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2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis
Nikiphorou, E Santos, EJF Marques, A Böhm, P Bijlsma, JWJ Daien, CI Esbensen, BA Ferreira, RJO Fragoulis, GE Holmes, P
Nikiphorou, E
Santos, EJF
Marques, A
Böhm, P
Bijlsma, JWJ
Daien, CI
Esbensen, BA
Ferreira, RJO
Fragoulis, GE
Holmes, P
Editors
Other contributors
Affiliation
Epub Date
Issue Date
2021-05-07
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Abstract
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.
Citation
Nikiphorou, E., Santos, E.J.F., Marques, A. et al. (2021) 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. Annals of the Rheumatic Diseases. 80(10), pp.1278-1285 doi: 10.1136/annrheumdis-2021-220249
Publisher
Journal
Research Unit
PubMed ID
33962964 (pubmed)
PubMed Central ID
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Type
Journal article
Language
en
Description
© 2021 The Authors. Published by BMJ. This is an open access article available under a Creative Commons licence.
The published version can be accessed at the following link on the publisher’s website: http://dx.doi.org/10.1136/annrheumdis-2021-220249
Series/Report no.
ISSN
0003-4967
EISSN
1468-2060
ISBN
ISMN
Gov't Doc #
Sponsors
This project has received funding by the European League Against Rheumatism, Project number: PAR028.