Digital health program improves quality of life in rheumatoid arthritis: a retrospective analysis of real-world data
Authors' conclusion
These findings demonstrate that a 16-week digital support programme improves self-reported QoL measures, supporting the 2021 EULAR recommendations to incorporate digital healthcare into routine practice.
Study context
- Population
- Users with RA engaged with the Sidekick Health 16-week digital support programme after the first weekof 1541 enrolled
- Participants
- 635 users
- Exposure
- Highly-engaged vs less-engaged users of a 16-week digital support programme
- Outcome
- Self-reported QoL (sleep quality, energy and stress levels)
Methodological detailsreal-world data, mixed models for repeated measures, iterative K-means clustering
- Real-world data
- Mixed models for repeated measures
- Iterative K-means clustering
Main finding
As reported in the abstract
QoL (energy, stress, sleep)
- Both highly- and less-engaged groups had significant longitudinal improvements in all quality of life (QoL) outcomes
- Highly-engaged users achieved better scores in energy, stress and sleep than less-engaged users
- Significant time-group interaction for sleep: highly-engaged users had larger improvements over time
Observational data: associations, not effects.
Further findings
Survival bias: pre-post QoL in full analysis set vs complete case set
- Both sets had significant pre-post improvements in energy and stress; survival bias did not have a substantial effect
Original publication
Digital health program improves quality of life in rheumatoid arthritis: a retrospective analysis of real-world data. Clin Exp Rheumatol. Published 24 January 2024. doi:10. 55563/ clinexprheumatol/ rng5n9
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