1887
Volume 2025, Issue 2
  • EISSN: 3008-0738

Abstract

Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disease characterized by persistent synovitis and systemic inflammation. Assessing the knowledge of RA patients about their disease can help address misconceptions and barriers to optimal disease management and identify the need to develop targeted health education programs. This study aims to assess the level of knowledge among RA patients about their disease and to identify the patients’ needs for an education program about their condition.

A cross-sectional study was conducted at Basra Teaching Hospital Rheumatology outpatient clinic, Iraq. The study included 400 RA patients diagnosed according to the 2010 American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR) classification criteria for RA. Data were collected through direct interviews using a modified version of the Patient Knowledge Questionnaire (PKQ). The PKQ includes six domains: causes of RA, clinical features, blood tests, medications, exercise, and joint protection.

The mean age of the participants was 41.99 ± 13.34 years, with a female predominance (84.5%). The mean total score of knowledge about RA among the patients was 24.12 ± 4.41 out of a maximum score of 40. The distribution of knowledge levels was 20.0% poor, 39.5% fair, and 40.5% good. Significant associations were found between knowledge levels and age, educational level, employment status, and primary source of information. Age and Education level were significant predictors of knowledge about RA.

The findings of this study reveal gaps in RA patients’ knowledge, particularly in areas related to joint protection and the significance of regular exercise. These highlight the need for educational programs specific to RA patients’ needs.

© 2025 The Author(s), Licensee HBKU Press.
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2025-09-30
2025-11-10
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References

  1. Tanaka Y. Rheumatoid arthritis. Inflamm Regen. 2020; 40:20.
     [Google Scholar]
  2. Finckh A, Gilbert B, Hodkinson B, Bae SC, Thomas R, Deane KD, et al. Global epidemiology of rheumatoid arthritis. Nat Rev Rheumatol. 2022; 18:(10):591–602.
     [Google Scholar]
  3. Radu AF, Bungau SG. Management of rheumatoid arthritis: an overview. Cells. 2021; 10:(11):2926.
     [Google Scholar]
  4. Minichiello E, Semerano L, Boissier MC. Time trends in the incidence, prevalence, and severity of rheumatoid arthritis: a systematic literature review. Joint Bone Spine. 2016; 83:(6):625–30.
     [Google Scholar]
  5. Schäfer C, Keyßer G. Lifestyle factors and their influence on rheumatoid arthritis: a narrative review. J Clin Med. 2022; 11:(23):6923.
     [Google Scholar]
  6. Firestein GS. Clinical features of rheumatoid arthritis. In: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O’Dell JR (eds.) Kelley and Firestein’s Textbook of Rheumatology. 11th ed. China: Elsevier; 2021. p. 1236–57.
     [Google Scholar]
  7. Kourilovitch M, Galarza-Maldonado C, Ortiz-Prado E. Diagnosis and classification of rheumatoid arthritis. J Autoimmun. 2014; 48–49:26–30.
     [Google Scholar]
  8. Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, et al. 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2010; 62:(9):2569–81.
     [Google Scholar]
  9. Martinec R, Pinjatela R, Balen D. Quality of life in patients with rheumatoid arthritis: a preliminary study. Acta Clin Croat. 2019; 58:(1):157–66.
     [Google Scholar]
  10. Põlluste K, Kallikorm R, Lember M. Level of knowledge and sources of information about rheumatoid arthritis in Estonian patients. Rheumatol Int. 2014; 34:(5):675–81.
     [Google Scholar]
  11. Beauvais C, Fayet F, Rousseau A, Sordet C, Pouplin S, Maugars Y, et al. Efficacy of a nurse-led patient education intervention in promoting safety skills of patients with inflammatory arthritis treated with biologics: a multicentre randomised clinical trial. RMD Open. 2022; 8:(1):e001828.
     [Google Scholar]
  12. Hill J, Bird HA, Hopkins R, Lawton C, Wright V. The development and use of Patient Knowledge Questionnaire in rheumatoid arthritis. Br J Rheumatol. 1991; 30:(1):45–9.
     [Google Scholar]
  13. Naing L, Nordin RB, Abdul Rahman H, Naing YT. Sample size calculation for prevalence studies using Scalex and ScalaR calculators. BMC Med Res Methodol. 2022; 22:(1):209.
     [Google Scholar]
  14. Riemsma RP, Kirwan JR, Taal E, Rasker JJ. Patient education for adults with rheumatoid arthritis. Cochrane Database Syst Rev. 2002; 2:CD003688.
     [Google Scholar]
  15. Ndosi M, Johnson D, Young T, Hardware B, Hill J, Hale C, et al. Effects of needs-based patient education on self-efficacy and health outcomes in people with rheumatoid arthritis: a multicentre, single-blind, randomised controlled trial. Ann Rheum Dis. 2016; 75:(6):1126–32.
     [Google Scholar]
  16. Salman S, Salnuaimi A, Lateef N, Kadhum R. Assessment of knowledge and attitude in a sample of patients with rheumatoid arthritis and its association with disease activity and severity: a cross-sectional study. Open J Rheumatol Autoimmune Dis. 2014; 4:226–34.
     [Google Scholar]
  17. Jennings F, Toffolo S, de Assis MR, Natour J. Brazil Patient Knowledge Questionnaire (PKQ) and evaluation of disease-specific knowledge in patients with rheumatoid arthritis. Clin Exp Rheumatol. 2006; 24:(5):521–8.
     [Google Scholar]
  18. Prasad S, Tripathi D, Rai MK, Aggarwal S, Mittal B, Agarwal V. Multidrug resistance protein-1 expression, function and polymorphisms in patients with rheumatoid arthritis not responding to methotrexate. Int J Rheum Dis. 2014; 17:(8):878–86.
     [Google Scholar]
  19. Pavlov-Dolijanovic S, Bogojevic M, Nozica-Radulovic T, Radunovic G, Mujovic N. Elderly-onset rheumatoid arthritis: characteristics and treatment options. Medicina (Kaunas). 2023; 59:(10):1367.
     [Google Scholar]
  20. Bozbaş GT, Gürer G. The knowledge level of Turkish rheumatoid arthritis patients about their diseases. Anatolian Clin. 2018; 23:(1):12–9.
     [Google Scholar]
  21. Lineker SC, Badley EM, Hughes EA, Bell MJ. Development of an instrument to measure knowledge in individuals with rheumatoid arthritis: the ACREU rheumatoid arthritis knowledge questionnaire. J Rheumatol. 1997; 24:(4):647–53.
     [Google Scholar]
  22. Alanazi F. Clinical profile and comorbidities associated with rheumatoid arthritis patients in Sudair, Saudi Arabia. J Pharm Bioallied Sci. 2021; 13:(Suppl 2):S1583–S7.
     [Google Scholar]
  23. Cutolo M, Gotelli E. Complex role of oestrogens in the risk and severity of rheumatoid arthritis in menopause. RMD Open. 2023; 9:(2):e003176.
     [Google Scholar]
  24. Karahan AY, Bağçacı S, Salbaş E, Erol K, Karpuz S, Küçük A. The assessment of knowledge level about their disease in patients with rheumatoid arthritis. J Clin Exp Invest. 2014; 5:(3):429–34.
    [Google Scholar]
  25. Kamruzzaman AKM, Chowdhury MR, Islam MN, Sultan I, Ahmed S, Shahin A, et al. The knowledge level of rheumatoid arthritis patients about their disease in a developing country: a study in 168 Bangladeshi RA patients. Clin Rheumatol. 2020; 39:(4):1315–23.
     [Google Scholar]
  26. Avs AK, Kumar, Gupta K, Kumar S. Clinical profile of rheumatoid arthritis patients reporting to a tertiary care center: data from southwestern part of India. Int J Contemp Med Res. 2019; 6:(6):F26–F32.
     [Google Scholar]
  27. Sharma SD, Leung SH, Viatte S. Genetics of rheumatoid arthritis. Best Pract Res Clin Rheumatol. 2024; 38:(4):101968.
     [Google Scholar]
  28. Elsabae OEM, Habib HM, Abady WA, Radwan AR, Shaat RM, Gharbia OM. Evaluation of general public awareness, knowledge and attitude about common rheumatic diseases in Egypt: A multicenter study. Egypt Rheumatol Rehabil. 2023; 50:(1):48.
     [Google Scholar]
/content/journals/10.5339/qjph.2025.13
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Knowledge of rheumatoid arthritis among patients: A cross-sectional study at Basra Teaching Hospital, Iraq
QJPH 2025, 13 (2025); https://doi.org/10.5339/qjph.2025.13
/content/journals/10.5339/qjph.2025.13
/content/journals/10.5339/qjph.2025.13
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Keyword(s): health education, Iraq, patient knowledge and Rheumatoid arthritis

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