Measuring educational needs among patients with rheumatoid arthritis using the Dutch version of the Educational Needs Assessment Tool (DENAT) |
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Authors: | Jorit J L Meesters Theodora P M Vliet Vlieland Jackie Hill Mwidimi E Ndosi |
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Institution: | (1) Department of Rheumatology, Leiden University Medical Center, Leiden, the Netherlands;(2) Department of Physical Therapy (Postal zone H0-Q), Leiden University Medical Center, PO Box 9600 2300 RC, Leiden, the Netherlands;(3) Department of Orthopaedics, Leiden University Medical Center, Leiden, the Netherlands;(4) Academic and Clinical Unit for Musculoskeletal Nursing, University of Leeds, Leeds, UK |
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Abstract: | The Educational Needs Assessment Tool (ENAT) was developed in the United Kingdom (UK) to systematically assess the educational
needs of patients with arthritis. The aim of the present study was to describe the educational needs of Dutch patients with
rheumatoid arthritis (RA) by using the Dutch version of the ENAT (DENAT). The original UK version of the ENAT, comprising
39 items grouped into seven domains, was translated into Dutch according to international guidelines for cross-cultural translation
and adaptation. The DENAT was then sent to a random sample of 319 RA patients registered at the outpatient clinic of a university
hospital. For each domain (score range 1–5, equalling low–high educational needs), a median score with the inter-quartile
range was computed. The Kruskal–Wallis test was used to determine possible associations between educational needs and age,
disease duration, gender and educational background. The response rate was 165 out of 319 (52%). The median educational needs
scores were 2.5 for “managing pain”, 3.0 for “movement”, 2.0 for “feelings”, 4.0 for “arthritis process”, 4.0 for “treatments
from health professionals”, 3.5 for “self-help measures” and 2.5 for “support systems”. Lower age and shorter disease duration
were associated with more educational needs in the domain “support systems”. In addition, younger patients had more educational
needs regarding managing pain and feelings than older patients. There were no associations between gender or educational background
and educational needs. The DENAT has demonstrated its ability to identify individual educational needs of Dutch patients with
RA. The lower age and shorter disease duration were associated with more educational needs. The practical applicability of
the DENAT needs further research.
An erratum to this article can be found at |
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Keywords: | Allied health professionals Consumer health information Health knowledge Needs assessment Patient education Rheumatoid arthritis |
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