Arthritis Health Journal Proof of Concept Study (AHJ)
27. juni 2018 oppdatert av: Diane Lacaille, University of British Columbia
Proof of Concept Study of the Arthritis Health Journal, a Patient Passport for Rheumatoid Arthritis
The purpose of this study is to determine whether an online patient passport tool called the Arthritis Health Journal can assist people with rheumatoid arthritis in managing their disease.
Studieoversikt
Detaljert beskrivelse
Patient passports have been developed and used in chronic diseases, such as diabetes, to promote active involvement of patients in their care, and have led to better treatment and health outcomes.
In rheumatoid arthritis (RA), active involvement of patients in monitoring their symptoms and their disease activity may facilitate treatment according to current recommendations, which emphasize the need for aggressive treatment to suppress inflammation and for using a "Treat to Target" approach where treatment is escalated until a target is reached and is promptly modified when target is no longer met.
In this study, the investigators have developed an online tool that aims to help people with RA monitor their symptoms and their disease activity and self-manage their arthritis.
The investigators will perform a proof of concept study assessing how the Arthritis Health Journal affects consumer effectiveness, patient self-efficacy, communication with health professionals, shared decision-making, and satisfaction with medical care.
The investigators will also evaluate the feasibility and satisfaction with using the Arthritis Health Journal.
The investigators will use a stepped wedge study design, in which 50 participants will be randomized to either the intervention group (immediate use of the Arthritis Health Journal) or the control group (waitlisted for 6 months).
Due to the nature of the intervention, the study is not blinded.
Studietype
Intervensjonell
Registrering (Faktiske)
95
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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British Columbia
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Richmond, British Columbia, Canada, V6X 2C7
- Arthritis Research Centre of Canada
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
18 år og eldre (Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria:
- Be 18 years of age or older
- Have a diagnosis of rheumatoid arthritis
- Be under the ongoing care of a rheumatologist
- Be comfortable using a computer and online applications
- Have access to an Internet connection
- Be able to read and write English without needing a translator
Exclusion Criteria:
- Younger than 18 years of age;
- Diagnoses of arthritis other than rheumatoid arthritis
- not under the ongoing care of a rheumatologist
- not comfortable using a computer
- lack of Internet access
- inability to read and write in English without a translator
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Arthritis Health Journal
Participants in this group will use the Arthritis Health Journal in the first 6 months of study.
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Annen: Control
Participants in this group will receive a delayed intervention.
They will receive usual care for the first 6 months of study, during which time they will contribute control data, and they will use the Arthritis Health Journal in the second 6 months of study, during which time they will contribute intervention data.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Self-Management Behaviours
Tidsramme: 6 months
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We will use the overall score from the Partners in Health Scale, an 11 item questionnaire based on the principles of self-management, which measures people's ability to engage in behaviours for the self-management of a chronic disease.
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6 months
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Self-Efficacy
Tidsramme: 6 months
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We will use the Stanford Self-Efficacy Scale to measure patient's confidence in their ability to perform certain actions to manage their disease and cope with the consequences of their disease.
Specifically we will include the "Manage Arthritis Symptoms", "Manage Disease in General", and "Communicate with Physician" subscales.
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6 months
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Consumer Effectiveness
Tidsramme: 6 months
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We will use the Effective Consumer (EC-17) scale to measure patient's ability to deal with a chronic condition and make decisions about their health care.
We will use the global EC-17 score, as well as results to individual questions (6, 7, 9, and 13) which were selected for their relevance to our intervention.
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6 months
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Patient Satisfaction with Care
Tidsramme: 6 months
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We will use the Patient Satisfaction Questionnaire to measure satisfaction with care and patient-physician interactions.
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6 months
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Self-Management Behaviours
Tidsramme: 6 months
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We will measure the results of individual questions 7 to 11 from the Partners in Health Scale, which specifically measure involvement in aspects of care relevant to our intervention.
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6 months
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Etterforskere
- Hovedetterforsker: Diane Lacaille, MD MHSc, Arthritis Research Centre of Canada
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. september 2013
Primær fullføring (Faktiske)
1. januar 2015
Studiet fullført (Faktiske)
1. februar 2016
Datoer for studieregistrering
Først innsendt
10. september 2013
Først innsendt som oppfylte QC-kriteriene
12. september 2013
Først lagt ut (Anslag)
13. september 2013
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
29. juni 2018
Siste oppdatering sendt inn som oppfylte QC-kriteriene
27. juni 2018
Sist bekreftet
1. juni 2018
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- H12-00691
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