Evaluation of a Novel Electric Health Record Sidecar Application to Display Rheumatoid Arthritis Clinical Outcomes During Clinic Visits: Results of a Stepped‐Wedge Cluster Randomized Pragmatic Trial
Authors' conclusion
This trial revealed no significant short-term effects of the RA PRO dashboard on measures of patient decision-making, self-efficacy, medication beliefs, or adherence.
Study context
- Population
- Patients with rheumatoid arthritis (RA) and their rheumatology clinicians, single academic rheumatology clinic, February 2020–August 202323 clinicians
- Participants
- 554 patients
- Comparison
- Clinician access to the RA PRO dashboard vs no access
- Primary endpoint
- Patient-questionnaire outcomes: decisional conflict (4-item SURE scale); PROMIS-SE 4a self-efficacy for managing symptoms; Beliefs about Medicines Questionnaire-Specific Necessity-Concerns differential; medication adherence
Methodological detailsopen cohort, stepped-wedge, cluster-randomised, pragmatic, single academic rheumatology clinic, four intervention sequences (5 time periods), generalized estimating equations
- Open cohort
- Stepped-wedge
- Cluster-randomised
- Pragmatic
- Single academic rheumatology clinic
- Four intervention sequences (5 time periods)
- Generalized estimating equations
Primary result
As reported in the abstract
- Limited effects of the intervention on the outcomes
- No significant short-term effects on decision-making, self-efficacy, medication beliefs or adherence
Further findings
Clinician adoption of the RA PRO dashboard
- Highly variable
Original publication
Evaluation of a Novel Electric Health Record Sidecar Application to Display Rheumatoid Arthritis Clinical Outcomes During Clinic Visits: Results of a Stepped‐Wedge Cluster Randomized Pragmatic Trial. Arthritis Care Res (Hoboken). Published 23 March 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →