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Translating patient education theory into practice: Developing material to address the cardiovascular education needs of people with rheumatoid arthritis
Authors:Holly John  Elizabeth D Hale  Paul BennettGareth J Treharne  Douglas CarrollGeorge D Kitas
Institution:a Department of Rheumatology, Dudley Group of Hospitals NHS Trust, UK
b School of Sport and Exercise Sciences, University of Birmingham, UK
c Nursing, Health and Social Care Research Centre University of Cardiff, UK
d Department of Psychology, University of Otago, New Zealand
e Arc Epidemiology Unit, University of Manchester, UK
Abstract:

Objective

This paper describes the rationale and design of a theory-informed patient education programme addressing cardiovascular disease for people with rheumatoid arthritis (RA) to illustrate how theory can explicitly be translated into practice.

Methods

A steering group of rheumatologists and psychologists was convened to design the programme. The Common Sense Model, the Theory of Planned Behaviour and the Stages of Change Model were used to underpin the topics and activities in the programme. User involvement was sought. The programme was formatted into a manual and the reading age of the materials was calculated.

Results

A small group 8-week programme was designed. The structure of the patient education programme, including topics, underlying psychological theory as well as behaviour change techniques, is described.

Conclusion

This patient education programme addresses a currently unmet educational need for patients with RA and uses theory to design, not just evaluate, the programme. This will allow both enhanced interpretation of the results when the programme is implemented and replication by other units if successful.

Practice implications

The actual design and detail of education programmes merit wider dissemination to facilitate progress in the process of development and application.
Keywords:Patient education  Social cognitive theory  Cognitive behavioural therapy  Small group education  Rheumatoid arthritis  Cardiovascular disease  Self-management
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