Incorporating PRO Data Into RA Clinical Encounters Using Health IT (PACT)

University of California San Francisco (UCSF)

Status: Completed

Conditions: Rheumatoid Arthritis

Treatments: Other: RA PRO Dashboard

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT06655077

15-18282

R01HS025405 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

The goal of this pragmatic clinical trial is to learn if a new health IT tool that was rolled out at UCSF Health rheumatology clinics (the RA PRO dashboard) can help improve the lives of individuals with rheumatoid arthritis. The RA PRO dashboard displays important outcomes for individuals with rheumatoid arthritis, including disease activity, physical functioning, and pain scores in an easy-to-read, digital interface that can be displayed on the computer screen during a clinical visit. These outcomes are tracked over time, so patients and clinicians can see changes across multiple time points. Additional features of the dashboard include displaying medication use over time and recent lab test results.

The main questions the study aims to answer are: Does displaying the dashboard during a clinical visit ...

1. reduce decisional conflict when making a medication choice?
2. improve self-efficacy in symptom management?
3. change beliefs about medications?
4. improve medication adherence?
5. improve RA outcomes such as disease activity or physical functioning?

Researchers will compare these outcomes in the patients of clinicians who have access to the RA PRO dashboard to those who do not to see if these outcomes change over time.

Clinicians with access to the dashboard may choose to share it from the computer screen with patients during the clinic visit. Participants will be asked to complete surveys as part of their routine clinic visits.

Enrollment: 554 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of rheumatoid arthritis
• Visits with clinicians at UCSF Health clinic
• At least 1 CDAI score documented in UCSF EHR

Exclusion criteria

• Unable to read, speak, or understand English
• Unable to provide informed consent

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

---

554 participants in 2 patient groups

Control phase

No Intervention group

Description:

Any patient visits that occur before the time at which clinicians are granted access to the RA PRO dashboard will be part of the control phase (usual care).

Intervention phase

Experimental group

Description:

Any patient visits that occur after the time at which clinicians are granted access to the RA PRO dashboard will be part of the intervention phase. The RA PRO dashboard will automatically launch into a new "tab" when the EHR is opened for any RA patient with at least 1 CDAI documented.

Treatment:

Other: RA PRO Dashboard