None listed
Conditions
Brief summary
Objectives To assess if a video designed to train people with rheumatoid arthritis (RA) to perform their own tender and swollen joint counts improves concordance of patient-reported tender and swollen joint counts with those performed by their rheumatologist Hypothesis After watching a video designed to train people with rheumatoid arthritis (RA) to perform their own tender and swollen joint counts, self-performed joint counts will have sufficient concordance with rheumatologist performed joint counts that patient reported joint counts are likely to be acceptably accurate in remote monitoring of RA. Design One hundred people with RA will be recruited as they attend their usual rheumatology clinics in public hospitals in Wellington, Christchurch and Dunedin. Before the appointment with their rheumatologist participants will record their own RA disease activity including 28 tender joint count (TJC) and swollen joint count (SJC) imputed to into a mobile health application (an app) RAConnect. They will then be randomised in a 1:1 ratio to 1. Repeating the self-28 TJC and SJC in RAConnect or 2. Viewing the joint count training video in RAConnect then repeating the the self-28 TJC and SJC in RAConnect. During the clinic appointment their rheumatologist will record the physician-performed 28 TJC and SJC, blinded to patient self-joint counts and allocated group. Concordance of patient self-joint counts with rheumatologists joint counts for the first and second joint count will be assessed.
Interventions
The participants will view a short (<5-8 minutes) online video on a smartphone while waiting for their rheumatology clinic appointment in the public hospital study sites. The video will teach people with RA how to examine 28 key joints to determine the presence or absence of "tenderness" and/or "swelling" in these joints. The exact content of the video will be determined by rheumatologists and people with rheumatoid arthritis in a co-design workshop (planned for August 2016).
A research assis
The participants will view a short (<5-8 minutes) online video on a smartphone while waiting for their rheumatology clinic appointment in the public hospital study sites. The video will teach people with RA how to examine 28 key joints to determine the presence or absence of "tenderness" and/or "swelling" in these joints. The exact content of the video will be determined by rheumatologists and people with rheumatoid arthritis in a co-design workshop (planned for August 2016). A research assistant will provide the smartphone with the app RAConnect loaded, through which each participant will complete a tender and swollen joint count, following instructions within the app. Then participants randomized to the “video training” intervention will watch the video, via link in RAConnect, then complete the tender and swollen joint count again. The intervention will occur once only and with individual participants.
Sponsors
University of Otago Wellington
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Potential participants are people with rheumatoid arthritis and fluent in English attending rheumatology outpatient clinics where the rheumatologist in this study are in attendance (PI and CIs in this study).
Exclusion criteria
Declines to give informed consent
Outcome results
None listed