Pilot study assessing the novel use of musculoskeletal ultrasound in patients with rheumatoid arthritis to improve patient attitudes and adherence to medication

Joplin, Samantha; Zwan, Rick van der; Bagga, Hanish; Joshua, Fredrick; Wong, Peter

doi:10.1111/1756-185x.12402

Cited by 25 publications

(18 citation statements)

References 21 publications

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“…This should allow clinicians to allay patient concerns while highlighting treatment benefits [ 35 , 44 ]. Integrating MSKUS into an evidence-based educational framework may be beneficial because of its clinical value and as an educative tool to increase patient understanding of their disease [ 83 , 86 ].…”

Section: Discussionmentioning

confidence: 99%

“…This type of disease visualisation, when combined with clinician-patient interaction at close quarters, may improve adaptation to the diagnosis, thereby increasing medication adherence and disease self-control. A recent study involving patients with active RA (DAS28 score > 2.6) found that showing RA patients “real-time” US images of their clinically inflamed joints resulted in a more favourable cost-benefit analysis as measured by the BMQ, that is, increased patient belief in the necessity of medication versus concern about taking medication [ 86 ]. However, this finding needs to be confirmed by larger, longer-term studies.…”

Section: The Use Of Musculoskeletal Ultrasonography As An Educatiomentioning

confidence: 99%

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Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound

Joplin

Zwan

Joshua

et al. 2015

BioMed Research International

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Background. Rheumatoid arthritis (RA) is a chronic systemic inflammatory disease affecting <1% of the population. Incompletely controlled RA results in fatigue, joint and soft tissue pain, progressive joint damage, reduced quality of life, and increased cardiovascular mortality. Despite an increasing range of disease modifying agents which halt disease progression, poor patient adherence with medication is a significant barrier to management. Objective. The goal of this review was to examine the effectiveness of measures to improve patient medication adherence. Methods. Studies addressing treatment adherence in patients with RA were identified by trawling PsycINFO, Medline, Cochrane, Pubmed, and ProQuest for studies published between January 2000 and October 2014. Articles were independently reviewed to identify relevant studies. Results. Current strategies were of limited efficacy in improving patient adherence with medications used to treat RA. Conclusion. Poor medication adherence is a complex issue. Low educational levels and limited health literacy are contributory factors. Psychological models may assist in explaining medication nonadherence. Increasing patient knowledge of their disease seems sensible. Existing educational interventions appear ineffective at improving medication adherence, probably due to an overemphasis on provision of biomedical information. A novel approach to patient education using musculoskeletal ultrasound is proposed.

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Section: Discussionmentioning

confidence: 99%

Section: The Use Of Musculoskeletal Ultrasonography As An Educatiomentioning

confidence: 99%

Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound

Joplin

Zwan

Joshua

et al. 2015

BioMed Research International

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“…This is a complex issue and is impacted by patient knowledge and beliefs about their disease . There are few published data regarding the effect of musculoskeletal ultrasound on patient understanding and adherence to medication . This study suggests discussing DUS imaging results with patients may facilitate patient understanding and adherence to medication.…”

Section: Discussionmentioning

confidence: 86%

“…Showing patients with RA real‐time DUS images of their inflamed joints on one occasion increased their belief in the necessity of medication ( vs . concern about taking medication) . The visual nature of DUS may be important in patient education, as real‐time demonstration of joint structures and damage and the ability to highlight critical features for patients using their own anatomy may improve understanding and help patients recognize the need for medication …”

Section: Introductionmentioning

confidence: 99%

Perceptions of Doppler ultrasound for rheumatoid arthritis disease activity assessment and education

Joshua

Bailey²,

Marabani³

et al. 2017

Int J of Rheum Dis

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“…Real-time dynamic examination has made it possible to serve for a quick diagnostics purpose. MSUS performed by the physician also provides an excellent opportunity for patient education and to explain the rationale for treatments [7][8] . A study has also shown that the substitution of MSUS for magnetic resonance imaging of musculoskeletal disorders, when appropriate, would lead to large cost-savings for medicare 9 .…”

Section: Discussionmentioning

confidence: 99%

Current state of the use of musculoskeletal ultrasound (MSUS) and view on the future development of MSUS training and services in Hong Kong: Results of a survey among the members of the Hong Kong Society of Rheumatology

Wong

Kwan

2016

Hong Kong Bulletin on Rheumatic Diseases

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could only do less than 10 scans per week. Lack of time and manpower, lack of expertise, high cost of equipment, and lack of support for training were important obstacles in developing the MSUS service. 18 (64%) responders in our survey tended to agree that MSUS training should be incorporated in the rheumatology training. Conclusions: In conclusion, this is the first survey demonstrating the current state of the use of MSUS in Hong Kong and a huge growth in demand for the service development and formal training in MSUS. A number of challenges in terms of lack of time and manpower, lack of expertise, high cost of equipment, and lack of support for training is evident.Keywords: Rheumatology, musculoskeletal, ultrasound, survey IntroductionMusculoskeletal ultrasound (MSUS) is widely used in rheumatology and recognized as a useful tool in patient management in last two decades. The clinical application of MSUS requires expertise, manpower in terms of doctor time, good quality ultrasound machines, and implementation planning. There are limited data on the present impact of MSUS on rheumatology in Asian countries. The Hong Hong Society of Rheumatology conducted a survey on MSUS in public hospitals and private sector from March to May, 2015. The purpose of this survey was to establish the current state of the use of MSUS and the members' view on the future development Methods: A three-page anonymous questionnaire, divided into three sections (demographics, current state of the MSUS service, and view on future development of MSUS training and services), was sent (either in electronic format or in hardcopy) to 79 members (70 full members and 9 ordinary members) of the Hong Kong Society of Rheumatology. The aim is to inquire about the use of MSUS by rheumatologists, their views on the future development of MSUS training and service in Hong Kong. Results: 28 (35%) out of 79 members responded to the questionnaire (including 25 fellows and 3 trainees working in public hospitals and private sector). 25 responders (89.3%; 25/28) were using MSUS in their daily practice for making diagnoses, guiding interventions or follow-up disease. Although 90% (25/28) of the responders' institutes provided the MSUS service by the Radiology Department, 70% of them got long waiting time, and the Radiology Department did not provide the MSUS service to every joint region. Despite the widespread use of MSUS among rheumatologists, more than 90% of the responders EditorialOpen Access

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Pilot study assessing the novel use of musculoskeletal ultrasound in patients with rheumatoid arthritis to improve patient attitudes and adherence to medication

Cited by 25 publications

References 21 publications

Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound

Medication Adherence in Patients with Rheumatoid Arthritis: The Effect of Patient Education, Health Literacy, and Musculoskeletal Ultrasound

Perceptions of Doppler ultrasound for rheumatoid arthritis disease activity assessment and education

Current state of the use of musculoskeletal ultrasound (MSUS) and view on the future development of MSUS training and services in Hong Kong: Results of a survey among the members of the Hong Kong Society of Rheumatology

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