Contributions of focus group in validation of an educational booklet in hip osteoarthritis
Dr Aurore CHABAUDa, Dr Bénédicte ESCHALIERb, Prof Stéphane DESCAMPSc, Dr Myriam ZULIANd, Mrs Sylvie AUBRETONa, Mrs Anne PLAN PAQUETa, Prof Emmanuel COUDEYREa
a service de médecine physique et réadaptation, CHU Clermont-Ferrand, b Departement de médecine générale, CHU Clermont-Ferrand, c service d'orthopédie, CHU Clermont-Ferrand, d Pôle de l'appareil locomoteur, Centre Hospitalier Rhumatologique Saint-Martin-D'Uriage
Background: To develop and validate an educational booklet for patients awaiting for total hip arthroplasty.
Materials and Methods: The validation of the booklet took place in six phases: systematic literature review, drafting of the first version, critical revision by a panel of experts, modification of the booklet, validation by a multidisciplinary panel of experts and modification of the draft version. The draft version of the booklet was first evaluated and criticized by three focus groups made of multidisciplinary healthcare professionals involved in overall management of hip osteoarthritis. Second, the booklet was read by two group of patient: one group made of patients awaiting THA; the other one at the post early post-operative phase (10 days post-THA)
Results: Focus groups found this booklet useful and easy to read even if some redundancies and lack of illustration were noted. All key messages were approved. Experts underlined lack of clarity concerning assistive devices and the movements to avoid in order to prevent hip arthroplasty dislocation. Critical revision was made based on expert comments. We assessed the impact of the booklet based on knowledge and belief score. Only knowledge was improved in preoperative group. The booklet did not modify beliefs in either patient group.
Conclusion: The use of a rigorous methodology via using multidisciplinary focus groups allowed us to obtain an information booklet with validated contents concerning total hip arthroplasty. Receiving this booklet permitted to improve patient knowledge without any impact on beliefs.
This educational tool based on validated contents might be used in the self-care approach of hip osteoarthritis patients under a global therapeutic approach.
Jason A. Wallis, Nicholas F. Taylor, « Pre-Operative Interventions (non-Surgical and Non-Pharmacological) for Patients with Hip or Knee Osteoarthritis Awaiting Joint Replacement Surgery - a Systematic Review and Meta-Analysis », Osteoarthritis and Cartilage 19, no 12 (December 2011): 1381-1395.
Eschalier et al., « Validation of an Educational Booklet Targeted to Patients Candidate for Total Knee Arthroplasty », Orthopaedics & Traumatology: Surgery & Research 99, no 3 (mai 2013): 313-319.
Keywords : Hip osteoarthritis, total hip arthroplasty, information, patient education