Educational interventions in the waiting room for patients with systemic sclerosis: a case series and experience report

Authors

DOI:

https://doi.org/10.11606/issn.23170190.v33e239753

Keywords:

Patient Education as Topic, Scleroderma, Systemic, Waiting Rooms, Patient Care Team, Occupational Therapy

Abstract

Objective: To describe the implementation of educational interventions for SSc patients in the waiting room setting, and qualitatively asses their mid-term impact on patients’ daily-life activities. Method: In this case series, patients with SSc attending a tertiary rheumatology outpatient clinic were invited to participate in brief (30-minute) educational sessions conducted during their waiting time. They addressed topics included therapeutic exercises, joint protection and energy conservation techniques, and use of assistive devices. Educational booklets covering SSc manifestations and self-care strategies were distributed. Six months post-intervention, a random sample of patients was interviewed to qualitatively evaluate the changes in daily routines and disease understanding. Results: Thirty-six patients (mean SSc duration: 13 ± 9 years), with frequent systemic involvement (86%) and hand disability (89%) were included. They actively participated and presented good acceptance of the interventions. Sixteen patients were interviewed post-intervention. All reported that the sessions improved their understanding and ability to cope with the disease, and 14 (87.5%) reported adopting changes in their daily routines based on the guidelines received. Conclusions: Patient education interventions in the waiting room are a low-cost, effective, and well-accepted approach to providing patient health education.

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References

Volkmann ER, Andréasson K, Smith V. Systemic sclerosis. Lancet. 2023;401(10373):304-318. Doi: https://doi.org/10.1016/S0140-6736(22)01692-0

Mugii N, Hamaguchi Y, Maddali-Bongi S. Clinical significance and usefulness of rehabilitation for systemic sclerosis. J Scleroderma Relat Disord. 2018;3(1):71-80. Doi: https://doi.org/10.1177/2397198317750043

Borges LCD, Chaves LA, Andrade JA, Silva LC, Marcelino ALF de O, Chaves RA, et al. Impacto da educação na saúde de pacientes com artrite reumatoide - estudo piloto. Rev Ter Ocup Univ São Paulo (Online). 2020;31(1-3):54-9. Doi: https://doi.org/10.11606/issn.2238-6149.v31i1-3p54-59

Parodis I, Gomez A, Tsoi A, Chow JW, Pezzella D, Girard C, et al. Systematic literature review informing the EULAR recommendations for the non-pharmacological management of systemic lupus erythematosus and systemic sclerosis. RMD Open. 2023;9(3):e003297. Doi: https://doi.org/10.1136/rmdopen-2023-003297

Feitosa ALF, Silva RL, Santos KSO, Silva LKG, Rocha MCG, Andrade MFLO. Sala de espera: estratégia de educação em saúde no contexto da atenção básica. Rev Bras Ed Saúde. 2019;9(2):67-70. Doi: https://doi.org/10.18378/rebes.v9i2.6401

Chaves CC, Marcelino ALFO, da Silva LCC, Andrade JA, Santos FPST, Ferreira GA, et al. Systemic scleroderma patient education: a booklet report. Acta Fisiátr. 2021;28(2):92-96. Doi: https://doi.org/10.11606/issn.2317-0190.v28i2a181801

Almeida TG, Ferreira ARH, da Silva FS, Chaves CC, Assunção BN, Martins PS, et al. Oral health education for systemic sclerosis patients: A booklet report. PEC Innov. 2023;2:100154. Doi: https://doi.org/10.1016/j.pecinn.2023.100154

Kallio H, Pietilä AM, Johnson M, Kangasniemi M. Systematic methodological review: developing a framework for a qualitative semi-structured interview guide. J Adv Nurs. 2016;72(12):2954-2965. Doi: https://doi.org/10.1111/jan.13031

Špiritović M, Šmucrová H, Heřmánková B, Oreská S, Štorkánová H, Rathouská A, et al. The effect of a 24-week physiotherapy and occupational therapy program in systemic sclerosis: a monocentric controlled study with follow-up. Clin Exp Rheumatol. 2022;40(10):1941–1950. Doi: https://doi.org/10.55563/clinexprheumatol/0njr37

Lorig KR, Holman H. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med. 2003;26(1):1-7. Doi: https://doi.org/10.1207/S15324796ABM2601_01

Gignon M, Idris H, Manaouil C, Ganry O. The waiting room: vector for health education? The general practitioner's point of view. BMC Res Notes. 2012;5:511. Doi: https://doi.org/10.1186/1756-0500-5-511

Silva TNR, Melo VMA, Silva TC, Pinheiro TMM, Silva JM, Alves GBO. Sala de espera: uma possibilidade de intervenção em Saúde do Trabalhador. Cad Bras Ter Ocup. 2019;27(4):907-16. Doi: https://doi.org/10.4322/2526-8910.ctoRE1779

Liem SIE, Vliet Vlieland TPM, Schoones JW, de Vries-Bouwstra JK. The effect and safety of exercise therapy in patients with systemic sclerosis: a systematic review. Rheumatol Adv Pract. 2019;3(2):rkz044. Doi: https://doi.org/10.1093/rap/rkz044

Spierings J, van den Ende C, Schriemer R, de Pundert L, Moens HB, van Laar J, et al. Optimal care for systemic sclerosis patients: recommendations from a patient-centered and multidisciplinary mixed-method study and working conference. Clin Rheumatol. 2019;38(4):1007-1015. Doi: https://doi.org/10.1007/s10067-018-4358-x

Sandqvist G, Eklund M, Akesson A, Nordenskiöld U. Daily activities and hand function in women with scleroderma. Scand J Rheumatol. 2004;33(2):102-107. Doi: https://doi.org/10.1080/03009740410006060

Published

2026-09-16

Issue

Section

Case Report

How to Cite

1.
Ferreira ARH, Matosinho AC de M, Costa BV, Maciel AL, Amaral L, Andrade JA, et al. Educational interventions in the waiting room for patients with systemic sclerosis: a case series and experience report. Acta Fisiátr. [Internet]. 2026 Sep. 16 [cited 2026 Sep. 26];33:e239753. Available from: https://revistas.usp.br/actafisiatrica/article/view/239753