Axial Spondyloarthritis
Conditions
Brief summary
The goal of this clinical trial is to facilitate the implementation of PROMs-based care for patients with axial spondyloarthritis. The main questions it aims to answer are: * What are the barriers, facilitators and strategies to implement PROMs-based care? * Can the PROMise algorithm successfully review and postpone appointments of eligible patients? * How feasible is PROMs-based care in patients with axial spondyloarthritis? Researchers will implement PROMs-Based care and see if PROMs-Based care is feasible and understand patient's opinions on PROMs-Based care implemented. Participants will: * Be randomized to either receive intervention (PROM-based care) or control (usual care). Randomisation means assigning you to one of two groups by chance, like tossing a coin or rolling dice. * That receive PROMs-based care, will be sent PROMs questionnaires that ask them about their health conditions via SMS at a regular interval of 4 months. * Have their appointments postponed by 4 months, if the PROMise algorithm with specific thresholds (with overview from the rheumatology care team) assess their condition as stable through their blood test results and PROMs questionnaire. * Have a cap of 12 months between physician visits.
Interventions
PROCEDUREPROMise Model of Care
Patients will go for blood tests and be sent PROMs questionnaire prior to planned clinic appointments. The results of the blood tests and questionnaire will be reviewed by a physician. The physician will postpone patient's appointment if the patient is assessed as stable. Any physician-endorsed medication will be sent via a medication delivery service.
Sponsors
Singapore General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diagnosed with axial spondyloarthritis according to the 2009 ASAS Classification Criteria of AxSpA * has been receiving care in Singapore General Hospital for at least 6 months * aged 21 years and above
Exclusion criteria
* Bath Ankylosing Spondylitis Disease Activity Index score of \>4
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of outpatient rheumatological appointments in 1 year | 1 Year | To measure the percentage change in the number of outpatient rheumatological appointments in 1 year |
Countries
Singapore
Contacts
Primary ContactYu Heng Kwan, BSc(Pharm)(Hons), MD, PhD
Backup ContactXin Ru Chew, BSc(Science)(Hons)
Outcome results
None listed