Barriers to, Facilitators of, and Interventions to Support Treat‐to‐Target Implementation in Rheumatoid Arthritis: A Systematic Review
Authors' conclusion
Despite long-established treat-to-target recommendations, there remain many barriers to its implementation.
Study context
- Population
- Published studies on barriers to, facilitators of, and interventions to support treat-to-target implementation in rheumatoid arthritis (RA)articles analysed
- Participants
- 146 participants
- Outcome
- Barriers/facilitators and interventions for treat-to-target implementation in RA
Methodological detailssystematic and scoping literature searches, Critical Appraisal Skills Programme (CASP) quality assessment, narrative synthesis
- Systematic and scoping literature searches
- CASP quality assessment
- Narrative synthesis
Pooled result
As reported in the abstract
- Articles including ≥50% of CASP checklist items
- 123 (84%)
- Studies evaluating treat-to-target barriers and facilitators
- 76
- Relevant statements identified, regrouped into 18 target areas (e.g. Health care professional (HCP) or patient knowledge or perceptions; patient-HCP communication or alignment; time or resources)
- 329
- Interventions identified from 70 studies across the 18 target areas
- 56
- Interventions addressing disease activity or patient-reported outcome assessments
- 54%
- Interventions that improved treat-to-target implementation and/or patient outcomes
- 36
Original publication
Barriers to, Facilitators of, and Interventions to Support Treat‐to‐Target Implementation in Rheumatoid Arthritis: A Systematic Review. Arthritis Care Res (Hoboken). Published 4 September 2024. doi:10. 1002/ acr. 25408
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