Rheumatoid arthritis

Decision Aid–Led Tapering of Biologic and Targeted Synthetic Disease-Modifying Antirheumatic Drugs in Rheumatoid Arthritis: A Qualitative Study

J RheumatolPublished Qualitative study

Authors' conclusion

A DA-led strategy for tapering advanced therapy in RA was acceptable to patients and feasible in practice. Sending patients a DA ahead of their appointment facilitated patient-led conversations about tapering.

Study context

Population
Patients with rheumatoid arthritis (RA) in sustained remission tapering biologic disease-modifying antirheumatic drugs (bDMARDs) or tsDMARDs, and rheumatologists, within a pilot study of decision aid (DA)-led tapering
Participants
10 vs 12
Comparison
Patients vs Rheumatologists
  • Patientsn = 10
  • Rheumatologistsn = 12
Outcome
Experiences and perspectives on DA-led tapering
Methodological detailssemistructured interviews, reflexive thematic analysis, embedded within a pilot study
  • Semistructured interviews
  • Reflexive thematic analysis
  • Embedded within a pilot study

Main finding

As reported in the abstract

Participating rheumatologists who adopted sending the DA to all eligible patients ahead of appointments, facilitating patient-led conversations

3 of 4

Original publication

Decision Aid–Led Tapering of Biologic and Targeted Synthetic Disease-Modifying Antirheumatic Drugs in Rheumatoid Arthritis: A Qualitative Study. J Rheumatol. Published 15 August 2024. doi:10.3899/jrheum.2024-0383

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