Rheumatoid arthritis

A mobile app to support self-management and remotely monitor disease impact in rheumatoid arthritis: the randomized controlled AEGORA trial

Rheumatology (Oxford)Published Randomised controlled trial

Primary result · ASES scoreResult — go to the resultβ 0.44

Authors' conclusion

This app-based self-management intervention was not superior to usual care regarding self-efficacy improvement.

Study context

Population
Patients with RA (mean disease duration 12 years, age 58, 68% female, DAS28-CRP 2.4)
Participants
122 patients
Comparison
App-based self-management intervention vs usual care
Primary endpoint
Improvement in Arthritis Self-Efficacy Scale (ASES)
Follow-up
16 weeks
Methodological detailsmulticentre, 2:1:1 allocation
  • Multicentre
  • 2:1:1 allocation

Primary result

ASES score

β

0.44

P = 0.87

As reported in the abstract

Secondary outcomes

Outcomeβ (95% CI)
Pain Catastrophizing Scale (PCS), non-inferiorityIntervention vs Usual care · favouring the intervention · Non-inferiority established−0.95 (−3.30, +1.40)

Other predefined outcomes (physical activity, sleep quality, Rheumatoid Arthritis Impact of Disease (RAID))

Did not differ

App retention · 16 weeks

App retention steadily declined
43%

App users with ≥1 episode of clinically relevant RAID worsening · 16 weeks

App users reporting ≥1 episode of clinically relevant worsening
35%
  • RAID remained stable over time overall

Original publication

A mobile app to support self-management and remotely monitor disease impact in rheumatoid arthritis: the randomized controlled AEGORA trial. Rheumatology (Oxford). Published 22 November 2024. doi:10.1093/rheumatology/keae638

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