preference for components of the program and persistent patient knowledge gaps.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Cumplimiento y Adherencia al Tratamiento / Automanejo / Gota Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Semin Arthritis Rheum Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Conocimientos, Actitudes y Práctica en Salud / Educación del Paciente como Asunto / Cumplimiento y Adherencia al Tratamiento / Automanejo / Gota Tipo de estudio: Prognostic_studies / Qualitative_research Aspecto: Implementation_research Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Semin Arthritis Rheum Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos