Investigation of Participation in Patients with Rheumatic Diseases: A Comparative Study

Year 2025, Volume: 13 Issue: 1, 21 - 27, 02.01.2025

Sebahat Yaprak Çetin , Özgün Kaya Kara , Saniye Yardım , Duygu Sanem Kara , Ayşe Ayan

Abstract

Purpose: The study aimed to determine participation and the factors affecting it in patients with rheumatic diseases and to compare them with healthy individuals of the same age. Material and Method: Two hundred twenty-four patients (155 female, 69 male) with rheumatic diseases (the mean age: 50.14±12.28 years) and 166 healthy (108 female, 58 male) individuals (the mean age: 48.04±13.48 years) were included in the study. The Participation Scale was used to examine participation. Results: 111 patients with Ankylosing Spondylitis (AS), 62 Rheumatoid Arthritis (RA), 14 Familial Mediterranean Fever (FMF) and 13 Sjögren's and 25 other rheumatic diseases were included in the study. Participation score was significant in favor of healthy individuals (z=-6.56, p=0.00). The lowest participation scoring was in patients with RA (15.32±2.38 points). A significant negative correlation was found between participation and education level. Conclusion: According to the results of this study, the participation rate of patients with rheumatic disease was lower than the healthy ones. Furthermore, patients with RA had the lowest participation score and participation increased as education level increased. This study demonstrates the significance of planning rheumatic disease rehabilitation programs to enhance participation and assessing participation prior to these initiatives.

Keywords

participation, patients, rheumatic diseases

Romatizmal Hastalarda Katılımın Araştırılması: Karşılaştırmalı Bir Çalışma

Abstract

Amaç: Çalışmanın amacı romatizmal hastalığı olan hastalarda katılımı ve etkileyen faktörleri belirlemek ve aynı yaştaki sağlıklı bireylerle karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya romatizmal hastalığı olan 224 hasta (155 kadın, 69 erkek) (ortalama yaş: 50,14±12,28 yıl) ve 166 sağlıklı (108 kadın, 58 erkek) birey (ortalama yaş: 48,04±13,48 yıl) dahil edildi. Katılımı incelemek için Katılım Ölçeği kullanıldı. Sonuçlar: Çalışmaya 111 Ankilozan Spondilit (AS), 62 Romatoid Artrit (RA), 14 ailesel akdeniz ateşi (AAA), 13 Sjögren ve 25 diğer romatizmal hastalık hastası dahil edildi. Katılım puanı sağlıklı bireyler lehine anlamlı bulundu (z=-6.56, p=0.00). En düşük katılım puanı RA hastalarındaydı (15,32±2,38 puan). Katılım ile eğitim düzeyi arasında anlamlı negatif bir ilişki bulundu. Tartışma: Bu çalışmanın sonuçlarına göre romatizmal hastalığı olan hastaların katılım oranı sağlıklı olanlara göre daha düşüktü. Ayrıca RA'lı hastaların katılım puanı en düşüktü ve eğitim düzeyi arttıkça katılım da artmaktaydı. Bu çalışma romatizmal hastalıklara yönelik rehabilitasyon programları öncesinde katılımın değerlendirilmesi ve bu programların katılımı arttıracak şekilde planlanması önemli olduğunu göstermektedir.

Keywords

katılım, hasta, romatizmal hastalıklar

References

• Altuntaş, O., Özkan, E., Köse, B., Aran, O.T., Huri, M., Akı, E. (2021). Assessment of Participation within the International Classification of Functioning, Disability, and Health (ICF): the Turkish validity and reliability of the Participation Scale. Occupation Ther Internation, 31, 1-10. https://doi.org/10.1155/2021/6658773
• Bengtsson, C., Nordmark, B., Klareskog, L., Lundberg, I., Alfredsson, L. (2005). EIRA Study Group socioeconomic status and the risk of developing rheumatoid arthritis: results from the Swedish EIRA study. Ann Rheum Dis, 64,1588-1594. https://doi.org/doi: 10.1136/ard.2004.031666.
• Björk, M., Bergström, M., Sverker, A., Brodin, N. (2020). Measures of participation in persons with musculoskeletal conditions. Arthrit Care & Res, 72(10), 486–494.
• Broese van Groenou, M.I. & De Boer, A. (2016). Providing informal care in a changing society. Eur J Age, 13, 271–279. https://doi.org/10.1007/s10433-016-0370-7.
• Cano-García, L., Mena-Vázquez, N., Manrique-Arija, S., Redondo-Rodriguez, R., Romero-Barco, C.M., Fernández-Nebro, A. (2021). Ability to participate in social activities of rheumatoid arthritis patients compared with other rheumatic diseases: a cross-sectional observational study. Diagnostics (Basel), 11(12), 2258. https://doi.org/10.3390/diagnostics11122258
• Demarest, S., Van der Heyden, J., Charafeddine, R., Tafforeau, J., Van Oyen, H., Van Hal, G. (2013). Socio-economic differences in participation of households in a Belgian national health survey. Eur J Pub Health 23(6), 981–985. https://doi.org/10.1093/eurpub/cks158
• Fakere, A. A. & Ayoola, H. A. (2018). Socioeconomic characteristics and community participation in infrastructure provision in Akure, Nigeria. Cogent Soc Sci, 4(1), 143701.
• Fekete, C., Siegrist, J., Post, M.W.M., Brinkhof, M.W.G., Swi, S.C.I.S.G. (2019). Productive activities, mental health and quality of life in disability: exploring the role enhancement and the role strain hypotheses. BMC Psychol, 7 (1), 1. https://doi.org/10.1186/s40359-018-0276-6.
• Gamal, S.M., Eleishi, H.H. Moghazy A., El-Garf, K., Eissa, M., Sobhy, N., et al. (2021). Effect of education on disease activity and functional status in rheumatoid arthritis patients. The Egyp Rheumatol, 43(1), 7–11. https://doi.org/10.1016/j.ejr.2020.12.001
• Gikaro, J.M., Xiong, H., Lin, F. (2022). Activity limitation and participation restriction in osteoarthritis and rheumatoid arthritis: findings based on the National Health and Nutritional Examination Survey. BMC Musculoskel Disor, 23, 647.
• Goodley, D., Hughes, B., Davis, L. (2012). Disability and social theory: new developments and directions. Springer: Palgrave Macmillan London, https://doi.org/10.1057/9781137023001
• Halvorsen, A., Pape, K., Post, M.W.M., Biering-Sørensen, F., Mikalsen, S., Hansen, A. N., et al. (2021). Participation and quality of life in persons living with spinal cord injury in Norway. J Rehabil Med, 53(7), jrm00217. https://doi.org/10.2340/16501977-2858.
• Javanmard, A., Abdi, K., Ebadi, A., Hosseinzadeh, S. (2021). Participation and rehabilitation: the need for developing native instruments. Iran J Pub Health, 50(4), 848-849.
• López-Castillo, C.A., Calderón-Rojas, R., Amaya-Amaya, J., DeSanVicente-Célis, Z., Mantilla, R.D., Rojas-Villarraga, A. (2014). Impact of educational level on rheumatoid arthritis: a systematic review. Revista Colombia Reumatol, 21(4), 201-212.
• OECD (2009), “How does participation in education affect participation in the labour market”, in Education at a Glance 2009: OECD Indicators, OECD Publishing, Paris.
• Perenboom, R.J. & Chorus, A.M. (2003). Measuring participation according to the International Classification of Functioning, Disability and Health (ICF). Disabil and Rehabil, 25, 577–587.
• Pincus, T. & Callahan, L.F. (1994). Associations of low formal education level and poor health status: behavioral, in addition to demographic and medical, explanations? J Clinic Epidemiol, 47, 355-361.
• Pincus, T., Keysor, J., Sokka, T., Krishnan, E., Callahan. L.F. (2004). Patient questionnaires and formal education level as prospective predictors of mortality over 10 years in 97% of 1416 patients with rheumatoid arthritis from 15 United States private practices. J Rheumatol, 31, 229-234.
• Piškur, B., Daniëls, R., Jongmans, M.J., et al. (2014). Participation and social participation: are they distinct concepts? Clinic Rehabil, 28, 211–20. https://doi.org/10.1177/0269215513499029.
• Reinikainen, J. Tolonen, H., Borodulin, K., Harkanen,T., Jousilahti, P., Karvanen, J., et al. (2018). Participation rates by educational levels have diverged during 25 years in Finnish health examination surveys. Eur J Pub Health, 28(2), 237–243.
• Scharn, M., Oude Hengel, K., Boot, C. R. L., Burdorf, A., Schuring, M., van der Beek, A. J., et al. (2019). Influence of chronic diseases on societal participation in paid work, volunteering and informal caregiving in Europe: a 12-year follow-up study. J Epidemiol Comm Health 73, 136–141.
• Van Brakel, W. H. (2008). Participation scale users manual version 5.0. Amsterdam: KIT leprosy unit.
• Van Brakel, W. H., Anderson, A. M., Mutatkar R. K., Bakirtzief, Z., Nicholls, P. G., Raju, M. S., et al., (2006). The Participation Scale: measuring a key concept in public health, Disabil and Rehabil, 28, 4, 193–203.
• van Rijn, R.M., Robroek, S.J., Brouwer, S., & Burdorf, A. (2014). Influence of poor health on exit from paid employment: a systematic review. Occup Environ Med, 71, 295–301. 10.1136/oemed-2013-101591.
• Whiteneck, G., & Dijkers, M. P. J. A. (2009). Difficult to measure constructs: conceptual and methodological issues concerning participation and environmental factors. Arch Physic Med Rehabil, 90, 22–35. https://doi.org/10.1016/j.apmr.2009.06.009
• World Health Organization (2001). The International Classification of Functioning, Disability and Health (ICF); World Health Organization: Geneva, Switzerland. Retrieved from the Web February 2, 2023. http://apps.who.int/iris/bitstream/handle/10665/42407/9241545429.pdf;jsessionid=EFB5A18701A32C05186DECC5CD1CBEB2?sequence=1.
• Wysocka-skurska, I., Sierakowska, M., & Kułak, W. (2016). Evaluation of quality of life in chronic, progressing rheumatic diseases based on the example of osteoarthritis and rheumatoid arthritis. Clin Interven Aging, 11, 1741—1750.