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Multidisciplinary Approach for Treat To Target In Rheumatoid Arthritis
Multidisciplinary Approach for Treat To Target In Rheumatoid Arthritis

NCT02720874

WithdrawnNA

Sponsor: Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center

Conditions: Arthritis, Rheumatoid

Interventions: Rheumatoid arthritis educational booklet, Multidisciplinary rheumatologic care, Nurse education and monthly calls, Monthly healthcare coordinator calls, Technology-based symptom monitoring and reporting

Countries: United States

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.

Eligibility overview

Sex: ALL

Age: 18 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion Criteria:

* Reside in Greater Los Angeles area and receive rheumatologic care at the adult rheumatology clinic at Harbor-UCLA Medical Center in Torrance, California
* Fulfill the 2010 American College of Rheumatology revised diagnostic criteria for RA
* Have at least moderate disease activity as indicated by a Clinical Disease Activity Index (CDAI) score \>10 and Routine Assessment Patient Index Data (RAPID3) score \>2
* Be able and willing to provide written informed consent and to adhere to the study visit schedule and other protocol
* Availability of a touch-tone landline or mobile telephone
* Of self-identified Hispanic/Latino descent

Exclusion Criteria:

* Known irreversible articular damage, including subluxations, arthrodesis, fusion, or prosthesis
* Functional class IV as defined by the American College of Rheumatology Classification of Functional Status in rheumatoid arthritis
* Overlapping autoimmune or mixed connective tissue syndromes
* Serious medical conditions, including: chronic infection, advanced or decompensated heart failure, higher than class II chronic kidney disease, cancer (unless in remission for period of 5 years or more), or any uncontrolled medical condition that is deemed by the investigators to interfere with the study protocol
* At risk for suicide
Locations (1)
  • Torrance, California, United States