EducAR: implementing a multicomponent strategy to improve therapeutic adherence in rheumatoid arthritis
Authors' conclusion
Despite designing an intervention based on the best evidence, the results were inconclusive; the lack of a detected effect could be explained by the limited implementation, which was insufficient for the complexity of the changes required (change of culture).
Study context
- Population
- Consecutive patients with <2 years of rheumatoid arthritis (RA)
- Participants
- 141 patients
- Comparison
- Two-sided website intervention based on EULAR points to consider (PtC) vs standard of care
- Primary endpoint
- Initiation and implementation adherence
- Follow-up
- 6 months
Methodological detailsmulticomponent intervention, cocreated by multidisciplinary panel
- Multicomponent intervention
- Cocreated by multidisciplinary panel
Primary result
As reported in the abstract
Adherence, baseline to 6 months
Control
48% to 67%
Intervention
42% to 47%
Further findings
Implementation of the intervention
- Implementation very low; barriers: lack of time, inadequate focus (exclusively for nurses), current standard of care (SOC) considered adequate
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
EducAR: implementing a multicomponent strategy to improve therapeutic adherence in rheumatoid arthritis. RMD Open. Published 27 February 2025. doi:10.
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