Assessing the Feasibility of the Patient-Reported Outcomes Based Model for Community Care of Patients With Axial Spondyloarthritis Via a Type 1 Pilot Hybrid Effectiveness-Implementation Trial Using the RE-AIM Framework

Not Applicable

Not yet recruiting

• Conditions: Axial Spondyloarthritis

• Registration Number: NCT06968247
• Lead Sponsor: Singapore General Hospital

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-04
• Study First Submitted: 2025-05-05
• Study First Submitted QC: 2025-05-05
• Last Update Submitted: 2025-05-05
• Study First Posted: 2025-05-13
• Last Update Posted: 2025-05-13
• Study Start: 2025-06
• Primary Completion: 2026-12
• Study Completion: 2027-05

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 70

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Singapore General Hospital; 🇸🇬 Singapore, Singapore