An e-health interactive self-assessment website (Sanoia®) in rheumatoid arthritis. A 12-month randomized controlled trial in 320 patients

Abstract

Giving RA patients access to the interactive Sanoia e-health platform led to a small improvement in patient-perceived patient-physician interactions. A disjunction between patient satisfaction and access to the platform was noted. E-Health platforms are promising in RA.

Effects of a Proactive Interdisciplinary Self-Management Program on Patient Self-Efficacy and Participation During Practice Nurse Consultations: A Randomized Controlled Trial in Type 2 Diabetes

“…This could be explained by the fact that patients perceived their confidence in medical consultations with their PN as quite high (ceiling effect). In addition, high baseline values are common using the PEPPI-5 [30,31]. According to the literature, improvements on other aspects of self-management behavior (dietary behaviors, foot care and action planning) were found 3 months after PRISMA [20].…”

Is self-assessment by patients of disease activity acceptable over the long term in rheumatoid arthritis? A 3-year follow-up of 771 patients

“…Reversely, repeated A c c e p t e d m a n u s c r i p t assessments may pall for patients in long-term stable disease. [6] The decrease over time of auto-DAS, and previous studies of between-visit assessments (such as e-health tools can provide) indicate a benefit from feedback from the health care providers, to keep patient motivation up. [6,7].…”

“…[6] The decrease over time of auto-DAS, and previous studies of between-visit assessments (such as e-health tools can provide) indicate a benefit from feedback from the health care providers, to keep patient motivation up. [6,7]. These data emphasize the importance of a clear communication between the rheumatology team and the treating rheumatologist in order to explain clearly the objectives and the potential benefit of this initiative.…”

EULAR points to consider for the development, evaluation and implementation of mobile health applications aiding self-management in people living with rheumatic and musculoskeletal diseases

“…These PtC for the development, evaluation and implementation of mHealth apps aiding self-management by people living with RMDs were informed by published evidence and mixed-method approaches involving direct patient feedback. The scope of these PtC is focused and limited to apps, as opposed to the more general concept of ehealth/digital health 50. The overall goal of this work was to enhance the process of app development, providing further elements for app standardisation, while ensuring safety and appropriateness for key stakeholders.…”