Patient Engagement With Digital Health Tools in Rheumatology
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 3,000
- 主要终点
- Clinician assessed DAS-28 score for patients with rheumatoid arthritis
研究概览
简要总结
The purpose of this study is to evaluate the patient engagement with digital tools for diagnosis and monitoring of disease in rheumatology services
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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:
- •Aged 18 years and above
- •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
- •Able to communicate in English or any language offered for audio interpreting by the LanguageLine service
- •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
- •Able to communicate in English or any language offered for audio interpreting by the LanguageLine service
排除标准
- •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
结局指标
主要结局
Clinician assessed DAS-28 score for patients with rheumatoid arthritis
时间窗: 3 years
Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires
Rate of response to digital questionnaires
时间窗: 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
时间窗: 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
时间窗: 3 years
Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires
次要结局
- PHQ8 scores in new patients completing pre-appointment questionnaires(3 years)
- GAD7 scores in new patients completing pre-appointment questionnaires(3 years)
研究者
Nikita Arumalla
Principal investigator
Guy's and St Thomas' NHS Foundation Trust