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Online self-management in rheumatoid arthritis: a patient-centered model application
Karen L Smarr1, Dale R Musser, Cheryl L Shigaki
1Harry S. Truman Memorial Veterans Hospital , Columbia, Missouri, USA.
Summary
This study adapted a rheumatoid arthritis self-management (SM) program for online delivery. The online self-management (OSM) program proved convenient and effective for participants.
Area of Science:
- Rheumatology
- Digital Health
- Health Services Research
Background:
- Rheumatoid arthritis self-management (SM) programs are empirically validated but traditionally clinic-based.
- Transitioning clinic-based programs online offers potential for broader reach and accessibility.
Purpose of the Study:
- To describe the online transformation of a clinic-based, empirically validated self-management (SM) program for rheumatoid arthritis.
- To detail the process, structure, and administrative considerations of the online self-management (OSM) intervention.
Main Methods:
- The intervention utilized a cognitive-behavioral framework with educational modules, homework, and self-evaluation.
- A dynamic online environment featured secure communication tools for peer support and weekly clinician follow-up via telephone.
- Administrative aspects including clinical monitoring, data collection, and security safeguards were addressed for 33 initial subjects.
Main Results:
- Participants readily volunteered for the home-based online program.
- Engagement with all aspects of the online self-management (OSM) program was high, with minimal navigation difficulties.
- Initial utilization and management data were collected and analyzed.
Conclusions:
- An online self-management (OSM) site offers a convenient, effective, and secure health service.
- The OSM model extends the benefits of SM programs to wider audiences.
- This serves as a model for internet-based clinical management and delivery systems.
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