An interventional study of Health Log in Rheumatoid Arthritis, sponsored by Brigham and Women's Hospital. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2017-02-01.
Sponsored by Brigham and Women's Hospital · Not applicable, Interventional, and Health services research
The goal of the present study is to determine if a health management tool improves self-efficacy, satisfaction with the doctor's visit, and agreement of the statement "How satisfied are you that your concerns were addressed during your clinic visit today" over time.
The Patient-Centered Outcomes Initiative (PACO) was developed at Brigham and Women's Hospital (BWH) to create a replicable model of patient-centered care that will improve treatment for patients with rheumatoid arthritis (RA) and lead to improved outcomes. This work began with focus groups of RA patients to determine which changes or programs they felt were needed. Among the suggestions was a health management tool to improve doctor-patient communication. The Patient Advisory Committee (PAC), a part of PACO which grew out of the focus groups, worked to develop the current Health Log. It consists of a permanent booklet and a refillable health log version that is filled out before each doctor's appointment.
Health management tools have also been developed for patients with other chronic conditions. Dr. Paul Fortin of the University Health Network developed the Lupus Health Passport, which helps patients keep track of their health and also has information about lupus as well as prevention of coronary artery disease (CAD) and osteoporosis.
However, although these health management tools have been well received, they have not been studied to see if they improve self-efficacy. We would like to determine if the use of the Health Log improves self-efficacy in RA patients over time.
Specifically we will be looking to:
3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.
This study's enrollment of 67 is below the median of 90 across 2,377 interventional studies indexed under Arthritis.
Browse Arthritis studies →Brigham and Women's Hospital is the lead sponsor of 1,236 studies on the registry; 224 are open to participants now.
Of its 116 completed or terminated interventional studies of FDA-regulated products, 64 (55%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Patients who have a billing diagnosis RA (714.0)or seronegative inflammatory arthritis who are enrolled in the Brigham and Women's Rheumatoid Arthritis Sequential Study (BRASS)will be given the Health Log health management tool.
Other: Health Log
Controls will be BRASS patients who continue to receive regular care and are also given a pill box instead of the Health Log health management tool.
The Health Log consists of a permanent booklet and a refillable health log version that is filled out before each doctor's appointment. The permanent booklet has areas to record: * Personal information and emergency contact(s) * Physician names and contact information * Insurance information * Medications, vitamins and supplements * Surgeries * Health history The booklet also includes suggested questions you may want to ask your Rheumatologist about medications, lifestyle, or future/status. The refillable health log includes questions about pain, fatigue,overall status from the Multi-Dimensional Health Assessment Questionnaire (MDHAQ), and a modified Arthritic Pain and Joint Evaluation. It also has space to write questions for the doctor's visit and prescription refills needed.
Change in Self-Efficacy
assessed using the Arthritis Self-Efficacy Scale
Time frame: baseline and 12 months
Change in satisfaction with the doctor's visit
assessed using the VAS scale 10-100
Time frame: baseline and 12 months
Change in the statement "How satisfied are you that your concerns were addressed during your clinic visit today"
assessed using the VAS scale 10-100
Time frame: baseline and 12 months
This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.
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