title: Group education for patients with rheumatoid arthritis and their partners.
abstract: OBJECTIVE
  To determine the effects of group education followed by booster sessions for people with rheumatoid arthritis (RA), and to determine whether participation of a significant other influenced the effects.
  
  
  METHODS
  A total of 218 RA patients, each of them with a partner, took part in the study. Two-thirds of the patients received a 5-week group self-management education program, with booster sessions after 3, 6, and 9 months; half of them received the intervention with a partner, and half without. One-third of the patients received the same educational materials without group sessions. Data were collected 1 week before the group sessions began and 2, 6, and 12 months later. The assessments included health behavior, arthritis self-efficacy, health status, and social interactions.
  
  
  RESULTS
  After 12 months, self-efficacy scores for coping with other symptoms were significantly higher for patients participating in the group education without a partner and significantly lower for patients participating in the group education with a partner. Fatigue increased in patients participating in the group education with a significant other and decreased in patients participating in the group education without a significant other. No other effects were found on health status, health behavior, or social interactions.
  
  
  CONCLUSIONS
  Our findings suggest that participation of a significant other in psychoeducational programs does not have only positive effects. Instead of stimulating patients to adopt beneficial health behaviors and increase their self-efficacy expectations, participation of a significant other led in our program to decreases in self-efficacy and increased fatigue, whereas patients participating in group education without partners showed increases in self-efficacy and decreased fatigue. Booster sessions did not seem to influence results.
authors.affiliation: University of York, UK.
authors.forename: Robert P
authors.initials: RP
authors.lastname: Riemsma
authors.forename: Erik
authors.initials: E
authors.lastname: Taal
authors.forename: Johannes J
authors.initials: JJ
authors.lastname: Rasker
mesh_terms: D001172:Arthritis, Rheumatoid / Q000503:physiopathology / Q000517:prevention & control / Q000523:psychology*; D005221:Fatigue; D015438:Health Behavior; D006302:Health Services Research; D006801:Humans; D010353:Patient Education as Topic; D015397:Program Evaluation; D012648:Self Care; D020377:Self Efficacy; D012657:Self-Help Groups; D012944:Social Support; D018454:Spouses / Q000193:education*