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
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Number of outpatient rheumatological appointments in 1 year
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 21 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •Bath Ankylosing Spondylitis Disease Activity Index score of >4
研究组 & 干预措施
PROMise 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.
干预措施: PROMise Model of Care (Procedure)
Control
Usual care
结局指标
主要结局
Number of outpatient rheumatological appointments in 1 year
时间窗: 1 Year
To measure the percentage change in the number of outpatient rheumatological appointments in 1 year
次要结局
未报告次要终点