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Prevention of Psoriatic Arthritis Inflammation Through Digital Care: A Feasibility Mixed-Methods Study (PPIDC)

2026年9月15日 更新者：Sociedade Portuguesa de Reumatologia

iPROLEPSIS-PPIDC: Prevention of Psoriatic Arthritis Inflammation Through Digital Care: A Feasibility Mixed-Methods Study

This is an international, multicentre, feasibility mixed-methods, single-arm study evaluating the implementation of the iPROLEPSIS digital health promotion programme for adults with psoriatic arthritis (PsA) in real-world clinical practice.

The study will enrol 72 adults with PsA (18 participants per country) across Portugal, the Netherlands, Greece, and the United Kingdom. Participants will be followed for 12 months, including a 1-month baseline monitoring period without intervention, followed by an 11-month intervention period during which participants will use the iPROLEPSIS digital health ecosystem. The iPROLEPSIS ecosystem integrates multiple digital health tools designed to support lifestyle management, self-monitoring, and patient engagement in PsA care. Participants will use the miPROLEPSIS app for active and passive data collection and personalised lifestyle recommendations related to diet and physical activity; biAURA for sleep and stress management using binaural beats; iPROLEPSIS Games to promote physical and emotional well-beingthrough serious games; and the miPROLEPSIS Joint Landmarker app for video-based functional assessments. The ecosystem will also integrate data from a Garmin vívoactive 5 smartwatch and wireless earbuds. Healthcare professionals involved in participant follow-up will access a dedicated clinical dashboard to support monitoring and clinical management. The primary objective of this feasibility study is to evaluate the usability of the iPROLEPSIS digital health ecosystem among patients with PsA and healthcare professionals using the System Usability Scale (SUS) and the eHealth UsaBility Benchmarking Instrument (HUBBI). Secondary objectives include assessing participant retention, acceptability of study participation, engagement with the digital health tools, adherence to study procedures, and identifying barriers and facilitators influencing the implementation of the digital health programme in routine clinical practice.The study will also generate preliminary evidence regarding potential changes in clinical and patient-reported outcomes associated with the use of the iPROLEPSIS ecosystem and include a preliminary budget impact analysis to inform the design of a future larger-scale clinical trial.

研究概览

地位

尚未招聘

条件

干预/治疗

研究类型

介入性

注册 (估计的)

72

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

  • 希腊
      • Thessaloniki、希腊
        • Hipokrateion Hospital Thessaloniki
        • 接触：
  • 葡萄牙
      • Aveiro、葡萄牙
        • Unidade Local de Saúde de Aveiro, Serviço de Reumatologia, Hospital Infante Dom Pedro
        • 接触：
      • Lisbon、葡萄牙
        • Unidade Local de Saúde de São José, Serviço de Reumatologia, Hospital Santo António dos Capuchos
        • 接触：
      • Porto、葡萄牙
        • Unidade Local de Saúde de São João, Serviço de Reumatologia, Hospital São João
        • 接触：

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 成人
  • 年长者

接受健康志愿者

不

描述

Inclusion Criteria (Patients):

  • Willing and able to provide informed consent
  • Female or male, aged 18 years or older at the time of enrolment
  • Diagnosed with psoriatic arthritis
  • Had a rheumatology appointment in the past 12 months
  • Owns a smartphone (Android) compatible with the study apps
  • Willing to use the study smartwatch (Garmin Vivoactive 5) for the 12-month follow-up period
  • Proficient in the local language

Inclusion Criteria (Healthcare Professionals):

  • Willing and able to provide informed consent
  • Involved in the clinical follow-up of PsA patients enrolled in the study

Exclusion Criteria (Patients):

  • Illiteracy or inability to comply with the study protocol (e.g., due to hearing or visual impairments or significant cognitive impairment)
  • Lack of access to the necessary technology to participate in the study (e.g., smartphone or stable internet connection)

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：其他
  • 分配：不适用
  • 介入模型：单组作业
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：iPROLEPSIS Digital Health Ecossystem
Participants with psoriatic arthritis will undergo a 12-month study period consisting of a 1-month baseline monitoring phase followed by an 11-month intervention phase. During the intervention period, participants will receive the iPROLEPSIS digital health programme , integrated with a wearable smartwatch and wireless earbuds. Healthcare professionals involved in participant follow up will use a dedicated clinical dashboard.
行为的：iPROLEPSIS Digital Health Ecossystem

The iPROLEPSIS Digital Health Programme is a multimodal digital health intervention designed to support self-management, healthy lifestyle behaviours, and remote clinical follow-up in adults with psoriatic arthritis. Participants will use the miPROLEPSIS mobile application for symptom monitoring, passive and active data collection, and personalised lifestyle recommendations; biAURA for sleep and stress management; iPROLEPSIS Games to promote physical and emotional well-being; and the miPROLEPSIS Joint Landmarker application for video-based functional assessment. The ecossystem also integrates a smartwatch and wireless earbuds.

Healthcare professionals will use a dedicated clinical dashboard to monitor participant data and support clinical management throughout the intervention period.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
System Usability Scale (SUS)
大体时间：T0 (Month 1), T3 (Month 4), and T11 (Month 12); Healthcare professionals: T11 (Month 12)
A validated 10-item questionnaire assessing ease of system use, scored on a 5-point Likert scale and converted to a 0-100 scale. A score ≥68 indicates above-average usability.
T0 (Month 1), T3 (Month 4), and T11 (Month 12); Healthcare professionals: T11 (Month 12)
eHealth UsaBility Benchmarking instrument (HUBBI)
大体时间：T0 (Month 1), T3 (Month 4), and T11 (Month 12); Healthcare professionals: T11 (Month 12)
A structured heuristic tool assessing usability across seven domains (Basic System Performance, Task-Technology Fit, Interface Design, Navigation & Structure, Information & Terminology, Guidance & Support, Satisfaction). Results are presented as categorical ratings (Good, Moderate, Insufficient, Poor).
T0 (Month 1), T3 (Month 4), and T11 (Month 12); Healthcare professionals: T11 (Month 12)

次要结果测量

结果测量
措施说明
大体时间
陀螺仪传感器数据
大体时间：连续12个月
从患者智能手机中悄悄收集的陀螺仪传感器数据，用于定位
连续12个月
体力活动强度及类别
大体时间：连续12个月
从患者的智能手表中悄悄收集身体活动强度和身体活动类别，以测量身体活动。 强度和类别是智能手表提供的功能。 患者每天都会佩戴智能手表
连续12个月
压力（数字）
大体时间：连续12个月
从患者的智能手表中悄悄收集压力水平，以在量表上测量压力。 这是智能手表提供的功能。 患者每天都会佩戴智能手表
连续12个月
睡觉时间
大体时间：连续12个月
从患者智能手表中悄悄收集的睡眠时间（小时）
连续12个月
睡眠型
大体时间：连续12个月
从患者智能手表中悄悄收集的睡眠类型 (%)
连续12个月
手脚照片
大体时间：12 个月（每 6 周随访一次，如有耀斑）
由患者的智能手机摄像头捕获患者的手和脚的图像，以产生与手和脚趾的指甲和关节状况相关的特征向量，从而产生成像数字生物标记
12 个月（每 6 周随访一次，如有耀斑）
手部和身体动作视频
大体时间：12 个月（每 6 周随访一次，如有耀斑）
由患者的智能手机摄像头记录的预先指定的手部和身体运动的视频，以产生一组具有地标坐标（从视频中获得）的时间序列，从而产生成像数字生物标记
12 个月（每 6 周随访一次，如有耀斑）
Acceptability
大体时间：Baseline
Number of eligible participants who agree to participate in the study.
Baseline
Perceptions of acceptability, barriers, facilitators, and experiences (patients)
大体时间：T11 (Month 12)
Semi-structured focus group interviews
T11 (Month 12)
Step counts
大体时间：Continuous, throughout 12 months
Count of steps collected unobtrusively from the smartwatch of patient to measure physical activity. Patients will wear the smartwatch daily
Continuous, throughout 12 months
Accelerometer data
大体时间：Continuous, throughout 12 months
Accelerometer data collected unobtrusively from smartphone of patient and smartwatch to measure physical activity. Patients will wear the smartwatch daily
Continuous, throughout 12 months
Number of Flares Reported via the miPROLEPSIS Application
大体时间：Continuous throughout 12 months
Number of disease flares self-reported by patients directly through the miPROLEPSIS application.
Continuous throughout 12 months
Number of Flares Reported via Patient and Rheumatologist
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12);
Count of disease flares reported using the structured Patient and Rheumatologist flare questionnaires developed in the iPROLEPSIS-PDPID study, completed during clinical visits.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12);
Body Mass Index (BMI)
大体时间：Baseline
Calculated as weight in kilograms divided by the square of height in meters (kg/m²). Used to classify nutritional status (underweight, normal weight, overweight, obesity).
Baseline
Minimal Disease Activity (MDA) status
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Minimal Disease Activity status based on predefined criteria, determined from joint counts, pain, global activity, and function.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Psoriatic Arthritis Disease Activity Score (PASDAS)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Composite disease activity score combining clinical and patient-reported variables. Total score ranges from 0 to 10; higher scores indicate more active disease. Low disease activity is defined as a score <3.2.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Disease Activity in Psoriatic Arthritis (DAPSA) Score
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Composite score derived from tender joint count (0-68), swollen joint count (0-66), C-reactive protein level (mg/dL), patient pain (0-10 cm VAS), and patient global assessment (0-10). Higher scores indicate more active disease.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Psoriatic Arthritis Impact of Disease (PsAID)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Validated patient-reported measure assessing disease impact across domains such as pain, fatigue, work, and emotional well-being
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Arthritis Self-Efficacy Scale (ASES)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
8-item scale measuring perceived self-efficacy in managing pain and other arthritis-related symptoms. Scores range from 10 to 100, with higher scores indicating greater self-efficacy.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Patient Health Questionnaire-9 (PHQ-9)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
9-item instrument for screening and measuring the severity of depressive symptoms in the previous two weeks. Score ranges from 0 to 27. Higher scores indicate more severe depressive symptoms
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Perceived Stress Scale (PSS)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Self-reported questionnaire measuring the degree to which individuals perceive their life situations as stressful, over the past month. Scores are calculated by summing item responses, with higher scores indicating greater perceived stress.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Short Form-36 Health Survey (SF-36)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Standardised questionnaire assessing assessing health-related quality of live across eight domains: physical functioning, role limitations due to physical health, bodily pain, general health perceptions, vitality, social functioning, role limitations due to emotional problems, and mental health. Scores are transformed to a 0-100 scale. Higher scores indicate better health status.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
International Physical Activity Questionnaire - Short Form (IPAQ-SF)
大体时间：T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Self-reported physical activity levels across intensity domains (walking, moderate, vigorous), duration, and frequency over the past 7 days
T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Health Assessment Questionnaire Disability Index (HAQ-DI)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
20-item scale assessing difficulties in performing daily activities. Responses range from 0 (no difficulty) to 3 (unable to do). Higher scores indicate worse functional disability.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
14-item Mediterranean Diet Adherence Screener (14-MEDAS)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Questionnaire assessing adherence to Mediterranean dietary pattern. Score ranges from 0 to 14; higher scores reflect greater adherence.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
EuroQoL 5-Dimensions 5-Levels (EQ-5D-5L)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Standardised instrument measuring quality of life across five domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Includes an index score and visual analogue scale (VAS).
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Work Productivity and Activity Impairment (WPAI)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12);
Self-reported questionnaire measuring the degree to which health problems affect work productivity and regular activities. Includes absenteeism, presenteeism, and overall work and activity impairment.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12);
Healthcare utilisation
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Self-reported use of healthcare services, including visits to GPs and specialists.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Safety assessment
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Number of adverse events (AEs) and serious adverse events (SAEs).
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Heart rate
大体时间：Continuous throughout 12 months
Heart rate collected unobtrusively from smartwatch of patient. Patients will wear the smartwatch daily
Continuous throughout 12 months
Heart rate variability
大体时间：Continuous throughout 12 months
Heart rate variability (HRV) collected unobtrusively from the patient's smartwatch to assess variations in heart rate. This is a feature provided by the smartwatch. Patients will wear the smartwatch daily.
Continuous throughout 12 months
Keystroke Dynamics
大体时间：Continuous throughout 12 months
Keypad time-related data (e.g., inter-key press intervals) and associated metadata, collected unobtrusively from the patient's smartphone during app use, for fine motor function.
Continuous throughout 12 months
Session Frequency (iPROLEPSIS apps)
大体时间：Continuous, through 12 months of follow-up
Number of discrete user sessions or app log-ins over the study period, indicating engagement consistency and sustained participation.
Continuous, through 12 months of follow-up
Session Duration (iPROLEPSIS apps)
大体时间：Continuous, throughout 11 months
Dwell time within each application, i.e., duration of each user session, in minutes.
Continuous, throughout 11 months
Feature Access Rate (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Number of times users access specific app features or modules, reflecting breadth and depth of feature engagement.
Continuous throughout 12 months
Task Completion Rate (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Ratio of the number of completed tasks to the number of abandoned or incomplete tasks
Continuous throughout 12 months
Notification Action Rate (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Ratio of the number of opened notifications to the number of resulting task completions
Continuous throughout 12 months
Time on Task (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Time taken by users to complete a defined in-app task, in minutes.
Continuous throughout 12 months
Error Rate (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Application) Ratio of the number of successful task attempts to the number of failed attempts (e.g., failed photo submissions or failed video tests).
Continuous throughout 12 months
User-Generated Data Entries (iPROLEPSIS Apps)
大体时间：Continuous throughout 12 months
Frequency and quantity of user-initiated data input, indicating active engagement and perceived app utility
Continuous throughout 12 months
Number of Dashboard Sessions Logged (HCP Dashboard)
大体时间：Continuous throughout 12 months
Number of times healthcare professionals log into the iPROLEPSIS clinical dashboard
Continuous throughout 12 months
Incremental Cost of Implementing the iPROLEPSIS Digital Health Programme Compared with Standard Care
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Estimated incremental cost (local currency) of implementing the iPROLEPSIS digital health tools vs. standard care, from a healthcare system perspective, including key cost drivers and sensitivity analyses.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)

其他结果措施

结果测量
措施说明
大体时间
数字素养调查问卷
大体时间：基线
技术准备度数字素养调查问卷
基线
Genetic variants
大体时间：T0 (1-Month)
Salivary DNA analysis
T0 (1-Month)
Gut microbiome
大体时间：T0 (1-Month) and T3 (4-Month)
Stool analysis to extract bacterial DNA using 16S sequencing
T0 (1-Month) and T3 (4-Month)
Inflammatory blood marker
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Blood C-reactive protein levels (ml/L)
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Waist Circumference
大体时间：Baseline
Waist circumference, measured in centimeters.
Baseline
Clinical and Disease History Characteristics
大体时间：Baseline
Descriptive clinical history collected at enrolment, including fulfilment of CASPAR classification criteria for psoriatic arthritis, psoriatic arthritis subtype, symptom onset date, diagnosis date, and comorbidities.
Baseline
Demographics
大体时间：Baseline
Descriptive characteristics collected at enrolment, including age, sex, nationality, ethnicity/race, marital status, household composition, education level, digital literacy, professional occupation/shift work, handedness and typing fingers used, birth history (mode of delivery: caesarean vs. vaginal), presence of family care/dependent responsibilities, dietary habits, alcohol consumption, and smoking status.
Baseline
Global Rating of Change (GRoC) Scale
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
GRoC scale to evaluate change in disease activity.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Life events questionnaire
大体时间：Baseline, and T11 (Month 12)
Life events questionnaire for life events
Baseline, and T11 (Month 12)
Morning stiffness
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Morning stiffness on a 10-point Likert scale. Higher scores indicate higher morning stiffness.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Air travel events
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Air travel during the study period, including the occurrence, number, dates and purpose (vacation or work), as reported by participants.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Supplement use
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Use of dietary supplements, including supplement type, dose, frequency, and duration of use, as reported by participants.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Joint count
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
66/68 joint count for swelling and tenderness. Higher count indicates higher swollen/tender joints.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Enthesitis
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
6 tendon count for enthesitis using Leeds Enthesitis Index
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Psoriasis Area and Severity Index (PASI)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Physician-assessed measure of psoriasis severity and extent across four body regions (head, trunk, upper limbs, lower limbs), combining erythema, induration, and desquamation with area affected. Score ranges from 0-72; higher scores indicate more severe/extensive disease.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Dactylitis Severity Score (DSS)
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Physician-assessed measure of dactylitis severity, scored per digit (fingers and toes) on a scale from 0 (no dactylitis) to 3 (most severe). The total score is the sum across all assessed digits, yielding a possible total range of 0 to 60; higher scores indicate more severe dactylitis.
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Life Satisfaction
大体时间：Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)
Self-reported life satisfaction (0-10).
Baseline, T0 (Month 1), T3 (Month 4), and T11 (Month 12)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Sociedade Portuguesa de Reumatologia

合作者

Erasmus Medical Center
University of Oxford
Aristotle University Of Thessaloniki
NOVA Medical School

调查人员

  • 首席研究员：Ana Maria Rodrigues, MD, PhD、NOVA Medical School

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年9月1日

初级完成 (估计的)

2027年12月1日

研究完成 (估计的)

2027年12月1日

研究注册日期

首次提交

2026年8月8日

首先提交符合 QC 标准的

2026年8月13日

首次发布 (实际的)

2026年8月19日

研究记录更新

最后更新发布 (实际的)

2026年9月16日

上次提交的符合 QC 标准的更新

2026年9月15日

最后验证

2026年9月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • 014/2026/CENMS
  • 101095697 (其他赠款/资助编号：European Union (HORIZON-HLTH-2022 STAYHLTH-02-01))

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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