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    A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis

    236031_236031.pdf (353.2Kb)
    Access Status
    Open access
    Authors
    Ackerman, I.
    Ngian, G.
    Van Doornum, S.
    Briggs, Andrew
    Date
    2015
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ackerman, I. and Ngian, G. and Van Doornum, S. and Briggs, A. 2015. A systematic review of interventions to improve knowledge and self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis. Clinical Rheumatology. 35 (1): pp. 33-41.
    Source Title
    Clin Rheumatol
    DOI
    10.1007/s10067-015-3131-7
    School
    School of Physiotherapy and Exercise Science
    Remarks

    The final publication is available at Springer via http://doi.org/10.1007/s10067-015-3131-7

    URI
    http://hdl.handle.net/20.500.11937/12600
    Collection
    • Curtin Research Publications
    Abstract

    This systematic review aimed to determine the effectiveness of interventions for improving knowledge and/or self-management skills concerning contraception, pregnancy and breastfeeding in people with rheumatoid arthritis (RA). We searched four databases (MEDLINE, CINAHL, Cochrane Trials, PsycINFO) using a comprehensive search strategy. Studies were eligible if they were prospective, published in English from 2004 to 2015, included participants with RA and tested an intervention designed to improve knowledge and/or self-management skills relating to family planning, pregnancy or breastfeeding. As no studies met the latter criterion, the search strategy was expanded to include all prospective studies evaluating RA educational and/or self-management interventions. Data on study characteristics, participant characteristics and programme content were extracted to summarise the evidence base for interventions to support people with RA during their reproductive years. Expanded literature searches identified 2290 papers, of which 68 were eligible. Of these, nine papers (13 %) specifically excluded pregnant women/breastfeeding mothers or recruited only older people.Only one study (1 %) explicitly evaluated pregnancy-focused education via a motherhood decision aid, while eight studies (12 %) incorporated relevant (albeit minor) components within broader RA educational or self-management interventions. Of these, three studies provided methotrexate education in relation to conception/pregnancy/breastfeeding; three incorporated discussions on RA and relationships, impact of RA on the family or sexual advice; one provided information regarding contraception and fertility; and one issued a warning regarding use of biologic therapy in pregnancy/breastfeeding. In conclusion, information regarding family planning, pregnancy or breastfeeding represents a negligible part of published RA educational interventions, with scope to develop targeted resources.

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