Key result
Four post-discharge health education calls improve self-efficacy scores over a single call.
Why the study?
Self-efficacy is seen as key to self-management, but little research has demonstrated the effectiveness of telephone follow-up health education for rheumatoid arthritis patients in China.
Does health education by telephone follow-up improve self-efficacy in discharged patients with rheumatoid arthritis?
RCT (n=92)
randomly divided
Does health education by telephone follow-up improve self-efficacy in discharged patients with rheumatoid arthritis?
p-value: p=< .05
A health education program delivered via telephone follow-up significantly improves short- and long-term self-efficacy in discharged patients with rheumatoid arthritis.
Supports multiple telephone follow-ups in RA discharge care; extends RCT evidence on optimal telehealth education frequency.
AIMS AND OBJECTIVES: To explore the effectiveness of a health education programme by telephone follow-up on the self-efficacy of patients with rheumatoid arthritis (RA). BACKGROUND: Self-efficacy is increasingly perceived to be a cornerstone in improving the capacity of self-management. However, a paucity of research has demonstrated the effectiveness of health education by the use of a telephone follow-up for RA patients in China. DESIGN: This study was a randomised control trial. METHODS: Recruited patients were randomly divided into control and intervention groups. The intervention group accepted health education by telephone follow-up four times after the patients were discharged. The patients in the control group only accepted telephone follow-up once after they were discharged. Self-efficacy was measured by the use of the Rheumatoid Arthritis Self-Efficacy Questionnaire (RASE), and data were collected at the day before the discharge, the 12th week and the 24th week after patients were discharged. The CONSORT checklist was used to check the procedure. RESULTS: A total of 92 discharged patients with rheumatoid arthritis were enrolled. The sociodemographic indexes of the control and intervention groups had no significant differences at baseline (p > .05). The RASE score of the intervention group was higher than that of the control group (p < .05) at the 12th week and the 24th week. CONCLUSION: The HET improved the self-efficacy of the discharged patients with RA in the 12th week and the 24th week after discharge. This study demonstrated that our HET can improve the short-term and long-term effects of self-efficacy, which implies that the clinical nursing staff should increase the frequency of HET to improve the patients' knowledge and abilities of self-management. RELEVANCE TO CLINICAL PRACTICE: Patients with RA will benefit from a health education programme by telephone follow-up; thus, it is necessary for nursing managers to implement this programme.
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Zhao et al. (2019) conducted an RCT in rheumatoid arthritis (n=92). Health education by telephone follow-up vs. Telephone follow-up once after discharge was evaluated on Self-efficacy measured by the Rheumatoid Arthritis Self-Efficacy Questionnaire (RASE) (p=< .05). Health education by telephone follow-up four times after discharge significantly improved self-efficacy scores compared to a single follow-up at 12 and 24 weeks (p < .05).
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