Development of the ‘COuld it Be RA’ (COBRA) tool to facilitate early identification of people at risk of developing rheumatoid arthritis in primary care
Authors' conclusion
This was critical to understanding barriers and facilitators to implementing the clinical prediction model in primary care and developing the COBRA tool.
Study context
- Population
- Primary care clinicians16 interviewed
- Outcome
- Components prioritised for the COBRA tool (phase 2 workshops) and prototype testing (think-aloud interviews)
Methodological detailsthree sequential phases, qualitative descriptive study, clinician consultation engagement workshops, think-aloud interview study, MRC/NIHR complex intervention research framework, Ethical approval obtained for all three phases
- Three sequential phases
- Qualitative descriptive study
- Clinician consultation engagement workshops
- Think-aloud interview study
- MRC/NIHR complex intervention research framework
- Ethical approval obtained for all three phases
Main finding
As reported in the abstract
- Initial list of candidate components for the intervention, including design considerations
- nine
- Components prioritised as 'Must have' or 'Should have': Clinical decision support system (CDSS); guidance on using the CDSS/associated actions; evidence for the CDSS; patient education resources
- four
- Changes made to the COBRA tool
- Over 40
Original publication
Development of the ‘COuld it Be RA’ (COBRA) tool to facilitate early identification of people at risk of developing rheumatoid arthritis in primary care. RMD Open. Published 15 February 2026. doi:10. 1136/ rmdopen-2025-005957
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