2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis
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2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. / Nikiphorou, Elena; Santos, Eduardo José Ferreira; Marques, Andrea; Böhm, Peter; Bijlsma, Johannes W.J.; Daien, Claire Immediato; Esbensen, Bente Appel; Ferreira, Ricardo J.O.; Fragoulis, George E.; Holmes, Pat; McBain, Hayley; Metsios, George S.; Moe, Rikke Helene; Stamm, Tanja A.; De Thurah, Annettede; Zabalan, Condruta; Carmona, Loreto; Bosworth, Ailsa.
I: Annals of the Rheumatic Diseases, Bind 80, Nr. 10, 2021, s. 1278-1285.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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T1 - 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis
AU - Nikiphorou, Elena
AU - Santos, Eduardo José Ferreira
AU - Marques, Andrea
AU - Böhm, Peter
AU - Bijlsma, Johannes W.J.
AU - Daien, Claire Immediato
AU - Esbensen, Bente Appel
AU - Ferreira, Ricardo J.O.
AU - Fragoulis, George E.
AU - Holmes, Pat
AU - McBain, Hayley
AU - Metsios, George S.
AU - Moe, Rikke Helene
AU - Stamm, Tanja A.
AU - De Thurah, Annettede
AU - Zabalan, Condruta
AU - Carmona, Loreto
AU - Bosworth, Ailsa
N1 - Publisher Copyright: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
PY - 2021
Y1 - 2021
N2 - Background: An important but often insufficient aspect of care in people with inflammatory arthritis (IA) is empowering patients to acquire a good understanding of their disease and building their ability to deal effectively with the practical, physical and psychological impacts of it. Self-management skills can be helpful in this regard. Objectives: To develop recommendations for the implementation of self-management strategies in IA. Methods: A multidisciplinary taskforce of 18 members from 11 European countries was convened. A systematic review and other supportive information (survey of healthcare professionals (HCPs) and patient organisations) were used to formulate the recommendations. Results: Three overarching principles and nine recommendations were formulated. These focused on empowering patients to become active partners of the team and to take a more proactive role. The importance of patient education and key self-management interventions such as problem solving, goal setting and cognitive behavioural therapy were highlighted. Role of patient organisations and HCPs in promoting and signposting patients to available resources has been highlighted through the promotion of physical activity, lifestyle advice, support with mental health aspects and ability to remain at work. Digital healthcare is essential in supporting and optimising self-management and the HCPs need to be aware of available resources to signpost patients. Conclusion: These recommendations support the inclusion of self-management advice and resources in the routine management of people with IA and aim to empower and support patients and encourage a more holistic, patient-centred approach to care which could result in improved patient experience of care and outcomes.
AB - Background: An important but often insufficient aspect of care in people with inflammatory arthritis (IA) is empowering patients to acquire a good understanding of their disease and building their ability to deal effectively with the practical, physical and psychological impacts of it. Self-management skills can be helpful in this regard. Objectives: To develop recommendations for the implementation of self-management strategies in IA. Methods: A multidisciplinary taskforce of 18 members from 11 European countries was convened. A systematic review and other supportive information (survey of healthcare professionals (HCPs) and patient organisations) were used to formulate the recommendations. Results: Three overarching principles and nine recommendations were formulated. These focused on empowering patients to become active partners of the team and to take a more proactive role. The importance of patient education and key self-management interventions such as problem solving, goal setting and cognitive behavioural therapy were highlighted. Role of patient organisations and HCPs in promoting and signposting patients to available resources has been highlighted through the promotion of physical activity, lifestyle advice, support with mental health aspects and ability to remain at work. Digital healthcare is essential in supporting and optimising self-management and the HCPs need to be aware of available resources to signpost patients. Conclusion: These recommendations support the inclusion of self-management advice and resources in the routine management of people with IA and aim to empower and support patients and encourage a more holistic, patient-centred approach to care which could result in improved patient experience of care and outcomes.
KW - ankylosing
KW - arthritis
KW - health care
KW - outcome assessment
KW - psoriatic
KW - rheumatoid
KW - spondylitis
U2 - 10.1136/annrheumdis-2021-220249
DO - 10.1136/annrheumdis-2021-220249
M3 - Journal article
C2 - 33962964
AN - SCOPUS:85105731949
VL - 80
SP - 1278
EP - 1285
JO - Annals of the Rheumatic Diseases
JF - Annals of the Rheumatic Diseases
SN - 0003-4967
IS - 10
ER -
ID: 269621861