rheumatoid arthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: To be included in this study, participants must: * be diagnosed with rheumatoid arthritis by a rheumatologist * have a disease duration of at least 2 years * be in low disease activity or remission (DAS28
Exclusion criteria
Exclusion criteria: * taking part in another intervention study * Medication change: start or stop of a DMARD(biologicals, or conventional DMARDS*) in the last 6 months. , *Methotrexate, cyclosporine, cyclophosphamide, gold injections, hydroxychloroquine, leflunomide, mycophenolate, sulfasalazine, corticosteroids.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| * health care utilization as measured by the mean number of outpatient clinic visits with a rheumatologist during the 12 months trial period. * disease activity as measured by the mean DAS28 at 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| * Health care satisfaction on a 10 point scale as recommended by the Institute for Healthcare Improvement. 38 Using any number from 0 to 10, where 0 is the worst health care possible and 10 is as the best health care possible, what number would you use to rate all your health care in the last 12 months?* * Patient empowerment as measured by the Effective Consumer scale (EC-17) * Disease activity as measured by Routine Assessment of Patient Index Data (RAPID3) * Patient-physician interaction as measured by the Perceived Efficacy in Patient-Physician Interactions Questionnaire (PEPPI) * Treatment satisfaction as measured by the Treatment Satisfaction Questionnaire for Medication (the TSQM questionnaire) * Medication adherence as measured by the CQR5 Compliance Questionnaire Rheumatology (CQR5) * Participation as measured by Work Productivity and Activity Impairment Questionnaire (WPAI) * Overall costs of health care utilization including medication use and number of telephone appointments with a rheumatology health care professional as measured by a detailed questionnaire and retrieved from the Reade EMR * Treating physician satisfaction as measured by a physician visit and exit form * Qualitative data derived from focus group discussions at the end of the trial period * Exploratory analysis on the causes of flares * completion rates of weekly surveys as proxies for patient engagement and overall feasibility. * system usability score (SUS) | — |
Countries
Netherlands