Remote monitoring of patients with rheumatoid arthritis in a low disease activity state: a mixed methods evaluation across six hospitals in London, UK
Authors' conclusion
Patients were positive about the service and engagement was high. Staff views and engagement were more mixed.
Study context
- Population
- Patients with rheumatoid arthritis (RA) in remission or low disease activity attending routine outpatient clinics, six hospitals in London, UK; and staff
- Outcome
- Patient and staff experience and implementation of remote monitoring (monthly RA Impact of Disease scores and patient text messages)
Methodological detailspragmatic, multicentre (six hospitals), rapid review, service-level data, patient survey, patient and staff interviews, Capability, Opportunity, Motivation, Behaviour (COM-B) and Exploration, Preparation, Implementation, Sustainment (EPIS) frameworks
- Pragmatic
- Multicentre (six hospitals)
- Rapid review
- Service-level data
- Patient survey
- Patient and staff interviews
- COM-B and EPIS frameworks
Main finding
As reported in the abstract
Service-level data: high patient engagement with the service
n = 202
Patient survey: service easy to use, confidence in it, improved access to care
n = 155
Patient interviews: findings mirrored the survey; motivators were increased responsiveness and ease of contact with clinical teams
n = 22
Staff interviews: views more mixed; some implementation barriers specific to roll-out sites; prioritization of staff needs emphasized
n = 16
Observational data: associations, not effects.
Original publication
Remote monitoring of patients with rheumatoid arthritis in a low disease activity state: a mixed methods evaluation across six hospitals in London, UK. Rheumatology (Oxford). Published 24 February 2024. doi:10. 1093/ rheumatology/ keae112
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