Rheumatoid Arthritis
Conditions
Brief summary
Rheumatoid arthritis (RA) is the most common inflammatory rheumatism in adults, affecting nearly 0.4% of the general population. It is a real public health issue. International guidelines recommend strict control (remission or low disease activity) of the disease, to avoid joint destruction in order to reduce the functional impact of the disease in the long term and to improve the quality of life of the patients. This care is based on a close follow-up requiring regular visits with the specialist which represents an additional cost (transport, visits). In this context, tele-medicine is often proposed as a complementary approach in the management of these chronic patients. Thus, the investigators propose to study the interest of a connected device by comparing a group of patients using this Smartphone application, coupled with a hand dynamometer during the 6 months following initiation of a new DMARD.
Interventions
DEVICESmartphone
Smartphone application coupled with a hand dynamometer
OTHERphysical follow up
regular visits with the specialist
Sponsors
European Union
Occitanie Region
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* • Patients between 18 and 75 years old with rheumatoid arthritis according to 2010 ACR (American College of Rheumatology) / EULAR Classification Criteria * Patients that need a treatment initiation for rheumatoid arthritis * Patients with DAS 28 \> 3.2 (Disease Activity Score ) * Patients who agreed to participate in this study and provide the informed consent
Exclusion criteria
* • Insufficient level of understanding to perform the measurement and self-report questionnaires * Patients without an internet connection * Difficulties in using a dynamometer due to a dominant-hand surgery done during the previous 12 months, carpal tunnel symptoms, or ulnar nerve compression, or cervicobrachial neuralgia, known presence of motor dysfunction of the upper extremity, or neurological disease * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consultation | follow up of patients over 6 months | To evaluate whether the use of a computerized monitoring interface on Smartphone ( SATIE-PR application) reduces the number of consultations during follow-up of patients with RA over 6 months |
| Number of consultations | follow up of patients over 6 months | % of patients who benefit from at least 4 consultations over a 6-month period. |
Countries
France
Outcome results
None listed