title: [Impact of an educational manual on knowledge and attitudes of rheumatic patients and health care workers].
abstract: BACKGROUND
  Education may induce voluntary behavioral changes in patients that lead to an improvement in health status.
  
  
  OBJECTIVE
  To assess the impact of the educational manual "Aches and Pain" on knowledge and attitudes of patients with chronic rheumatism and paramedics, using an instrument with 40 asseverations extracted from the manual.
  
  
  METHODS
  Seventy seven patients and 42 paramedics were studied. The assessment instrument was responded before and after reading chapters of the manual, selected by the authors. Knowledge was quantified according to the number of correct answers. Adaptation to disease, optimism and self help capacity were the evaluated attitudes, using a five point scale.
  
  
  RESULTS
  The study was completed by 48 patients and 42 paramedics. Knowledge improved from 19.9 +/- 5.3 to 25.6 +/-6.15 correct answers in the former and from 23.6 +/- 4.9 to 30.3 +/- 5.5 in the latter (p < 0.001). In patients there were improvements in the degree of adaptation to disease from 3.6 +/- 0.9 to 4.0 +/- 0.8 and in self-help capacity from 4.0 +/- 0.8 to 4.3 +/- 0.8; optimism did not improve significantly.
  
  
  CONCLUSIONS
  The educational manual had an impact on knowledge and improved rheumatic patient's attitudes towards the disease.
authors.affiliation: Departamento de Reuinatología, Hospital Clínico San Borja-Arriarán, Universidad de Chile, Santiago de Chile.
authors.forename: D
authors.initials: D
authors.lastname: Pacheco
authors.forename: R
authors.initials: R
authors.lastname: Berdichevsky
authors.forename: F
authors.initials: F
authors.lastname: Ballesteros
authors.forename: C
authors.initials: C
authors.lastname: Fuentealba
authors.forename: R
authors.initials: R
authors.lastname: Arinoviche
authors.forename: J
authors.initials: J
authors.lastname: Jérez
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002908:Chronic Disease; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D008297:Male; D008370:Manuals as Topic; D008875:Middle Aged; D010353:Patient Education as Topic; D011446:Prospective Studies; D012216:Rheumatic Diseases