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Multidisciplinary Approach for Treat To Target In Rheumatoid Arthritis
Sponsor: Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center
Summary
This research will evaluate a multifaceted patient-centered intervention in a sample of socioeconomically disadvantaged Hispanic adults with rheumatoid arthritis (RA) that capitalizes on a partnership between the extended rheumatology healthcare team and each patient in order to promote understanding, uptake and adherence to the principles of treat-to-target strategy. The primary hypothesis of this study is that the addition of a multifaceted intervention incorporating integrated multidisciplinary rheumatologic care, nurse-directed self-management education and supportive follow-up, and technology-based at home RA symptom monitoring and reporting to clinical guideline-based care will increase RA remission rate at 6 months.
Official title: Multidisciplinary Approach to Patient-Physician Partnership In Treating To Target In Rheumatoid Arthritis
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
0
Start Date
2025-01-01
Completion Date
2025-04-14
Last Updated
2026-07-02
Healthy Volunteers
No
Conditions
Interventions
Rheumatoid arthritis educational booklet
Participants will receive a low-literacy rheumatoid arthritis educational booklet that provides general disease state information.
Multidisciplinary rheumatologic care
At each regularly scheduled clinic appointment, participants will receive treatment from their assigned rheumatologist, undergo an in-clinic physical therapy evaluation and, if indicated, a psychological evaluation. Physical therapy and psychology follow-up sessions will occur as directed by the individual services.
Nurse education and monthly calls
Participants will meet one-on-one with a rheumatology nurse for a tailored educational session encompassing disease state education, an introduction of the treat to target concept, an overview of treatment options, and goal setting and planning. During monthly follow-up calls, participant educational needs will be addressed; goal setting, planning and review will also be conducted.
Monthly healthcare coordinator calls
During monthly calls with the healthcare coordinator, specific questions and concerns raised by participants may be addressed. The primary purpose of these calls is to control for potential benefit derived from time on the phone with a health professional.
Technology-based symptom monitoring and reporting
When at home patient self-monitoring reports indicate a significant increase in RA disease activity, participants will be promptly contacted and scheduled for an ad hoc evaluation with their treating rheumatologist.
Locations (1)
The Lundquist Institute at Harbor-UCLA Medical Center
Torrance, California, United States