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dc.contributor.authorBerg, Inger Jorid
dc.contributor.authorTveter, Anne Therese
dc.contributor.authorBakland, Gunnstein
dc.contributor.authorHakim, Sarah
dc.contributor.authorKristianslund, Eirik
dc.contributor.authorLillegraven, Siri
dc.contributor.authorMacfarlane, Gary J.
dc.contributor.authorMoholt, Ellen
dc.contributor.authorProvan, Sella Aarrestad
dc.contributor.authorSexton, Joseph
dc.contributor.authorThomassen, Emil E.K.
dc.contributor.authorDe Thurah, Annette
dc.contributor.authorGossec, Laure
dc.contributor.authorHaavardsholm, Espen A.
dc.contributor.authorØsterås, Nina
dc.date.accessioned2024-01-31T12:47:31Z
dc.date.available2024-01-31T12:47:31Z
dc.date.issued2023-12-27
dc.description.abstractBackground: Patients with chronic inflammatory joint diseases such as axial spondyloarthritis have traditionally received regular follow-up in specialist health care to maintain low disease activity. The follow-up has been organized as prescheduled face-to-face visits, which are time-consuming for both patients and health care professionals. Technology has enabled the remote monitoring of disease activity, allowing patients to self-monitor their disease and contact health care professionals when needed. Remote monitoring or self-monitoring may provide a more personalized follow-up, but there is limited research on how these follow-up strategies perform in maintaining low disease activity, patient satisfaction, safety, and cost-effectiveness.<p> <p>Objective: The Remote Monitoring in Axial Spondyloarthritis (ReMonit) study aimed to assess the effectiveness of digital remote monitoring and self-monitoring in maintaining low disease activity in patients with axial spondyloarthritis.<p> <p>Methods: The ReMonit study is a 3-armed, single-site, randomized, controlled, open-label noninferiority trial including patients with axial spondyloarthritis with low disease activity (Ankylosing Spondylitis Disease Activity Score <2.1) and on stable treatment with a tumor necrosis factor inhibitor. Participants were randomized 1:1:1 to arm A (usual care, face-to-face visits every sixth month), arm B (remote monitoring, monthly digital registration of patient-reported outcomes), or arm C (patient-initiated care, self-monitoring, no planned visits during the study period). The primary end point was disease activity measured with the Ankylosing Spondylitis Disease Activity Score, evaluated at 6, 12, and 18 months. We aimed to include 240 patients, 80 in each arm. Secondary end points included other measures of disease activity, patient satisfaction, safety, and cost-effectiveness.<p> <p>Results: The project is funded by the South-Eastern Norway Regional Health Authority and Centre for the treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Norway. Enrollment started in September 2021 and was completed with 242 patients by June 2022. The data collection will be completed in December 2023.<p> <p>Conclusions: To our knowledge, this trial will be among the first to evaluate the effectiveness, safety, and cost-effectiveness of remote digital monitoring and self-monitoring of patients with axial spondyloarthritis compared with usual care. Hence, the ReMonit study will contribute important knowledge to personalized follow-up strategies for patients with axial spondyloarthritis. These results may also be relevant for other patient groups with inflammatory joint diseases.en_US
dc.identifier.citationBerg, Tveter, Bakland, Hakim, Kristianslund, Lillegraven, Macfarlane, Moholt, Provan, Sexton, Thomassen, De Thurah, Gossec, Haavardsholm, Østerås. Follow-Up of Patients With Axial Spondyloarthritis in Specialist Health Care With Remote Monitoring and Self-Monitoring Compared With Regular Face-to-Face Follow-Up Visits (the ReMonit Study): Protocol for a Randomized, Controlled Open-Label Noninferiority Trial. JMIR Research Protocols. 2023;12(1)
dc.identifier.cristinIDFRIDAID 2236442
dc.identifier.doi10.2196/52872
dc.identifier.issn1929-0748
dc.identifier.urihttps://hdl.handle.net/10037/32788
dc.language.isoengen_US
dc.publisherJMIR Publicationsen_US
dc.relation.journalJMIR Research Protocols
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleFollow-Up of Patients With Axial Spondyloarthritis in Specialist Health Care With Remote Monitoring and Self-Monitoring Compared With Regular Face-to-Face Follow-Up Visits (the ReMonit Study): Protocol for a Randomized, Controlled Open-Label Noninferiority Trialen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution 4.0 International (CC BY 4.0)