Rheumatoid arthritis

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 Mixed methods evaluation

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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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