Sammendrag
Background: There is often a disparity between the patient's view of what they need to know and the views of health professionals who provide the education. To address this gap, the Educational Needs Assessment Tool (ENAT) was developed in the UK [1]. It is a self-completed questionnaire comprising of 39 items grouped into 7 domains (managing pain, movement, feelings, arthritis process, treatments, self-help measures and support systems). Items is scored on 5-point Likert scales ranging from ''not at all important'' = 1 to ''extremely important'' = 5. The ENAT has been translated into Norwegian with a forward and backward translation procedure [2], and validated by Rasch analysis.
Objectives: The aim of this study was to evaluate the educational needs of persons with RA by use of the Norwegian version of the ENAT (NorENAT).
Methods: A consecutive sample of 137 patients with RA was recruited from different rheumatology clinics in Norway. They completed the NorENAT unaided. The data was summarised and analysed descriptively. Educational needs for each domain was calculated and Kruskal-wallis test was used to determine significant differences between patient groups where appropriate.
Results: The sample consisted of 35 (26%) men and 101 (74%) women. Their median age was 57 years (range 19 – 81), and median disease duration 7 years (range 1 – 50). 42% had completed basic education, 34% high school education and 23% college or university education. Female patients reported significantly higher educational needs than male patients in the domains of managing pain, movement, feelings and self-help measures. Older patients (> 65 years) indicated significantly lower educational needs on arthritis process and self-help measures (p=0.031, and 0.016 respectively). There were no significant differences of educational needs based on quartiles of disease duration (cut off points = 3, 7 and 19 years). Patients with basic educational background had significantly higher educational needs on support from others (p=0.029). Those with college or university education had significantly less educational needs than others on treatments (p=.025).
Conclusion: The NorENAT appears to be a quick and simple method of collecting information about the educational needs of the individual patient with RA to ensure that education is relevant, appropriate and timely.
References: 1. Hardware B, Lacey A, Shewan J. Towards development of a tool to assess educational needs in patients with arthritis. Clinical effectiveness in nursing 2004; 8:111-117
2. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000; 25(24):3186-3191.
Ann Rheum Dis 2008;67(Suppl II):670
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