Rheumatoid arthritis

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 OpenPublished Qualitative intervention development study

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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