Development and Pilot Testing of Multimedia Patient Education Tools for Patients With Knee Osteoarthritis, Osteoporosis, and Rheumatoid Arthritis

Maria A. Lopez-Olivo, Aparna Ingleshwar, Robert J. Volk, Maria Jibaja-Weiss, Andrea Barbo, Kenneth Saag, Amye Leong, Maria E. Suarez-Almazor

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Objective: We developed and tested multimedia patient education tools (video tools) for patients with knee osteoarthritis (OA), osteoporosis (OP), and rheumatoid arthritis (RA). Methods: We followed an “edutainment” model, incorporating educational patient story lines. The goals were designed to make the programs both didactic and entertaining, with navigation and graphic user interfaces as simple as possible. We created both English and Spanish language versions. Once the video tool was finalized, 60 patients, 20 per disease, were shown the tool and interviewed. Disease knowledge was our primary outcome, and decision conflict, disease management, and acceptability were secondary outcomes. Results: We observed statistically significant differences in pre- to postintervention knowledge questionnaire scores (before and after viewing the video tool) (OA: P = 0.03, OP: P = 0.01, and RA: P < 0.0001). Most participants felt they gained “clarity” on disease duration, symptoms, and the time medication takes to start acting; were “encouraged to see their doctor regularly”; and were more aware about taking their medications. In terms of acceptability, most patients in all disease groups found the length and amount of information presented in the video tools to be “just right,” and the presentation to be “balanced.” In terms of comprehension, all participants provided a favorable evaluation of the video tool; all found the video easy to use, the vocabulary easy to understand, and the materials to be well organized. Conclusion: Multimedia tools that incorporate videos may help patients better understand and manage their disease. Patient involvement in the development process is essential to ensure relevant content and usability.

Original languageEnglish (US)
Pages (from-to)213-220
Number of pages8
JournalArthritis Care and Research
Issue number2
StatePublished - Feb 2018
Externally publishedYes

Bibliographical note

Funding Information:
Supported by the Agency for Healthcare Research and Quality (grant 1R18HS019354-03). Dr. Lopez-Olivo is recipient of a Career Award from the Rheumatology Research Foundation.

Funding Information:
The authors are grateful to the personnel of UT Television from The University of Texas, MD Anderson Cancer Center, for their contributions during the development of the multimedia patient education tools, and to Sofia de Achaval Wied, Sonia Rodriguez, Vincent Richards, Christian Waimann, and Flor Marengo for the input provided to the Spanish version of the tools.

Publisher Copyright:
© 2017, American College of Rheumatology


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