{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:04:54Z","timestamp":1778155494928,"version":"3.51.4"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"8","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Z Rheumatol"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Ein neues Rahmenkonzept hat die flexible Ableitung und Nutzung von rheumatologischen Schulungsprogrammen f\u00fcr unterschiedliche Versorgungsbereiche erm\u00f6glicht. Auf dieser Grundlage wurde eine 5\u2011st\u00fcndige Basisschulung f\u00fcr Patienten mit rheumatoider Arthritis (RA) entwickelt, es wurden rheumatologische Fach\u00e4rzte und Psychologen trainiert, und dann wurde die Wirksamkeit nach dem Wirkmodell der Patientenschulung evaluiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>Mit dem Studiendesign einer extern randomisierten Wartekontrollgruppenstudie mit 3\u00a0Messzeitpunkten wurde gepr\u00fcft, wie sich die 5\u2011st\u00fcndige Basisschulung auf das Erkrankungs- und Behandlungswissen sowie auf die Gesundheitskompetenz von RA-Patienten (<jats:italic>n<\/jats:italic>\u202f=\u2009249) auswirkt. Weitere Fragen betrafen Einstellungsparameter, Kommunikationskompetenz, Erkrankungsauswirkungen und die Zufriedenheit mit der Schulung. Die Auswertungen erfolgten auf Intention-to-treat-Basis mit Kovarianzanalysen f\u00fcr die Hauptzielgr\u00f6\u00dfen unter Ber\u00fccksichtigung des Ausgangswertes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Analysen zeigen, dass die Basisschulung RA wirksam ist. Noch 3\u00a0Monate nach der Schulung verf\u00fcgten die Schulungsteilnehmer \u00fcber mehr Wissen und Gesundheitskompetenz als die Wartekontrollgruppe mit kleinem bis mittelgro\u00dfem Effekt (d\u202f=\u20090,37 bzw. 0,38). In den Nebenzielgr\u00f6\u00dfen zeigten sich mit Ausnahme der Krankheitskommunikation keine weiteren Schulungseffekte.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Basisschulung bietet eine gute Grundlage, auf der weitere Interventionen zur Verbesserung von Einstellungs- und Erkrankungsparametern aufbauen k\u00f6nnen. Sie eignet sich damit als zentraler Baustein f\u00fcr die rheumatologische Versorgung auf verschiedenen Ebenen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00393-020-00769-4","type":"journal-article","created":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T14:06:58Z","timestamp":1584367618000},"page":"737-748","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Evaluation einer Basisschulung f\u00fcr Patienten mit rheumatoider Arthritis","Evaluation of a basic educational program for patients with rheumatoid arthritis"],"prefix":"10.1007","volume":"79","author":[{"given":"C.","family":"Gerlich","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Andreica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"K\u00fcffner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Krause","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H. J.","family":"Lakomek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Reusch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Braun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"issue":"4","key":"769_CR1","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1177\/0193841X9001400403","volume":"14","author":"SL Aiken","year":"1990","unstructured":"Aiken\u00a0SL, West\u00a0SG (1990) Invalidity of true experiments\u2014self-report pretest biases. Eval Rev 14(4):374\u2013390","journal-title":"Eval Rev"},{"key":"769_CR2","doi-asserted-by":"publisher","first-page":"1523","DOI":"10.1007\/s10067-008-0961-6","volume":"27","author":"C Bode","year":"2008","unstructured":"Bode\u00a0C, Taal\u00a0E, Emons\u00a0PAA et al (2008) Limited results of group self-management education for rheumatoid arthritis patients and their partners: explanations from the patient perspective. Clin Rheumatol 27:1523\u20131528","journal-title":"Clin Rheumatol"},{"key":"769_CR3","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1146\/annurev.psych.121208.131609","volume":"62","author":"G Bohner","year":"2011","unstructured":"Bohner\u00a0G, Dickel\u00a0N (2011) Attitudes and attitude change. Annu Rev Psychol 62:391\u2013417","journal-title":"Annu Rev Psychol"},{"key":"769_CR4","doi-asserted-by":"publisher","first-page":"1791","DOI":"10.3899\/jrheum.110406","volume":"38","author":"R Buchbinder","year":"2011","unstructured":"Buchbinder\u00a0R, Batterham\u00a0R, Ciciriello\u00a0S et\u00a0al (2011) Health literacy: what it is and why is it important to measure? J\u00a0Rheumatol 38:1791\u20131797","journal-title":"J Rheumatol"},{"key":"769_CR5","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.2522\/ptj.20070039","volume":"87","author":"A Christie","year":"2007","unstructured":"Christie\u00a0A, Jamtvedt\u00a0G, Dahm\u00a0KT et\u00a0al (2007) Effectiveness of nonpharmacological and nonsurgical interventions for patients with rheumatoid arthritis: an overview of systematic reviews. Phys Ther 87:1697\u20131715","journal-title":"Phys Ther"},{"key":"769_CR6","volume-title":"Statistical power analysis for the behavioral sciences","author":"J Cohen","year":"1988","unstructured":"Cohen\u00a0J (1988) Statistical power analysis for the behavioral sciences. Erlbaum, Hillsdale"},{"issue":"1","key":"769_CR7","doi-asserted-by":"publisher","first-page":"67","DOI":"10.1016\/j.pec.2017.07.019","volume":"101","author":"MJ de Jonge","year":"2018","unstructured":"de Jonge\u00a0MJ, Oude Voshaar\u00a0MAH, Huis\u00a0AMP et\u00a0al (2018) Development of an item bank to measure factual disease and treatment related knowledge of rheumatoid arthritis patients in the treat to target era. Patient Educ Couns 101(1):67\u201373","journal-title":"Patient Educ Couns"},{"key":"769_CR8","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1007\/s00393-014-1558-x","volume":"74","author":"H Faller","year":"2015","unstructured":"Faller\u00a0H, Ehlebracht-K\u00f6nig\u00a0I, Reusch\u00a0A (2015) Empowerment durch Patientenschulung in der Rheumatologie. Z\u00a0Rheumatol 74:603\u2013608","journal-title":"Z Rheumatol"},{"key":"769_CR9","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1016\/j.pec.2013.11.005","volume":"94","author":"E Farin","year":"2014","unstructured":"Farin\u00a0E, Schmidt\u00a0E, Gramm\u00a0L (2014) Patient communication competence: development of a\u00a0questionnaire and correlates of competent patient behavior. Patient Educ Couns 94:342\u2013350","journal-title":"Patient Educ Couns"},{"key":"769_CR10","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1093\/rheumatology\/kex211","volume":"56","author":"RJO Ferreira","year":"2017","unstructured":"Ferreira\u00a0RJO, Dougados\u00a0M, Kirwan\u00a0JR et\u00a0al (2017) Drivers of patient global assessment in patients with rheumatoid arthritis who are close to remission: an analysis of 1588 patients. Rheumatology 56:1573\u20131578","journal-title":"Rheumatology"},{"key":"769_CR11","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1093\/rheumatology\/keh069","volume":"43","author":"SL Hennell","year":"2004","unstructured":"Hennell\u00a0SL, Brownsell\u00a0C, Dawson\u00a0JK (2004) Development, validation and use of a\u00a0patient knowledge questionnaire (PKQ) for patients with early rheumatoid arthritis. Rheumatology 43:467\u2013471","journal-title":"Rheumatology"},{"key":"769_CR12","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1055\/s-0037-1618401","volume":"37","author":"R K\u00fcffner","year":"2017","unstructured":"K\u00fcffner\u00a0R, Musekamp\u00a0G, Reusch\u00a0A (2017) Patientenschulung aus dem Blickwinkel der Entwickler. Arthritis Rheum 37:11\u201318","journal-title":"Arthritis Rheum"},{"key":"769_CR13","unstructured":"K\u00fcffner R, Reusch A, Deutsche Gesellschaft f\u00fcr Rheumatologie (2017) Curriculum Rheumatoide Arthritis nach dem gemeinsamen Rahmenkonzept Rheumatologische Patientenschulung der Deutschen Gesellschaft f\u00fcr Rheumatologie (DGRh), der Deutschen Rheuma-Liga (DRL), des Verbands Rheumatologischer Akutkliniken (VRA) und des Zentrums Patientenschulung. DGRh, Berlin"},{"key":"769_CR14","first-page":"Doc07","volume":"1","author":"BW Klasen","year":"2004","unstructured":"Klasen\u00a0BW, Hallner\u00a0D, Schaub\u00a0C et\u00a0al (2004) Validation and reliability of the German version of the Chronic Pain Grade questionnaire in primary care back pain patients. Psychosoc Med 1:Doc7","journal-title":"Psychosoc Med"},{"key":"769_CR15","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1159\/000030667","volume":"9","author":"E Leibig","year":"1999","unstructured":"Leibig\u00a0E, Hoyer\u00a0J, Romatzki\u00a0U, Ehlers\u00a0A (1999) Die Rheuma-Kontroll-Skala (RKS) \u2013 Eine deutschsprachige Version des \u201eRheumatology Attitutes Index\u201c. Verhaltenstherapie 9:15\u201322","journal-title":"Verhaltenstherapie"},{"issue":"7","key":"769_CR16","doi-asserted-by":"publisher","first-page":"e40210","DOI":"10.1371\/journal.pone.0040210","volume":"7","author":"YK Loke","year":"2012","unstructured":"Loke\u00a0YK, Hinz\u00a0I, Wang\u00a0X et\u00a0al (2012) Impact of health literacy in patients with chronic musculoskeletal diseases \u2013 Systematic review. Plos One 7(7):e40210","journal-title":"Plos One"},{"key":"769_CR17","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1016\/j.jad.2009.06.019","volume":"122","author":"B L\u00f6we","year":"2010","unstructured":"L\u00f6we\u00a0B, Wahl\u00a0I, Rose\u00a0M et al (2010) A 4\u2011item measure of depression and anxiety: Validation and standardization of the Patient Health Questionnaire\u20114 (PHQ-4) in the general population. J\u00a0Affect Disord 122:86\u201395","journal-title":"J Affect Disord"},{"key":"769_CR18","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1055\/s-0029-1239575","volume":"48","author":"K Meng","year":"2009","unstructured":"Meng\u00a0K, Seekatz\u00a0B, Rossband\u00a0H et\u00a0al (2009) Entwicklung eines standardisierten R\u00fcckenschulungsprogramms f\u00fcr die orthop\u00e4dische Rehabilitation. Rehabilitation 48:335\u2013344","journal-title":"Rehabilitation"},{"key":"769_CR19","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1016\/S1090-3801(02)00097-6","volume":"7","author":"A Mueller","year":"2003","unstructured":"Mueller\u00a0A, Hartmann\u00a0M, Mueller\u00a0K et al (2003) Validation of the arthritis self-efficacy short-form scale in German fibromyalgia patients. Eur J Pain 7:163\u2013171","journal-title":"Eur J Pain"},{"issue":"2","key":"769_CR20","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1093\/her\/cyy055","volume":"34","author":"G Musekamp","year":"2019","unstructured":"Musekamp\u00a0G, Gerlich\u00a0C, Ehlebracht-K\u00f6nig\u00a0I et al (2019) Evaluation of a\u00a0self-management patient education programme for fibromyalgia\u2014results of a\u00a0cluster-RCT in inpatient rehabilitation. Health Educ Res 34(2):209\u2013222","journal-title":"Health Educ Res"},{"issue":"2","key":"769_CR21","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1007\/s00393-015-0020-z","volume":"75","author":"J Patermann","year":"2016","unstructured":"Patermann\u00a0J, Ehlebracht-K\u00f6nig\u00a0I, Lind-Albrecht\u00a0G et al (2016) EULAR-Empfehlungen f\u00fcr die Schulung von Patienten mit entz\u00fcndlich-rheumatischen Gelenkerkrankungen. Z\u00a0Rheumatol 75(2):187\u2013199","journal-title":"Z Rheumatol"},{"issue":"Suppl. 1","key":"769_CR22","doi-asserted-by":"publisher","first-page":"S38","DOI":"10.1007\/BF02530069","volume":"5","author":"HH Raspe","year":"1991","unstructured":"Raspe\u00a0HH, Kohlmann\u00a0T (1991) Fortschritte in der klinischen Diagnostik und Dokumentation des chronisch-rheumatischen Schmerzes. Schmerz 5(Suppl. 1):S38\u2013S51","journal-title":"Schmerz"},{"key":"769_CR23","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1007\/s00393-016-0220-1","volume":"75","author":"A Reusch","year":"2016","unstructured":"Reusch\u00a0A, Braun\u00a0J, Ehlebracht-K\u00f6nig\u00a0I et al (2016) Rahmenkonzept f\u00fcr rheumatologische Patientenschulungen. Z\u00a0Rheumatol 75:950\u2013953","journal-title":"Z Rheumatol"},{"key":"769_CR24","first-page":"74","volume":"79","author":"A Reusch","year":"2020","unstructured":"Reusch A, Braun J, Lakomek H\u2011J et\u00a0al (2020) Flexible Programme und Fortbildungen f\u00fcr die rheumatologische Patientenschulung. Z\u00a0Rheumatol 79:74\u201377","journal-title":"Z\u00a0Rheumatol"},{"issue":"6","key":"769_CR25","doi-asserted-by":"publisher","first-page":"1045","DOI":"10.1002\/art.20823","volume":"51","author":"RP Riemsma","year":"2004","unstructured":"Riemsma\u00a0RP, Taal\u00a0E, Kirwan\u00a0JR et\u00a0al (2004) Systematic review of rheumatoid arthritis patient education. Arthritis Care Res 51(6):1045\u20131059","journal-title":"Arthritis Care Res"},{"key":"769_CR26","unstructured":"Schaeffer D, Vogt D, Berens EM et\u00a0al (2016) Gesundheitskompetenz der Bev\u00f6lkerung in Deutschland. Universit\u00e4t Bielefeld. http:\/\/www.uni-bielefeld.de\/gesundhw\/ag6\/downloads\/Ergebnisbericht_HLS-GER.pdf. Zugegriffen: 28. M\u00e4rz 2018"},{"key":"769_CR27","doi-asserted-by":"publisher","first-page":"199","DOI":"10.1007\/s10389-004-0034-5","volume":"12","author":"F Scheibler","year":"2004","unstructured":"Scheibler\u00a0F, Freise\u00a0D, Pfaff\u00a0H (2004) Die Einbeziehung von Patienten in die Behandlung. J\u00a0Public Health 12:199\u2013209","journal-title":"J Public Health"},{"key":"769_CR28","volume-title":"Psychologie des Gesundheitsverhaltens","author":"R Schwarzer","year":"2008","unstructured":"Schwarzer\u00a0R (2008) Psychologie des Gesundheitsverhaltens. Hogrefe, G\u00f6ttingen"},{"issue":"01","key":"769_CR29","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1055\/s-0037-1618406","volume":"37","author":"C Specker","year":"2017","unstructured":"Specker\u00a0C, Schwarze\u00a0M (2017) Strukturierte PatientenInformation (StruPI) \u2013 ein modulares Schulungsseminar f\u00fcr ambulante Patienten mit rheumatoider Arthritis. Arthritis Rheum 37(01):33\u201336","journal-title":"Arthritis Rheum"},{"issue":"18","key":"769_CR30","first-page":"330","volume":"114","author":"A Steckelberg","year":"2017","unstructured":"Steckelberg\u00a0A, Meyer\u00a0G, M\u00fchlhauser\u00a0I (2017) Diskussion zu dem Beitrag Gesundheitskompetenz in der Bev\u00f6lkerung in Deutschland: Fragebogen nicht weiter einsetzen. Dtsch Arztebl 114(18):330","journal-title":"Dtsch Arztebl"},{"issue":"6","key":"769_CR31","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1002\/art.1780380612","volume":"38","author":"G Stucki","year":"1995","unstructured":"Stucki\u00a0G, Liang\u00a0MH, Stucki\u00a0S et al (1995) A self-administered rheumatoid arthritis disease activity index (RADAI) for epidemiologic research. Psychometric properties and correlation with parameters of disease activity. Arthritis Rheumatol 38(6):795\u2013798","journal-title":"Arthritis Rheumatol"}],"updated-by":[{"DOI":"10.1007\/s00393-021-01049-5","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T00:00:00Z","timestamp":1625788800000}}],"container-title":["Zeitschrift f\u00fcr Rheumatologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00393-020-00769-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00393-020-00769-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00393-020-00769-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,9]],"date-time":"2021-07-09T13:03:20Z","timestamp":1625835800000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00393-020-00769-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,16]]},"references-count":31,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["769"],"URL":"https:\/\/doi.org\/10.1007\/s00393-020-00769-4","relation":{},"ISSN":["0340-1855","1435-1250"],"issn-type":[{"value":"0340-1855","type":"print"},{"value":"1435-1250","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,16]]},"assertion":[{"value":"16 March 2020","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 July 2021","order":2,"name":"change_date","label":"Change Date","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Erratum","order":3,"name":"change_type","label":"Change Type","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Zu diesem Beitrag wurde ein Erratum ver\u00f6ffentlicht:","order":4,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"https:\/\/doi.org\/10.1007\/s00393-021-01049-5","URL":"https:\/\/doi.org\/10.1007\/s00393-021-01049-5","order":5,"name":"change_details","label":"Change Details","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"C.\u00a0Gerlich, I.\u00a0Andreica, R.\u00a0K\u00fcffner, D.\u00a0Krause, H.J.\u00a0Lakomek, A.\u00a0Reusch und J.\u00a0Braun geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die Studienteilnahme erfolgte nach \u201einformed consent\u201c aller Teilnehmer. Das Studienprotokoll wurde positiv durch die Ethikkommission der Universit\u00e4t W\u00fcrzburg begutachtet (105\/18). Die Studie wurde gem\u00e4\u00df den Empfehlungen des Welt\u00e4rztebundes (Deklaration von Helsinki, revidierte Fassung der 64.\u00a0Generalversammlung, Oktober 2013, Fortaleza\/Brasilien) durchgef\u00fchrt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}