An interventional study of Education using ultrasonography as feedback tool in Rheumatoid Arthritis, sponsored by National University Hospital, Singapore. Completed. Open to participants aged 21 Years to 80 Years. Per ClinicalTrials.gov, last updated 2015-01-30.
Sponsored by National University Hospital, Singapore · Not applicable, Interventional, and Health services research
Patients can potentially monitor disease activity of rheumatoid arthritis (RA) through self-assessed swollen joints (clinical synovitis)joint counts but reliability of joint swelling is poor. The objective is to evaluate the use of education by ultrasound feedback on the ability of patients to assess for clinical synovitis swollen joints in RA.
Design: 6-month single centre randomized controlled trial. Patients: established RA. Intervention: education on self-assessment of joints that included initial brief patient training on tender (TJC) and swollen (SJC) joint counts, followed by US feedback every 3 months versus standard care without education. Patient and physician independently performed 28-joint counts at each visit. Outcome variables: (Primary) Percentage of patients with good agreement with physician derived swollen joints (prevalence-adjusted bias adjusted kappa, PABAK>0.6). Other variables: Agreement in SJC (Bland and Altman 95% limits of agreement), feasibility/patient satisfaction survey and disease activity score (DAS28) at 6 months.
3,554 studies on the registry are indexed under Arthritis; 317 are open to participants now.
This study's enrollment of 101 is above the median of 90 across 2,377 interventional studies indexed under Arthritis.
Browse Arthritis studies →National University Hospital, Singapore is the lead sponsor of 444 studies on the registry; 96 are open to participants now.
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Exclusion Criteria:
Intervention includes education of self-assessment of synovitis using ultrasonography as a feedback training tool
Behavioral: Education using ultrasonography as feedback tool
Normal standard care where patients are not taught how to self-assess for synovitis, without ultrasonography a training tool
Education using ultrasonography as feedback tool
prevalence-adjusted bias adjusted kappa, PABAK>0.6
Time frame: at 6 months
Bland and Altman 95% limits of agreement
swollen joint count agreement
Time frame: 6 months
Level of satisfaction
Likert response, satisfaction survey
Time frame: 6 months
disease activity score in 28 joints (DAS28)
composite score that measures disease activity incorporating tender joint count, swollen joint count, erythrocyte sedimentation rate and patient global assessment
Time frame: 6 months
No study locations are listed for this record.
This study is completed, as verified in Jan 2015. You cannot join it, but the record below documents what was studied.
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National University Hospital, Singapore