Leveraging the Consolidated Framework for Implementation Research to Develop the American College of Rheumatology's Toolkit for Implementation of Rheumatoid Arthritis Outcome Measures in Clinical Practice: A Qualitative Study
Authors' conclusion
This study identifies critical gaps in the collection of RA outcome measures in US rheumatology practices and provides actionable recommendations and resources to address challenges via the RA Measures Toolkit.
Study context
- Population
- US rheumatologists and practice personnel from Rheumatology Informatics System for Effectiveness (RISE) registry practices and academic medical centres with ≥30 patients eligible for rheumatoid arthritis (RA) outcome measures20 interviews
- Participants
- 38 participants20 practices
- Outcome
- Key themes in RA outcome measure collection (CFIR domains)
Methodological detailssemistructured interviews, Consolidated Framework for Implementation Research (CFIR), thematic analysis (deductive and inductive), 138 RISE registry practices and 5 academic medical centres invited, Practices classified by performance in quality payment programs
- Semistructured interviews
- Consolidated Framework for Implementation Research (CFIR)
- Thematic analysis (deductive and inductive)
- 138 RISE registry practices and 5 academic medical centres invited
- Practices classified by performance in quality payment programs
Main finding
As reported in the abstract
- Process: variability in practices' use of RA outcome measures and importance of streamlined workflows
- Intervention: challenges of integrating patient-reported outcomes into electronic health records
- Individual characteristics: importance of clinic culture around quality improvement
- RA Measures Toolkit developed: multimedia online resource with guidelines, best practices and educational resources
Original publication
Leveraging the Consolidated Framework for Implementation Research to Develop the American College of Rheumatology's Toolkit for Implementation of Rheumatoid Arthritis Outcome Measures in Clinical Practice: A Qualitative Study. Arthritis Care Res (Hoboken). Published 5 September 2024. doi:10.
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