Effect of digital monitoring and counselling on self-management ability in patients with rheumatoid arthritis: a randomised controlled trial
Authors' conclusion
Remote counselling paired with self-monitoring tools improved self-management ability in people with RA.
Study context
- Population
- People with rheumatoid arthritis (RA)91.6% women
- Participants
- 131 people
- Comparison
- Remote physiotherapist (PT) counselling with self-monitoring tools (immediate) vs monthly e-newsletter then delayed intervention
- Primary endpoint
- Change in Patient Activation Measure (PAM-13)
- Follow-up
- 27 weeks
Methodological detailsdelayed-intervention control, 80.2% completed during the COVID-19 pandemic
- Delayed-intervention control
- 80.2% completed during the COVID-19 pandemic
Primary result
As reported in the abstract
PAM-13, mean change
Immediate
4.6
mean · SD 14.7
Delayed
−1.6
mean · SD 12.5
- Overall, the intervention improved Patient Activation Measure (PAM-13) at 27 weeks post-intervention
- 5.3 (GLMM adjusted coefficient; 95% CI 2.0, 8.7; P ≤ 0.001)
Secondary outcomes
- PAM-13, mean change in Delayed Group after the 26-week intervention · 53 weeks
- 3.6 · mean · SD 14.6
Disease activity, fatigue, depression and self-reported walking habit
- Favourable intervention effects
Original publication
Effect of digital monitoring and counselling on self-management ability in patients with rheumatoid arthritis: a randomised controlled trial. Rheumatology (Oxford). Published 28 December 2023. doi:10.
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