Nurse-led Telehealth for Rheumatoid Arthritis

Not yet recruiting at 3 trial locations
LM
Overseen ByLaetitia Michou, MD PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: CHU de Quebec-Universite Laval
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if a nurse-led telehealth system can improve care for people with rheumatoid arthritis. Participants will use an online tool to monitor their health from home and communicate with nurses, potentially making management more convenient and accessible, especially for those living far from clinics. The trial seeks adults who have had rheumatoid arthritis for at least six months and have recently experienced a flare-up or medication change. As an unphased trial, this study offers a unique opportunity to contribute to innovative care solutions that could enhance convenience and accessibility in managing rheumatoid arthritis.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your current treatment, as the study focuses on monitoring your health with a new tool.

What prior data suggests that this nurse-led telehealth approach is safe for rheumatoid arthritis patients?

Research has shown that nurse-led telehealth, which enables patients to manage their health from home, is generally safe and well-received. One study found that remote monitoring helps patients track their health, leading to better care without major safety issues. Patients reported no significant side effects when using these online tools to manage rheumatoid arthritis (RA), a condition that causes joint pain and swelling. Another study demonstrated that nurse-led telehealth support improves patients' experiences and outcomes without introducing new risks. This method has also been applied to other long-term diseases without major safety concerns. Overall, evidence suggests that this telehealth approach is safe for people with RA to manage their condition.12345

Why are researchers excited about this trial?

Researchers are excited about nurse-led telehealth for rheumatoid arthritis because it offers a personalized and proactive approach to disease management. Unlike traditional care, which often involves periodic in-person visits, this method employs remote self-monitoring, allowing patients to track their disease activity and symptoms monthly from home. Rheumatology nurses receive alerts when moderate or high disease activity is detected, enabling timely intervention and support. This approach not only empowers patients with tailored information and self-management tools but also enhances communication through asynchronous messaging, potentially leading to improved outcomes and patient satisfaction.

What evidence suggests that this nurse-led telehealth approach is effective for rheumatoid arthritis?

This trial will evaluate the effectiveness of nurse-led telehealth for managing rheumatoid arthritis (RA). Research has shown that nurse-led care effectively manages RA and can match the quality of care provided by rheumatologists. Participants will use nurse-led telehealth to monitor their health from home, which helps reduce symptoms like fatigue and depression. Digital tools in these programs assist patients in managing their condition more effectively. These methods also simplify access to quality care and enhance patient satisfaction.13678

Who Is on the Research Team?

LM

Laetitia Michou, MD PhD

Principal Investigator

CHU de Quebec-Universite Laval

Are You a Good Fit for This Trial?

This trial is for adults (18+) with rheumatoid arthritis for at least six months, who recently had a flare-up or changed their medication. Participants must understand French or English and have internet access. People unable to consent or complete online questionnaires can't join.

Inclusion Criteria

I am 18 years old or older.
I have been diagnosed with rheumatoid arthritis.
Understanding French or English
See 2 more

Exclusion Criteria

I am unable to give my own consent for medical decisions.
Inability to complete questionnaires
No Internet access

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Immediate Intervention

Participants receive nurse-led remote self-monitoring of RA using an online platform for 16 months

16 months
Monthly online assessments

Delayed Intervention

Participants receive usual care for 8 months followed by 8 months of nurse-led remote self-monitoring

16 months
Rheumatology visits every 3-6 months

Follow-up

Participants are monitored for safety and effectiveness after the intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Nurse-led telehealth remote self-monitoring

Trial Overview

The study tests if nurse-led telehealth self-monitoring—where patients track their symptoms from home using an online tool reviewed by nurses—is easy to use and helpful compared to usual care in four Quebec clinics.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Immediate intervention (for 16 months)Experimental Treatment1 Intervention
Group II: Delayed intervention ( 8 months of control period followed by 8 months with the intervention)Active Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

CHU de Quebec-Universite Laval

Lead Sponsor

Trials
177
Recruited
110,000+

The Arthritis Society, Canada

Collaborator

Trials
27
Recruited
9,700+

Citations

Acceptability of a Nurse-led Telehealth Remote Self ...

This new way of care, where nurses help patients monitor their rheumatoid arthritis from home, helps make better use of limited specialist time.

Effectiveness of nurse-led care in patients with rheumatoid ...

NLC proves highly effective in managing RA patients, surpassing usual care and equating to rheumatologist-led care in primary and some secondary outcomes.

An evaluation of the Virtual Monitoring Clinic, a novel nurse ...

In this study, we aimed to determine the effectiveness of the VMC in improving access to quality care in our rheumatology specialist center, by ...

Tele-health interventions to support self-management in ...

This study suggests that tele-health interventions that are well-designed, tailored and multi-faceted can help to achieve positive self-management outcomes in ...

Review The effectiveness of nurse-led care in people with ...

Nurse-led clinics ran alongside rheumatologists' clinic and they provided follow-up care for stable patients giving patient education, advice and support. This ...

Acceptability of a Nurse-led Telehealth Remote Self ...

The investigators will test a new way to help people with rheumatoid arthritis at four clinics in Quebec. This study will check if the new ...

Remote monitoring of patients with rheumatoid arthritis in a ...

This study evaluated the scale-up of a remote monitoring service, capturing monthly Rheumatoid Arthritis Impact of Disease scores and patient-generated text ...

Review: Remote Disease Monitoring in Rheumatoid Arthritis

However, these treatments require close monitoring to ensure safe prescribing, and the best outcomes are associated with tight control of disease activity, ...