The Long-term Effectiveness of Case Management for Patients With Rheumatoid Arthritis in Taiwan

NCT03446989 | Completed

• 1 other identifier: DTCRD105(2)-I-16
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

Case management (CM) has been recommended as a way of inspiring measurable changes in individual behaviors and improving clinical outcomes for patients with chronic diseases. However, data on its effectiveness for Taiwanese patients with rheumatoid arthritis (RA) are limited. This study aimed to determine the long-term effectiveness of CM that focused on nurses' role among Taiwanese RA patients.

Conditions

Arthritis, Rheumatoid; Case Management; Managed Care Programs

Keywords

case management; rheumatoid arthritis; Effectiveness; Generalized Estimating Equations

Outcome Measures

Primary Outcomes (1)

• Depression level

  Assessed with Taiwanese Depression Questionnaire (TDQ)

  Up to 12 months

Secondary Outcomes (2)

• Self-care efficacy

  Up to 12 months

• Sexual dysfunction

  Up to 12 months

Study Arms (1)

Case management

EXPERIMENTAL

Those who did not agree to participate in the NLCM were enrolled into the control group and received the standard care: visits to their RA physicians on a regular basis with health education administered by a ward nurse during each visit. The education sessions lasted for approximately 15 minutes and consisted of consultation about disease symptoms, related treatments, and disease management.

Behavioral: Case management

Interventions

Case management BEHAVIORAL

completing assessment, detecting the presence of RA complications, consultation about taking medications and exercise, education for patients and their family, assist in formulating a management, and providing a basis for continuing care for each patient. Additionally, the management plan was rationally modified in accordance with the individualized therapeutic alliance of the patient, his/her family, the physician or other members of the medical team.

Case management

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• being at least 20 years old at the time of recruitment,
• having no cognitive impairment and severe complications,
• being able to express opinions in either Mandarin or Taiwanese, and
• having a diagnosis of RA.

You may not qualify if:

• being unwillingness to participant this work
• Attending the similar health education program in the past

Sponsors & Collaborators

• Dalin Tzu Chi General Hospital: lead

Study Sites (1)

Tzung-Yi Tsai

Chiayi City, Chiayi, 62247, Taiwan

Location

MeSH Terms

Conditions

Arthritis, Rheumatoid

Interventions

Case Management

Condition Hierarchy (Ancestors)

Arthritis; Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Miao-Chiu Lin

  Dalin Tzuchi Hospital, The Buddhist Tzuchi Medical Foundation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 12, 2018
• First Posted: February 27, 2018
• Study Start: August 1, 2016
• Primary Completion: April 30, 2018
• Study Completion: June 30, 2018
• Last Updated: February 10, 2022

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)