title: Cross-sectional study of self-care safety skills in 677 patients on biodrugs for inflammatory joint disease.
abstract: BACKGROUND
  Biodrugs carry specific risks that patients must be aware of and capable of managing. Until now, few studies have addressed the self-care safety skills of patients taking biodrugs. The primary objective of this study was to describe the self-care safety skills of patients taking biodrugs for chronic inflammatory joint disease.
  
  
  METHODS
  We conducted a nationwide cross-sectional survey. To obtain the most representative sample possible of patients taking biodrugs, we selected rheumatologists at random from the directory of the French Society for Rheumatology (SFR). Each rheumatologist was to include 5 consecutive patients receiving biodrugs. The BioSecure questionnaire was used to collect information on patient self-care safety skills.
  
  
  RESULTS
  Of the 677 included patients, with a mean age of 53 years, 33% were males, 62% had rheumatoid arthritis, and 47% had previously received a therapeutic patient education (TPE) session. The median BioSecure score (percentage of correctly answered items) was 73% (interquartile range, 60-82). The dimensions with the lowest scores were the symptoms requiring a physician visit (median, 75), vaccinations (median, 75), contraception (median, 50), and subcutaneous biodrugs (median, 68). The replies to theoretical items (assessing knowledge) and those to problem-case items (assessing adaptive skills) were discordant.
  
  
  CONCLUSIONS
  This study provides concrete data of use for improving the information and TPE of patients taking biodrugs. Skills regarding the symptoms that require a physician visit, vaccinations, contraception, and subcutaneous treatments need to be improved. Interesting information can be obtained by simultaneously testing knowledge and coping.
authors: Service de rhumatologie, CHU de Nancy, Hôpitaux de Brabois, allée du Morvan, 54500 Vandoeuvre-lès-Nancy, France.
authors: Dominique
authors: D
authors: Orefice
authors: Service de rhumatologie, Hôpital Saint-Antoine, Hôpitaux universitaires Est Parisien, AP-HP, 75012 Paris, France.
authors: Catherine
authors: C
authors: Beauvais
authors: GRC-UMPC 08 (EEMOIS), Paris 06 Université, Université Pierre-et-Marie-Curie (UPMC), 75013 Paris France; Groupe Hospitalier Pitié Salpêtrière, AP-HP, 75013 Paris, France.
authors: Laure
authors: L
authors: Gossec
authors: Service de rhumatologie B, Hôpital Cochin, AP-HP, 75014 Paris, France.
authors: Elisabeth
authors: E
authors: Flipon
authors: GRC-UMPC 08 (EEMOIS), Paris 06 Université, Université Pierre-et-Marie-Curie (UPMC), 75013 Paris France; Groupe Hospitalier Pitié Salpêtrière, AP-HP, 75013 Paris, France.
authors: Bruno
authors: B
authors: Fautrel
authors: Service de Rhumatologie, Institut Calot - Fondation Hopale, 62600 Berck, France.
authors: Laurent
authors: L
authors: Marguerie
authors: Cabinet Médical, 78200 Mantes-la-Jolie, France.
authors: Henri
authors: H
authors: Nataf
authors: Service de Rhumatologie, CHU de Saint Etienne, 42100 Saint-Étienne, France.
authors: Béatrice Pallot
authors: BP
authors: Prades
authors: Service de rhumatologie, Hôpital Saint-Antoine, Hôpitaux universitaires Est Parisien, AP-HP, 75012 Paris, France.
authors: Rose Marie
authors: RM
authors: Poilverd
authors: Service de Rhumatologie, Hôpital Louis-Pasteur, 28000 Chartres, France.
authors: Valérie
authors: V
authors: Royant
authors: Service de Rhumatologie, CHG Victor-Jousselin, 28100 Dreux, France.
authors: Fatiha
authors: F
authors: Sadji
authors: Service de Rhumatologie, CHU Hautepierre, 67100 Strasbourg, France.
authors: Christelle
authors: C
authors: Sordet
authors: CHG Laon Médecine Interne et Spécialité, 02000 Laon, France.
authors: Corinne
authors: C
authors: Thevenot
authors: Service de rhumatologie, CHU de Nancy, Hôpitaux de Brabois, allée du Morvan, 54500 Vandoeuvre-lès-Nancy, France; Université de Lorraine, Université Paris Descartes, Apemac, EA4360, 54000 Nancy, France; INSERM, CIC-EC CIE6, 54000 Nancy, France. Electronic address: ac.rat@chu-nancy.fr.
authors: Anne-Christine
authors: AC
authors: Rat
mesh_terms: D000328:Adult; D000368:Aged; D001168:Arthritis / Q000628:therapy*; D001691:Biological Therapy; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D012648:Self Care / Q000379:methods*
keywords: Biodrugs; Inflammatory joint disease; Quality of care; Skills; Therapeutic patient education