Patient Engagement With Digital Health Tools in Rheumatology
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rheumatic Disease
- Sponsor
- Guy's and St Thomas' NHS Foundation Trust
- Enrollment
- 3000
- Primary Endpoint
- Clinician assessed DAS-28 score for patients with rheumatoid arthritis
- Status
- Not yet recruiting
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the patient engagement with digital tools for diagnosis and monitoring of disease in rheumatology services
Detailed Description
The investigators plan to undertake a mixed methods study to investigate a digital algorithm to potentially inform triage of new patient referral to rheumatology services, as well as to inform follow up review schedules. Current practice at out hospital is to ask all newly referred patients to complete a pre-appointment digital questionnaire prior to their clinic visit. Patients who need follow up are then routinely invited to continue to return interval questionnaires related to their symptoms between clinic visits. The investigators believe that the questionnaire responses could enable appropriate (and safe) allocation to a particular clinic (e.g. urgent early arthritis clinic or general rheumatology clinic for a new referral), or define an appropriate clinic follow up interval for a repeat visit for patients with a rheumatic disease. Our study aims to evaluate these questionnaires using data collected from routine clinical practice, as well a series of semi-structured interviews with service users.
Investigators
Nikita Arumalla
Principal investigator
Guy's and St Thomas' NHS Foundation Trust
Eligibility Criteria
Inclusion Criteria
- •quantitative phase:
- •Aged 18 years and above
- •Able to complete the questionnaire in English
- •New patient pre-appointment questionnaires
- •Referred as a new patient to the rheumatology outpatient department at Guys and St Thomas' Trust between 01/01/2019 to 01/10/2023 and sent a digital pre-appointment questionnaire
- •Electronic patient notes recorded between 01/01/2019 to 01/10/2024
- •Follow up patients PROM questionnaires
- •Patients under followup of the rheumatology department at Guys and St Thomas' Trust with a diagnosis of rheumatoid arthritis, psoriatic arthritis or axial spondyloarthropathy who have been added to the remote monitoring program between 01/01/2019 to 01/10/2023
- •Electronic patient notes recorded between 01/01/2019 to 01/10/2024
- •Inclusion criteria: qualitative phase:
Exclusion Criteria
- •quantitative phase:
- •Under 18 years of age
- •Unable to complete study questionnaires
- •Exclusion criteria: qualitative phase:
- •Under 18 years of age
- •Patients lacking the capacity to consent for themselves for the semi-structured interview
Outcomes
Primary Outcomes
Clinician assessed DAS-28 score for patients with rheumatoid arthritis
Time Frame: 3 years
Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires
Rate of response to digital questionnaires
Time Frame: 3 years
Proportion of patients completing the new patient pre-appointment and follow-up remote monitoring questionnaires.
Number of patients with a non-inflammatory diagnosis
Time Frame: 3 years
Clinician assessed diagnosis as categorised into inflammatory \[e.g. rheumatoid arthritis\] or non-inflammatory \[e.g osteoarthritis or fibromyalgia\]
Clinician assessed PsARC score for patients with psoriatic arthritis
Time Frame: 3 years
Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires
Secondary Outcomes
- PHQ8 scores in new patients completing pre-appointment questionnaires(3 years)
- GAD7 scores in new patients completing pre-appointment questionnaires(3 years)