M45
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Confirmed diagnosis of axial spondyloarthritis according to current classification criteria Active disease (ASDAS-CRP >2.0) Current treatment with self-administered medication (e.g. oral or subcutaneous) or planned initiation or switch to such treatment based on clinical indication At least one and no more than five previous DMARD therapies Self-rated disease-related knowledge of moderately informed or worse Ability to complete study questionnaires independently Sufficient German language skills Written informed consent
Exclusion criteria
Exclusion criteria: Current or planned intravenous antirheumatic therapy Other inflammatory rheumatic systemic diseases likely to affect study outcomes Severe cognitive impairment or relevant psychiatric disorders Neurological disorders or contraindications to Augmented Reality applications (e.g. photosensitive epilepsy) Acute severe comorbidities Participation in another interventional clinical trial Unwillingness or inability to comply with the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in illness perception measured using the Brief Illness Perception Questionnaire (BIPQ). The primary outcome is the between-group difference in change of the total BIPQ score from baseline (Visit 1) to 4 weeks after the intervention (Visit 3). Data are collected using the standardized BIPQ questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include: Change in illness perception (BIPQ) 1 hour after the intervention Change in beliefs about medicines (BMQ) at 4, 12 and 24 weeks Change in treatment adherence (CQR-5) at 4, 12 and 24 weeks Change in disease activity (ASDAS-CRP) at 12 and 24 weeks Change in patient-reported disease activity (BASDAI) at 12 and 24 weeks Change in functional impairment (BASFI) at 12 and 24 weeks Change in pain intensity (NRS 0–10) throughout the study Change in patient and physician global disease activity (NRS 0–10) at 12 and 24 weeks Participant evaluation of the educational intervention immediately after the intervention. Data are collected using standardized questionnaires, clinical assessments, and routine laboratory measurements (CRP, ESR). | — |
Countries
Germany
Contacts
Justus-Liebig-Universität Gießen, Campus Kerckhoff, Abteilung für Rheumatologie