Impact of a nurse led telephone intervention on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized clinical trial.

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State: Public
Version: Final published version
Serval ID
serval:BIB_A89B6C40F0E5
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of a nurse led telephone intervention on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their families: a crossover randomized clinical trial.
Journal
BMC pediatrics
Author(s)
Ramelet A.S., Fonjallaz B., Rio L., Zoni S., Ballabeni P., Rapin J., Gueniat C., Hofer M.
ISSN
1471-2431 (Electronic)
ISSN-L
1471-2431
Publication state
Published
Issued date
17/07/2017
Peer-reviewed
Oui
Volume
17
Number
1
Pages
168
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Randomized Controlled Trial
Publication Status: epublish
Abstract
Children suffering from rheumatic disease are faced with multidimensional challenges that affect their quality of life and family dynamics. Symptom management and monitoring of the course of the disease over time are important to minimize disability and pain. Poor disease control and anticipation of the need for treatment changes may be prompted by specialist medical follow-up and regular nurse-led consultations with the patient and families, in which information and support is provided. The purpose of this study was to evaluate the impact of a nurse-led telephone intervention or Telenursing (TN) compared to standard care (SC) on satisfaction and health outcomes of children with inflammatory rheumatic diseases and their parents.
A multicentered, randomized, longitudinal, crossover trial was conducted with pediatrics outpatients newly diagnosed with inflammatory rheumatic diseases. Participants were randomly assigned to two groups TN and SC for 12 months and crossed-over for the following 12 months. TN consisted of providing individualized affective support, health information and aid to decision making. Satisfaction (primary outcome) and health outcomes were assessed with the Client Satisfaction Questionnaire-8 and the Juvenile Arthritis Multidimensional Assessment Report, respectively. A mixed effect model, including a group x time interaction, was performed for each outcome.
Satisfaction was significantly higher when receiving TN (OR = 7.7, 95% CI: 1.8-33.6). Morning stiffness (OR = 3.2, 95% CI: 0.97-7.15) and pain (OR = 2.64, 95% CI: 0.97-7.15) were lower in the TN group. For both outcomes a carry-over effect was observed with a higher impact of TN during the 12 first months of the study. The other outcomes did not show any significant improvements between groups.
TN had a positive impact on satisfaction and on morning stiffness and pain of children with inflammatory rheumatic diseases and their families. This highlights the importance of support by specialist nurses in improving satisfaction and symptom management for children with inflammatory rheumatisms and their families.
ClinicalTrial.gov identifier: NCT01511341 (December 1st, 2012).

Keywords
Adolescent, Child, Cross-Over Studies, Female, Humans, Longitudinal Studies, Male, Patient Satisfaction/statistics & numerical data, Rheumatic Diseases/nursing, Telenursing/methods, Telephone, Treatment Outcome, Patient satisfaction, Pediatrics, Rheumatology, Symptom management, Telehealth, Telenursing
Pubmed
Web of science
Open Access
Yes
Create date
10/08/2017 12:25
Last modification date
20/08/2019 15:13
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