Patient Engagement With Digital Health Tools in Rheumatology

NCT05465356 | Unknown

• 1 other identifier: EDGE 147423
• Study Type: observational
• Target: 3,000
• Locations: 0 countries
• Sites: N/A

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

Conditions

Rheumatic Disease; PROM

Keywords

digital tools

Outcome Measures

Primary Outcomes (4)

• Number of patients with a non-inflammatory diagnosis

  Clinician assessed diagnosis as categorised into inflammatory \[e.g. rheumatoid arthritis\] or non-inflammatory \[e.g osteoarthritis or fibromyalgia\]

  3 years

• Clinician assessed DAS-28 score for patients with rheumatoid arthritis

  Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires

  3 years

• Clinician assessed PsARC score for patients with psoriatic arthritis

  Clinician assessment of disease activity at next follow-up visit for remote monitoring questionnaires

  3 years

• Rate of response to digital questionnaires

  Proportion of patients completing the new patient pre-appointment and follow-up remote monitoring questionnaires.

  3 years

Secondary Outcomes (2)

• PHQ8 scores in new patients completing pre-appointment questionnaires

  3 years

• GAD7 scores in new patients completing pre-appointment questionnaires

  3 years

Study Arms (2)

New patients

All new referrals seen in the rheumatology outpatients department, completing pre-appointment digital questionnaires

Other: Questionnaire; Other: Semi-structured interview

Follow-up patients

Patient with inflammatory arthritis completing ePROMs \[electronic Patient Reported Outcome Measures\] through the remote monitoring platform

Other: Questionnaire; Other: Semi-structured interview

Interventions

Questionnaire OTHER

Questionnaires completed as part of routine care - this is an observational study

Follow-up patients; New patients

Semi-structured interview OTHER

Semi-structured interview to review factors involved in patients engaging or not-engaging with the digital tools

Follow-up patients; New patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All new patients referred to rheumatology outpatients + patients with inflammatory arthritis under follow up in rheumatology outpatients

You may qualify if:

• 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
• 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

You may not qualify if:

• Under 18 years of age
• Unable to complete study questionnaires
• Under 18 years of age
• Patients lacking the capacity to consent for themselves for the semi-structured interview

Sponsors & Collaborators

• Guy's and St Thomas' NHS Foundation Trust: lead

MeSH Terms

Conditions

Rheumatic Diseases

Interventions

Surveys and Questionnaires

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Toby Garrood, FRCP, PhD

  Guy's and St Thomas' NHS Foundation Trust

  STUDY CHAIR

Central Study Contacts

Nikita Arumalla, MBBS, BSc

CONTACT

07834958748; nikita.arumalla@gstt.nhs.uk

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: June 22, 2022
• First Posted: July 19, 2022
• Study Start: July 1, 2022
• Primary Completion: October 1, 2024
• Study Completion: July 1, 2025
• Last Updated: July 19, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share