Article Text
Abstract
Background An important but often insufficient aspect of care in people with inflammatory arthritis (IA) is empowering patients to acquire a good understanding of their disease and building their ability to deal effectively with the practical, physical and psychological impacts of it. Self-management skills can be helpful in this regard.
Objectives To develop recommendations for the implementation of self-management strategies in IA.
Methods A multidisciplinary taskforce of 18 members from 11 European countries was convened. A systematic review and other supportive information (survey of healthcare professionals (HCPs) and patient organisations) were used to formulate the recommendations.
Results Three overarching principles and nine recommendations were formulated. These focused on empowering patients to become active partners of the team and to take a more proactive role. The importance of patient education and key self-management interventions such as problem solving, goal setting and cognitive behavioural therapy were highlighted. Role of patient organisations and HCPs in promoting and signposting patients to available resources has been highlighted through the promotion of physical activity, lifestyle advice, support with mental health aspects and ability to remain at work. Digital healthcare is essential in supporting and optimising self-management and the HCPs need to be aware of available resources to signpost patients.
Conclusion These recommendations support the inclusion of self-management advice and resources in the routine management of people with IA and aim to empower and support patients and encourage a more holistic, patient-centred approach to care which could result in improved patient experience of care and outcomes.
- arthritis
- rheumatoid
- outcome assessment
- health care
- psoriatic
- spondylitis
- ankylosing
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This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.
Supplementary Data
This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.
Supplementary Data
This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.
Lay summary
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Footnotes
LC and AB are joint senior authors.
Handling editor Dimitrios T Boumpas
Twitter @ElenaNikiUK, @FerreiraRJO, @FragoulisGeorge, @GeorgeMetsios, @carmona_loreto
EJFS and AM contributed equally.
Correction notice This article has been corrected since it published Online First. The ORCID ID for Rikke Helene Moe has been added and author's name amended.
Contributors All authors are members of European Alliance of Associations for Rheumatology’s (EULAR) task force for the development of 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis. All authors have contributed to the work and read and approved the final manuscript for submission. EJFS, AM, LC and AB have joint positions.
Funding This project has received funding by the European League Against Rheumatism, Project number: PAR028.
Competing interests EN reports personal fees and other from AbbVie, Eli-Lilly, Gilead, Celltrion and Pfizer and other from Sanofi, outside the submitted work. JWJB reports personal fees from Roche, Lilly and Galapagos, outside the submitted work. CID reports personal fees and other from AbbVie, Abivax, BMS, Fresenius, Galapagos, Lilly, Pfizer, Roche-Chugaï and Sanofi, outside the submitted work. BAE has received speaking fees from Pfizer and Eli Lilly. RJOF reports personal fees from Sanofi and UCB, outside the submitted work. GEF reports honoraria from UCB and Aenorasis, outside the submitted work. TAS has received grant/research support from AbbVie and Roche, has been consultant for AbbVie and Sanofi Genzyme and has been a paid speaker for AbbVie, Roche, Sanofi and Takeda. EJFS, AM, PB, PH, HM, GSM, RHM, AdT, CZ, LC and AB report no conflicts of interest.
Provenance and peer review Not commissioned; externally peer reviewed.
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