title: Development of a Rheumatoid Arthritis Education Program using the PRECEDE_PROCEED Model.
abstract: BACKGROUND
  In order to help rheumatoid arthritis (RA) patients in carrying out and at-taining relevant self-care behaviors and adaptation to the physical limitations of this dis-ease and, conse-quently, promoting their level of health status, an education program based on the PRECEDE component of the PRECEDE-PROCEED model targeting patients with RA was developed. This paper describes the planning of a RA Patient Education Program (RAPEP) designed to promote their quality of life.
  
  
  METHODS
  The development of the program began with a comprehensive review of the li-terature. This included a review of the signs and symptoms of RA, accompanying func-tional disabilities, previous educational programs and the effect of the disease on the pa-tient's quality of life. Be-sides, in order to help inform RAPEP program development, and organize the survey according to the factors identified in the PRECEDE model a cross-sectional survey was applied on a non-prob-ability sample of 181 outpatients in Yazd, center of Iran.
  
  
  RESULTS
  The quality of life (QOL) problem identified was the considerable low role func-tioning, health perception and physical functioning due to chronic pain. One of the most significant modi-fiable behavioral factors impacting pain and functional limitations was self-care behaviors in RA patients. Higher level of knowledge, attitude, self-efficacy, enabling factors and social support is associated with better self-care behavior.
  
  
  CONCLUSIONS
  The PRECEDE component of the PRECEDE-PROCEED model provided a com-prehensive conceptual framework for the development of RAPEP aiming at RA pa-tients in Yazd. Further research to evaluate this educational program is suggested.
authors.affiliation: Department of Nursing, Islamic Azad University-Sanandaj Branch, Sannadaj, Iran.
authors.forename: Haidar
authors.initials: H
authors.lastname: Nadrian
authors.affiliation: Department of Health, Yazd Shahid Sadoughi University of Medical Sciences, Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Morowatisharifabad
authors.affiliation: Department of Nursing, Islamic Azad University-Sanandaj Branch, Sannadaj, Iran.
authors.forename: Kaveh
authors.initials: K
authors.lastname: Bahmanpour
keywords: Educational Program; PRECEDE Model; Rheumatoid Arthritis