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Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring: A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I)

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Harvard

Skougaard, M, Bliddal, H, Christensen, R, Ellegaard, K, Nielsen, SM, Zavada, J, Oreska, S, Krogh, NS, Holm, CC, Hetland, ML, Vencovsky, J, Røgind, H, Taylor, PC & Gudbergsen, H 2020, 'Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring: A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I)', Journal of Rheumatology, bind 47, nr. 5, s. 658-667. https://doi.org/10.3899/jrheum.181362

APA

Skougaard, M., Bliddal, H., Christensen, R., Ellegaard, K., Nielsen, S. M., Zavada, J., Oreska, S., Krogh, N. S., Holm, C. C., Hetland, M. L., Vencovsky, J., Røgind, H., Taylor, P. C., & Gudbergsen, H. (2020). Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring: A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I). Journal of Rheumatology, 47(5), 658-667. https://doi.org/10.3899/jrheum.181362

CBE

Skougaard M, Bliddal H, Christensen R, Ellegaard K, Nielsen SM, Zavada J, Oreska S, Krogh NS, Holm CC, Hetland ML, Vencovsky J, Røgind H, Taylor PC, Gudbergsen H. 2020. Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring: A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I). Journal of Rheumatology. 47(5):658-667. https://doi.org/10.3899/jrheum.181362

MLA

Vancouver

Author

Skougaard, Marie ; Bliddal, Henning ; Christensen, Robin ; Ellegaard, Karen ; Nielsen, Sabrina M ; Zavada, Jakub ; Oreska, Sabina ; Krogh, Niels S ; Holm, Christian C ; Hetland, Merete L ; Vencovsky, Jiri ; Røgind, Henrik ; Taylor, Peter C ; Gudbergsen, Henrik. / Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring : A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I). I: Journal of Rheumatology. 2020 ; Bind 47, Nr. 5. s. 658-667.

Bibtex

@article{d81ff862c13342cba4cc1869c0112255,
title = "Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring: A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I)",
abstract = "OBJECTIVE: In an eHealth setting, to investigate intra- and interrater reliability and agreement of joint assessments and Disease Activity Score using C-reactive protein (DAS28-CRP) in patients with rheumatoid arthritis (RA) and test the effect of repeated joint assessment training.METHODS: Patients with DAS28-CRP ≤ 5.1 were included in a prospective cohort study (clinicaltrials.gov: NCT02317939). Intrarater reliability and agreement of patient-performed joint counts were assessed through completion of 5 joint assessments over a 2-month period. All patients received training on joint assessment at baseline; only half of the patients received repeated training. A subset of patients was included in an appraisal of interrater reliability and agreement comparing joint assessments completed by patients, healthcare professionals (HCP), and ultrasonography. Cohen's κ coefficients and intraclass correlation coefficients (ICC) were used for quantifying of reliability of joint assessments and DAS28-CRP. Agreement was assessed using Bland-Altman plots.RESULTS: Intrarater reliability was excellent with ICC of 0.87 (95% CI 0.83-0.90) and minimal detectable change of 1.13. ICC for interrater reliability ranged between 0.69 and 0.90 (good to excellent). Patients tended to rate DAS28-CRP slightly higher than HCP. In patients receiving repeated training, a mean difference in DAS28-CRP of -0.08 was observed (limits of agreements of -1.06 and 0.90). After 2 months, reliability between patients and HCP was similar between groups receiving single or repeated training.CONCLUSION: Patient-performed assessments of joints and DAS28-CRP in an eHealth home-monitoring solution were reliable and comparable with HCP. Patients can acquire the necessary skills to conduct a correct joint assessment after initial and thorough training. [clinicaltrials.gov (NCT02317939)].",
keywords = "Activity score, Home monitoring disease, Reliability, Rheumatoid arthritis, Self-management",
author = "Marie Skougaard and Henning Bliddal and Robin Christensen and Karen Ellegaard and Nielsen, {Sabrina M} and Jakub Zavada and Sabina Oreska and Krogh, {Niels S} and Holm, {Christian C} and Hetland, {Merete L} and Jiri Vencovsky and Henrik R{\o}gind and Taylor, {Peter C} and Henrik Gudbergsen",
note = "COPECARE",
year = "2020",
month = may,
day = "1",
doi = "10.3899/jrheum.181362",
language = "English",
volume = "47",
pages = "658--667",
journal = "Journal of Rheumatology",
issn = "0315-162X",
publisher = "Journal of Rheumatology Publishing Co. Ltd",
number = "5",

}

RIS

TY - JOUR

T1 - Patients with Rheumatoid Arthritis Acquire Sustainable Skills for Home Monitoring

T2 - A Prospective Dual-country Cohort Study (ELECTOR Clinical Trial I)

AU - Skougaard, Marie

AU - Bliddal, Henning

AU - Christensen, Robin

AU - Ellegaard, Karen

AU - Nielsen, Sabrina M

AU - Zavada, Jakub

AU - Oreska, Sabina

AU - Krogh, Niels S

AU - Holm, Christian C

AU - Hetland, Merete L

AU - Vencovsky, Jiri

AU - Røgind, Henrik

AU - Taylor, Peter C

AU - Gudbergsen, Henrik

N1 - COPECARE

PY - 2020/5/1

Y1 - 2020/5/1

N2 - OBJECTIVE: In an eHealth setting, to investigate intra- and interrater reliability and agreement of joint assessments and Disease Activity Score using C-reactive protein (DAS28-CRP) in patients with rheumatoid arthritis (RA) and test the effect of repeated joint assessment training.METHODS: Patients with DAS28-CRP ≤ 5.1 were included in a prospective cohort study (clinicaltrials.gov: NCT02317939). Intrarater reliability and agreement of patient-performed joint counts were assessed through completion of 5 joint assessments over a 2-month period. All patients received training on joint assessment at baseline; only half of the patients received repeated training. A subset of patients was included in an appraisal of interrater reliability and agreement comparing joint assessments completed by patients, healthcare professionals (HCP), and ultrasonography. Cohen's κ coefficients and intraclass correlation coefficients (ICC) were used for quantifying of reliability of joint assessments and DAS28-CRP. Agreement was assessed using Bland-Altman plots.RESULTS: Intrarater reliability was excellent with ICC of 0.87 (95% CI 0.83-0.90) and minimal detectable change of 1.13. ICC for interrater reliability ranged between 0.69 and 0.90 (good to excellent). Patients tended to rate DAS28-CRP slightly higher than HCP. In patients receiving repeated training, a mean difference in DAS28-CRP of -0.08 was observed (limits of agreements of -1.06 and 0.90). After 2 months, reliability between patients and HCP was similar between groups receiving single or repeated training.CONCLUSION: Patient-performed assessments of joints and DAS28-CRP in an eHealth home-monitoring solution were reliable and comparable with HCP. Patients can acquire the necessary skills to conduct a correct joint assessment after initial and thorough training. [clinicaltrials.gov (NCT02317939)].

AB - OBJECTIVE: In an eHealth setting, to investigate intra- and interrater reliability and agreement of joint assessments and Disease Activity Score using C-reactive protein (DAS28-CRP) in patients with rheumatoid arthritis (RA) and test the effect of repeated joint assessment training.METHODS: Patients with DAS28-CRP ≤ 5.1 were included in a prospective cohort study (clinicaltrials.gov: NCT02317939). Intrarater reliability and agreement of patient-performed joint counts were assessed through completion of 5 joint assessments over a 2-month period. All patients received training on joint assessment at baseline; only half of the patients received repeated training. A subset of patients was included in an appraisal of interrater reliability and agreement comparing joint assessments completed by patients, healthcare professionals (HCP), and ultrasonography. Cohen's κ coefficients and intraclass correlation coefficients (ICC) were used for quantifying of reliability of joint assessments and DAS28-CRP. Agreement was assessed using Bland-Altman plots.RESULTS: Intrarater reliability was excellent with ICC of 0.87 (95% CI 0.83-0.90) and minimal detectable change of 1.13. ICC for interrater reliability ranged between 0.69 and 0.90 (good to excellent). Patients tended to rate DAS28-CRP slightly higher than HCP. In patients receiving repeated training, a mean difference in DAS28-CRP of -0.08 was observed (limits of agreements of -1.06 and 0.90). After 2 months, reliability between patients and HCP was similar between groups receiving single or repeated training.CONCLUSION: Patient-performed assessments of joints and DAS28-CRP in an eHealth home-monitoring solution were reliable and comparable with HCP. Patients can acquire the necessary skills to conduct a correct joint assessment after initial and thorough training. [clinicaltrials.gov (NCT02317939)].

KW - Activity score

KW - Home monitoring disease

KW - Reliability

KW - Rheumatoid arthritis

KW - Self-management

U2 - 10.3899/jrheum.181362

DO - 10.3899/jrheum.181362

M3 - Journal article

C2 - 31416921

VL - 47

SP - 658

EP - 667

JO - Journal of Rheumatology

JF - Journal of Rheumatology

SN - 0315-162X

IS - 5

ER -

ID: 60007724