{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T12:22:19Z","timestamp":1774614139209,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR300826"],"award-info":[{"award-number":["NIHR300826"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Many people with rheumatoid arthritis (RA) have chronic pain and flares of arthritis. The National RA Society has co\u2010produced a freely available online learning module with an NHS multidisciplinary rheumatology team to support people with self\u2010managing these RA impacts. This service evaluation assessed peoples' self\u2010reported knowledge and confidence in self\u2010managing pain\/flares before and after accessing the module, the extent to which they used the module suggestions, and how they felt the module could be improved.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A survey was sent via email in March 2024 to the 500 people completing the module who consented to contact for feedback. Survey questions covered: pain experience\/management; knowledge\/confidence on managing pain\/flares; likelihood of trying module suggestions; and free\u2010text feedback. Descriptive statistics summarised responses. Fisher's exact tests compared Likert\u2010type responses for knowledge\/confidence pre\u2010\/post\u2010module.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and thirty four people completed the survey (27% response rate), of whom 98% experienced pain in the past 3\u00a0months and 36% reported \u2018high impact\u2019 chronic pain. More (95%) reported being \u2018very\/fairly\/somewhat\u2019 knowledgeable at managing pain after completing the module compared to before completing the module (62%;\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). For managing flares, these levels were 93% post\u2010module versus 52% pre\u2010module (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Similar findings were seen for confidence. 90% reported themselves as \u2018very\/fairly\/somewhat\u2019 confident at managing pain post\u2010module versus 50% pre\u2010module (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). For managing flares, these levels were 90% post\u2010module versus 44% pre\u2010module (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Most reported they were likely to try module suggestions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This freely available online digital information about pain\/flares was appreciated by people with RA and helped them deal with these common condition aspects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70210","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T03:24:37Z","timestamp":1774236277000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Online Learning Module From the National RA Society for People With Rheumatoid Arthritis to Support Self\u2010Management of Pain and Flares: A Service Evaluation"],"prefix":"10.1002","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1268-9808","authenticated-orcid":false,"given":"Ian C.","family":"Scott","sequence":"first","affiliation":[{"name":"Primary Care Centre Versus Arthritis School of Medicine Keele University  Keele UK"},{"name":"Haywood Academic Rheumatology Centre Haywood Hospital Midlands Partnership University NHS Foundation Trust  Burslem Staffordshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2202-6266","authenticated-orcid":false,"given":"Sarah","family":"Ryan","sequence":"additional","affiliation":[{"name":"Haywood Academic Rheumatology Centre Haywood Hospital Midlands Partnership University NHS Foundation Trust  Burslem Staffordshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gillian","family":"Levey","sequence":"additional","affiliation":[{"name":"Haywood Academic Rheumatology Centre Haywood Hospital Midlands Partnership University NHS Foundation Trust  Burslem Staffordshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4951-9925","authenticated-orcid":false,"given":"Martin J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Haywood Academic Rheumatology Centre Haywood Hospital Midlands Partnership University NHS Foundation Trust  Burslem Staffordshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha L.","family":"Hider","sequence":"additional","affiliation":[{"name":"Primary Care Centre Versus Arthritis School of Medicine Keele University  Keele UK"},{"name":"Haywood Academic Rheumatology Centre Haywood Hospital Midlands Partnership University NHS Foundation Trust  Burslem Staffordshire UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ailsa","family":"Bosworth","sequence":"additional","affiliation":[{"name":"National Rheumatoid Arthritis Society  Maidenhead UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2024.152569"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.121521"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12916\u2010025\u201003870\u20100"},{"key":"e_1_2_12_5_1","volume-title":"Independent investigation of the NHS in England","author":"Department of Health and Social 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