Improving treatment with methotrexate in rheumatoid arthritis—Development of a multimedia patient education program and the MiRAK, a new instrument to evaluate methotrexate-related knowledge

Ciciriello, Sabina; Buchbinder, Rachelle; Osborne, Richard H.; Wicks, Ian P.

doi:10.1016/j.semarthrit.2013.07.009

Cited by 20 publications

(21 citation statements)

References 33 publications

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“…The accompanying education module covered 6 key topics including planning a family and methotrexate use. Ciciriello et al [40] designed a multimedia patient education program that aimed to improve patient knowledge about methotrexate treatment for RA. This program included content regarding contraindications to taking methotrexate, situations where methotrexate should be ceased, and precautions relating to the use of methotrexate in the context of conception and breastfeeding.…”

Section: Information Regarding Medication Safetymentioning

confidence: 99%

“…Of the 9 studies that incorporated a pregnancy-related intervention component, 5 utilised a relevant outcome measure to assess patient knowledge or satisfaction. Ciciriello and colleagues [40] developed the Methotrexate in Rheumatoid Arthritis Knowledge test (MiRAK) and used this to evaluate changes in knowledge after viewing of their methotrexate multimedia patient education program. This instrument contains 4 items that assess patient understanding of whether it is safe to take methotrexate during pregnancy and breastfeeding, whether it is safe to become pregnant 3 weeks after methotrexate therapy has been ceased, and contraceptive use for men and women taking methotrexate.…”

Section: Studies That Utilised Relevant Outcome Measuresmentioning

confidence: 99%

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A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis

et al. 2015

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This systematic review aimed to determine the effectiveness of interventions for improving knowledge and/or self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis (RA). We searched four databases (MEDLINE, CINAHL, Cochrane Trials, PsycINFO) using a comprehensive search strategy. Studies were eligible if they were prospective, published in English from 2004 to 2015, included participants with RA and tested an intervention designed to improve knowledge and/or self-management skills relating to family planning, pregnancy or breastfeeding. As no studies met the latter criterion, the search strategy was expanded to include all prospective studies evaluating RA educational and/or self-management interventions. Data on study characteristics, participant characteristics and programme content were extracted to summarise the evidence base for interventions to support people with RA during their reproductive years. Expanded literature searches identified 2290 papers, of which 68 were eligible. Of these, nine papers (13%) specifically excluded pregnant women/breastfeeding mothers or recruited only older people. Only one study (1%) explicitly evaluated pregnancy-focused education via a motherhood decision aid, while eight studies (12%) incorporated relevant (albeit minor) components within broader RA educational or self-management interventions. Of these, three studies provided methotrexate education in relation to conception/pregnancy/breastfeeding; three incorporated discussions on RA and relationships, impact of RA on the family or sexual advice; one provided information regarding contraception and fertility; and one issued a warning regarding use of biologic therapy in pregnancy/breastfeeding. In conclusion, information regarding family planning, pregnancy or breastfeeding represents a negligible part of published RA educational interventions, with scope to develop targeted resources.

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Section: Information Regarding Medication Safetymentioning

confidence: 99%

Section: Studies That Utilised Relevant Outcome Measuresmentioning

confidence: 99%

A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis

et al. 2015

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“…Time constraints, provision of reliable and accurate information, and the emotional impact of the disease are just some issues that arise. For information to be useful, it needs to be presented in a format that most patients can understand and retain (Ciciriello, Buchbinder, Osborne, & Wicks Buchbinder, Osborne, & Wicks, ). A recent study in the UK demonstrated that, despite nurses running independent clinics and providing DMARD education for several years, a fifth of the participants did not feel confident in counselling patients about MTX (Begum & Nisar, ).…”

Section: Introductionmentioning

confidence: 99%

Development of a methotrexate educational guide/information/monitoring booklet for inflammatory arthritis

Martin

O'Gradaig

Nolan

et al. 2019

Musculoskeletal Care

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Introduction There are over 40,000 people living in Ireland with inflammatory arthritis (IA), a condition that is potentially destructive in nature and can have personal, social and economic consequences. Although we have witnessed dramatic changes in the treatment of IA in the last two decades, methotrexate (MTX) remains the first‐line treatment for patients with a diagnosis of IA. Despite the fact that MTX is so commonly prescribed, there is a lack of educational materials both for healthcare professionals (HCPs) and patients. The aim of the present study was to develop a suite of MTX material for patients. Methods A comprehensive literature review of MTX (evidence, educational materials and practice guidelines) in the treatment of IA was undertaken. The content of the documents was developed, and the format and structure of the documents were agreed. A tailored patient educational guide, information/monitoring booklet and alert card were designed to address the lack of educational materials for this condition. A national pilot study of the documents was conducted (a postal questionnaire for patients and electronic survey for clinical nurse specialists). Results and recommendations were incorporated into the final documents. These documents were also incorporated into the National Clinical Care Programme–rheumatology–methotrexate pathway. Results A 26‐page evidence‐based educational guide was produced to support the HCP in educating patients taking MTX, in conjunction with a patient information/monitoring booklet and alert card to support the patient. Conclusions These documents are now widely available and used in clinical practice in Ireland, providing patients with standardized, evidence‐based information about MTX.

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“…A literature review comparing printed and multimedia health materials for patient education in a variety of medical specialties has showed that 92% of subjects using the multimedia materials exhibits equal or better outcome [3]. Other more recent studies also showed that use of multimedia contents and 3D animation can improve the effectiveness of patient education and decision making process in arthroscopic surgery [4], rheumatoid arthritis [5], renal disease [6], periodontitis [7] or Hispanic/Latino patients [8].…”

Section: Introductionmentioning

confidence: 99%

Multimedia Patient Education Content Delivery System for Healthcare Providers

Teng

Mainwaring²

2014

Proceedings of the 12th International Conference on Advances in Mobile Computing and Multimedia

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Multimedia information is an important part of healthcare patient education today. Pervasiveness of mobile devices such as smartphone and tablet computers is presenting an opportunity for healthcare providers to efficiently deliver targeted contents to their patients. A multimedia content delivery system based on mobile applications and web services could potentially help patients make better informed decision on their conditions and treatments. Such system could also improve the workflow and eventual outcome of patient care.

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Improving treatment with methotrexate in rheumatoid arthritis—Development of a multimedia patient education program and the MiRAK, a new instrument to evaluate methotrexate-related knowledge

Cited by 20 publications

References 33 publications

A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis

A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis

Development of a methotrexate educational guide/information/monitoring booklet for inflammatory arthritis

Multimedia Patient Education Content Delivery System for Healthcare Providers

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