Rheumatoid arthritis

Digital health program improves quality of life in rheumatoid arthritis: a retrospective analysis of real-world data

Clin Exp RheumatolPublished Retrospective cohort study

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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