Adverse Effect of Glucocorticoids and Synthetic Analogues, Osteoporosis, Rheumatoid Arthritis
Conditions
Brief summary
This quality improvement project is aimed at improving health care by identifying low cost strategies to get Rheumatoid Arthritis (RA) patients to more effectively communicate with their physicians about osteoporosis prevention and treatment (improving doctor-patient communication). The investigators will implement a direct to patient intervention to the population of interest (patients on chronic glucocorticoids) via story-telling, using an Internet based video. The target audience is people on chronic glucocorticoids not already receiving bones-specific osteoporosis medications to determine differences in post-intervention rates of osteoporosis care, and the rates of prescription anti-osteoporosis therapies.
Interventions
patients with a history of chronic glucocorticoids use tell their experiences of side effects resulting from chronic use and provide advice on ways to prevent side effects
Sponsors
Study design
Eligibility
Inclusion criteria
* Greater than or equal to 5 milligrams of prednisone or glucocorticoid dose equivalent for greater than or equal to 90 days within the previous 12 months * Medco member for entire study period * Refill steroid prescription online
Exclusion criteria
* anti-osteoporosis medication in previous 12 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants receiving Anti-osteoporosis Treatment | within 3 - 12 months of exposure to video | Includes bisphosphonates, PTH, SERM, Calcitonin |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Calcium and Vitamin D use | within 3 - 12 months of exposure to video | Are participants taking calcium and vitamin d supplements |
| Patient-Physician Communication | within 3 - 12 months of exposure to video | Did viewing the video increase patient-physician communication |
Countries
United States