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A Randomized Controlled Trial to Evaluate an Internet-Based Self-Management Program in Systemic Sclerosis
- Publication Year :
- 2019
-
Abstract
- Objective In a pilot study, our group showed that an internet-based self-management program improves self-efficacy in systemic sclerosis (SSc). The objective of the current study was to compare an internet-based self-management program to a patient-focused educational book developed to assess measures of self-efficacy and other patient-reported outcomes in patients with SSc. Methods We conducted a 16-week randomized, controlled trial. Results Of the 267 participants who completed baseline questionnaires and were randomized to the intervention (internet: www.selfmanagescleroderma.com) or control (book) group, 123 participants (93%) in the internet group and 124 participants (94%) in the control group completed the 16-week randomized controlled trial (RCT). The mean ± SD age of all participants was 53.7 ± 11.7 years, 91% were women, and 79.4% had some college or a higher degree. The mean ± SD disease duration after diagnosis of SSc was 8.97 ± 8.50 years. There were no statistical differences between the 2 groups for the primary outcome measure (Patient-Reported Outcomes Measurement Information System Self-Efficacy for Managing Symptoms: mean change of 0.35 in the internet group versus 0.94 in the control group; P = 0.47) and secondary outcome measures, except the EuroQol 5-domain instrument visual analog scale score (P = 0.05). Internet group participants agreed that the self-management modules were of importance to them, the information was presented clearly, and the website was easy to use and at an appropriate reading level. Conclusion Our RCT showed that the internet-based self-management website was not statistically superior to an educational patient-focused book in improving self-efficacy and other measures. The participants were enthusiastic about the content and presentation of the self-management website.
- Subjects :
- Adult
Male
medicine.medical_specialty
education
MEDLINE
Pilot Projects
Systemic therapy
Article
law.invention
03 medical and health sciences
0302 clinical medicine
Rheumatology
Randomized controlled trial
Internet based
law
medicine
Humans
Self management program
Aged
030203 arthritis & rheumatology
Self-efficacy
Internet
Scleroderma, Systemic
business.industry
Self-Management
Middle Aged
Internet Standard
Self Efficacy
Self Care
Physical therapy
The Internet
Female
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Accession number :
- edsair.doi.dedup.....f4e7a60dccaac2c3079b4cd0e3b1c3be