Patient Engagement With Digital Health Tools in Rheumatology

NCT ID: NCT05465356

Last Updated: 2022-07-19

Basic Information

• Recruitment Status: UNKNOWN
• Total Enrollment: 3000 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2022-07-31
• Study Completion Date: 2025-07-31

Brief Summary

The purpose of this study is to evaluate the patient engagement with digital tools for diagnosis and monitoring of disease in rheumatology services

Detailed Description

The investigators plan to undertake a mixed methods study to investigate a digital algorithm to potentially inform triage of new patient referral to rheumatology services, as well as to inform follow up review schedules. Current practice at out hospital is to ask all newly referred patients to complete a pre-appointment digital questionnaire prior to their clinic visit. Patients who need follow up are then routinely invited to continue to return interval questionnaires related to their symptoms between clinic visits.

The investigators believe that the questionnaire responses could enable appropriate (and safe) allocation to a particular clinic (e.g. urgent early arthritis clinic or general rheumatology clinic for a new referral), or define an appropriate clinic follow up interval for a repeat visit for patients with a rheumatic disease.

Our study aims to evaluate these questionnaires using data collected from routine clinical practice, as well a series of semi-structured interviews with service users.

Conditions

Rheumatic Disease; PROM

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

New patients

All new referrals seen in the rheumatology outpatients department, completing pre-appointment digital questionnaires

Questionnaire

Intervention Type: OTHER

Questionnaires completed as part of routine care - this is an observational study

Semi-structured interview

Intervention Type: OTHER

Semi-structured interview to review factors involved in patients engaging or not-engaging with the digital tools

Follow-up patients

Patient with inflammatory arthritis completing ePROMs \[electronic Patient Reported Outcome Measures\] through the remote monitoring platform

Questionnaire

Intervention Type: OTHER

Questionnaires completed as part of routine care - this is an observational study

Semi-structured interview

Intervention Type: OTHER

Semi-structured interview to review factors involved in patients engaging or not-engaging with the digital tools

Interventions

Questionnaire

Questionnaires completed as part of routine care - this is an observational study

Intervention Type: OTHER

Semi-structured interview

Semi-structured interview to review factors involved in patients engaging or not-engaging with the digital tools

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Aged 18 years and above
• Able to complete the questionnaire in English

1. New patient pre-appointment questionnaires

• Referred as a new patient to the rheumatology outpatient department at Guys and St Thomas' Trust between 01/01/2019 to 01/10/2023 and sent a digital pre-appointment questionnaire
• Electronic patient notes recorded between 01/01/2019 to 01/10/2024

2. Follow up patients PROM questionnaires

• Patients under followup of the rheumatology department at Guys and St Thomas' Trust with a diagnosis of rheumatoid arthritis, psoriatic arthritis or axial spondyloarthropathy who have been added to the remote monitoring program between 01/01/2019 to 01/10/2023
• Electronic patient notes recorded between 01/01/2019 to 01/10/2024

• Aged 18 years and above

1. New patient pre-appointment questionnaires

• Referred as a new patient to the rheumatology outpatient department at Guys and St Thomas' Trust between 01/01/2019 to 01/10/2023 and sent a digital pre-appointment questionnaire
• Able to communicate in English or any language offered for audio interpreting by the LanguageLine service

2. Follow up patients PROM questionnaires

• Patients under followup of the rheumatology department at Guys and St Thomas' Trust with a diagnosis of rheumatoid arthritis, psoriatic arthritis or axial spondyloarthropathy who have been added to the remote monitoring program between 01/01/2019 to 01/10/2023
• Able to communicate in English or any language offered for audio interpreting by the LanguageLine service

Exclusion Criteria

• Under 18 years of age
• Unable to complete study questionnaires

• Under 18 years of age
• Patients lacking the capacity to consent for themselves for the semi-structured interview

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Guy's and St Thomas' NHS Foundation Trust

OTHER

Sponsor Role: lead

Responsible Party

Nikita Arumalla

Principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Toby Garrood, FRCP, PhD

Role: STUDY_CHAIR

Guy's and St Thomas' NHS Foundation Trust

Central Contacts

Nikita Arumalla, MBBS, BSc

Role: CONTACT

nikita.arumalla@gstt.nhs.uk

07834958748

Other Identifiers

EDGE 147423

Identifier Type: -

Identifier Source: org_study_id