• Self efficacy [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Well being (Arizona Integrative Outcomes Scale) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]

• Arthritis Impact Measurement Scale 2 (affect, symptoms, social interaction, role) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• The Hospital Anxiety and Depression Scale [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Educational Needs Assessment Tools [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Modified Health Assessment Questionnaire [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• DAS 28 score (Disease activity score) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Patient Activation Measurement (PAM) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Cost- benefit [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Physical activity [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Use of medications [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• fatigue (VAS scale) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]
• Pain (VAS scale) [ Time Frame: Baseline, 4 and 12 months ] [ Designated as safety issue: No ]

The purpose of this study is to explore the effect of patient education (PE) in patients with arthritis. PE has become a task that is dictated by law in Norway, and is increasingly used as an element in the treatment of patients with chronic complaints. Our hypothesis is that

- PE delivered as group education, followed by an individual nurse consultation increases the patients wellbeing an ability to cope with the disease.

There has been a rather long tradition of PE for patients with arthritis. A recent systematic review found that PE had small short-term effects on disability, joint counts, patient global assessment, psychological status and depression, but this effect disappeared on the latest time of follow up (3-14 months). A recent large British study also failed to show an effect on pain, physical functioning, or contact with primary care after 12 months, but found a significant effect on anxiety and improved the participants' perceived self efficacy. This indicates that the present forms of interventions fails to show a long term effect. One possible reason for the lack of long term effect might be that these interventions are given to groups only. Patients seem to prefer one-to-one interaction regarding information about the disease and its treatment together with emotional aspects, while education in groups are preferred for physical training and relational topics.

• Experimental: Patient education
• No Intervention: Usual care

Inclusion Criteria:

• Polyarthritis
• 18-80 years
• native Norwegian speaking
• able to understand and participate in the PE program

Exclusion Criteria:

• Participated in a patient educational program the latest 12 months