Treat-to-target in RA: Collaboration To Improve adOption and adhereNce
NCT02260778 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 11
Last updated 2024-08-09
Summary
The purpose of this study is to determine if a Learning Collaborative is an effective tool to improve adoption and adherence to a Treat-to-Target (TTT) treatment strategy in U.S. rheumatology practices for the treatment of Rheumatoid Arthritis (RA). The TTT strategy has been embraced by the American College of Rheumatology through the RA Treatment Guidelines and by EULAR,however several lines of evidence suggest that TTT is not practiced consistently across rheumatology settings.Participating practices will be randomized to receive the Learning Collaborative intervention in one of two phases. Coaching consistent with Learning Collaborative practices will be used to promote adherence to TTT. Chart abstraction will be used to determine if the Learning Collaborative was an effective tool to increase TTT adherence.
Conditions
- Arthritis, Rheumatoid
Interventions
- BEHAVIORAL
-
Learning Collaborative
A learning collaborative is an established technique that uses the model for improvement to bridge the gap between what we know and what we do. Structured learning sessions and collaborative coaching are used to guide small cycles of change called Plan-Do-Study-Act (PDSA) cycles. This quality improvement intervention will help providers adopt treat-to-target practices through the structured learning collaborative.
Sponsors & Collaborators
-
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
collaborator NIH -
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Daniel H Solomon, MD MPH · Brigham and Women's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2024-07-01
- Completion
- 2024-07-01
More Related Trials
-
Impact of Behavioral Factors on Treatment Adherence in a Sample of Rheumatoid Arthritis Patients
NCT03754855 ·Status: COMPLETED
-
Tight Control of Disease Activity Among Patients With RA Based on a Systematic Telemedicine Treatment Strategy
NCT02155894 ·Status: COMPLETED ·Phase: NA
-
Personalized Risk Estimator for Rheumatoid Arthritis Family Study
NCT02046005 ·Status: COMPLETED ·Phase: NA
-
RAHelp.Org: An Online Self Management Program for Adults With Rheumatoid Arthritis
NCT00283855 ·Status: COMPLETED ·Phase: NA
-
Improving Beliefs About Medication in Patients With Rheumatoid Arthritis
NCT00968266 ·Status: COMPLETED ·Phase: NA
-
Medication Adherence in Rheumatic Diseases
NCT06018350 ·Status: COMPLETED ·Phase: NA
-
REU-stop - Effect of Intensive Smoking Cessation Intervention on Smoking Cessation and Disease Activity in Patients With Rheumatoid Arthritis.
NCT02901886 ·Status: UNKNOWN ·Phase: NA
-
Closing the Gap in Care in Seronegative Inflammatory Arthritis
NCT01749618 ·Status: COMPLETED ·Phase: NA
-
Cardiovascular Risk Assessment for Patients With Rheumatoid Arthritis Arthritis:
NCT04488497 ·Status: COMPLETED ·Phase: NA
-
Assess Structural Damage in Rheumatoid Arthritis Using Biomarkers and Radiography
NCT01476956 ·Status: COMPLETED
-
Efficiency of a Tight Monitoring by a Nurse Practitioner of Rheumatoid Arthritis (RA) Patients in Remission
NCT03027999 ·Status: COMPLETED ·Phase: NA
-
Coping Skills Training for Early Rheumatoid Arthritis
NCT00056394 ·Status: COMPLETED ·Phase: NA
-
Trial of a Physical Activity Intervention for RA Fatigue
NCT01874977 ·Status: COMPLETED ·Phase: NA
-
Improving Hypertension Control in Rheumatoid Arthritis
NCT05760898 ·Status: RECRUITING ·Phase: NA
-
Arthritis Self-Management Education Program
NCT00467064 ·Status: COMPLETED ·Phase: NA
-
Activity Limitations in Rheumatoid Arthritis
NCT02730286 ·Status: COMPLETED
-
CONfident Treatment Decisions in Living With Rheumatoid Arthritis
NCT03317756 ·Status: COMPLETED ·Phase: NA
-
App-based Education and GOal-setting in Rheumatoid Arthritis
NCT05888181 ·Status: COMPLETED ·Phase: NA
-
Pain and Stress Management for People With Rheumatoid Arthritis
NCT00088764 ·Status: COMPLETED ·Phase: PHASE2
-
Incorporating PRO Data Into RA Clinical Encounters Using Health IT
NCT06655077 ·Status: COMPLETED ·Phase: NA
-
Anti-Inflammatory Dietary Intervention for Rheumatoid Arthritis
NCT05291299 ·Status: UNKNOWN ·Phase: NA
-
Effects of a Rheumatoid Arthritis Self-management Program
NCT03470740 ·Status: COMPLETED ·Phase: NA
-
E-learning in Patient Education to Patients With Rheumatoid Arthritis
NCT04669340 ·Status: COMPLETED ·Phase: NA
-
Patient Rheumatoid Arthritis Social Support Study
NCT01525654 ·Status: TERMINATED ·Phase: NA
-
Rheumatoid Arthritis Shared Decision Making
NCT05530694 ·Status: COMPLETED ·Phase: NA