RECRUITING

Rheumatoid Arthritis Shared Decision Making

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Shared decision making is the first overarching principle for the treat to target guidelines for rheumatoid arthritis (RA) and has been proposed as a potential mechanism to reduce health disparities, however there is little evidence to inform effective ways to implement this practice in the care of Veterans with RA. The purpose of this project is to evaluate the effectiveness of a multi-component shared decision making intervention on RA disease activity, adherence to RA medications and patient knowledge of RA. The proposed research will contribute to fundamental knowledge about how to effectively foster shared decision making across varied VA rheumatology clinical settings to improve patient disease outcomes and experience; and support clinicians to engage patients in meaningful ways with the ultimate goal to improve health, reduce disability, and eliminate disparities.

Official Title

Implementation of Shared Decision Making in Rheumatoid Arthritis: A Stepped Wedge, Cluster-randomized Trial

Quick Facts

Study Start:2022-09-19
Study Completion:2026-03-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05530694

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Meet administrative data definition of rheumatoid arthritis (see recruitment section)
  2. * Receive rheumatology outpatient care at participating clinics and seen at least once in prior 12 months
  3. * Age 18 years or older
  4. * English speaking
  5. * Moderate to high RA disease activity within 18 months prior to enrollment
  6. * Have held a leadership position within their respective institution for minimum of 12 months prior to enrollment
  7. * Have worked in the rheumatology clinic setting at their respective institution for minimum of 12 months prior
  1. * Cognitive impairment
  2. * Inability to speak
  3. * Have held a leadership position within their respective institution for \<12 months
  4. * Have worked in a clinic setting other than rheumatology
  5. * Have worked in a clinic setting \<12 months

Contacts and Locations

Study Contact

Jennifer Barton, MD
CONTACT
(503) 220-8262
Jennifer.Barton1@va.gov
Alexandra Bennett
CONTACT
(503) 220-8262
Alexandra.Bennett@va.gov

Principal Investigator

Jennifer Barton, MD
PRINCIPAL_INVESTIGATOR
VA Portland Health Care System, Portland, OR

Study Locations (Sites)

San Francisco VA Medical Center, San Francisco, CA
San Francisco, California, 94121
United States
Wilmington VA Medical Center, Wilmington, DE
Wilmington, Delaware, 19805-4917
United States
VA Portland Health Care System, Portland, OR
Portland, Oregon, 97207-2964
United States
Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA
Philadelphia, Pennsylvania, 19104
United States

Collaborators and Investigators

Sponsor: VA Office of Research and Development

  • Jennifer Barton, MD, PRINCIPAL_INVESTIGATOR, VA Portland Health Care System, Portland, OR

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-09-19
Study Completion Date2026-03-31

Study Record Updates

Study Start Date2022-09-19
Study Completion Date2026-03-31

Terms related to this study

Keywords Provided by Researchers

  • shared decision making
  • rheumatoid arthritis
  • rheumatology

Additional Relevant MeSH Terms

  • Rheumatoid Arthritis