Rheumatoid arthritis Musculoskeletal Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Aged 18 or above 2. Newly diagnosed RA fulfilling ACR/EULAR 2010 criteria for the diagnosis
Exclusion criteria
Exclusion criteria: 1. Age < 18 years 2. Unable or unwilling to give informed consent 3. Women pregnant, breast feeding or at risk of conceiving 4. Prior treatment with DMARDs 5. Contraindications to DMARD therapy such as recurrent infections, pancytopenia, LFT derangement 6. Mental incapacity to participate in research study, complete RAPID3 and other patient-based study assessments 7. Inability of patient to complete web-based RAPID3 due to the lack of internet facilities or knowledge required to use internet 8. Currently participating or recently participated in another interventional trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients fulfilling the definition of remission defined as DAS28 <2.6 or low disease activity (DAS28 2,6-3.2) at 12 months of the RA treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time required to achieve remission or low disease activity , measured by DAS28 CRP assessment at 3, 6 and 12 months of the treatment 2. Patient experience of remote monitoring of RA, measured at 12 months of the treatment by using a questionnaire asking for their rating on 0-10 scale of ease of use, simplicity of use, of benefit to them, caused difficulty, satisfaction level with the telemonitoring 3. Feasibility of the study assessed at 6 and 12 months by determining the number of people who have continued to participate in the study with drop out no more than 20% and that the rheumatology team is able to conduct the study without onerous effects on their other commitments 4. Cost effectiveness of telemonitoring of RA to deliver NICE compliant treatment. The cost of individual patient treatment will be calculated at 12 months of the treatment using the trust financial data | — |
Countries
England, United Kingdom