A Smartphone App for Self-Monitoring of Rheumatoid Arthritis Disease Activity to Assist Patient-Initiated Care: Protocol for a Randomized Controlled Trial

JMIR Research Protocols
Bart F SeppenWouter H Bos

Abstract

Telemedicine based on self-measurement of disease activity could be one of the key components to create the health care system of the future. Previous publications in various medical fields have shown that it is possible to safely telemonitor patients while reducing the number of outpatient clinic visits. For this purpose, we developed a mobile phone app for patients with rheumatoid arthritis (RA), which allows them to self-monitor their disease. The objective of this study is to assess the safety and efficacy of self-initiated care assisted by a smartphone app in patients with RA. This is a randomized controlled trial that will be performed for 1 year. A total of 176 patients with RA will be randomized to either self-initiated care with only one scheduled follow-up consultation assisted by our app or usual care. The coprimary outcome measures are the number of outpatient clinic consultations with a rheumatologist taking place during the trial period and the mean disease activity score as measured by the disease activity score 28 (DAS28) at 12 months. The secondary outcomes are patient satisfaction, adherence, patient empowerment, and cost evaluation of health care assisted by the app. Recruitment started in May 2019, and up to...Continue Reading

References

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Oct 31, 2018·JMIR MHealth and UHealth·Elizabeth Mollard, Kaleb Michaud

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Citations

Nov 6, 2020·JMIR MHealth and UHealth·Bart F SeppenWouter H Bos
Sep 25, 2021·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Fatemeh Vizeshfar, Zakiye Ghelbash

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Software Mentioned

MijnReuma
IBDcoach
iOS
Reade
Reade EMR

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