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Implementation of shared decision making in rheumatoid arthritis: A stepped wedge, cluster-randomized trial
Organization PORTLAND VA MEDICAL CENTERLocation PORTLAND, UNITED STATESPosted 1 Apr 2022Deadline 31 Mar 2026 ⚠️
VANIHUS FederalResearch GrantFY2025AddressAdherenceAnti-Rejection TherapyAtrophic ArthritisAudiotapeAwarenessCaringCaucasian FemalesCaucasian WomenClinicClinicalCluster randomization trialCluster randomized trialCollaborationsComplexConflictConflict (Psychology)DataDecision AidDecrease disparityDecrease health disparitiesDisability disparityDiseaseDisease OutcomeDisease remissionDisorderDisparitiesDisparityDrugsEducational process of instructingEffectivenessEnrollmentEthnic OriginEthnicityExposure toFailureFemaleFosteringFutureGeneral PopulationGeneral PublicGoalsGuidelinesHealth CareHealth ServicesHealth disparity mitigationHealth disparity reductionHigh Risk WomanImmunosuppressive TherapyInterventionInterviewInvestigatorsKnowledgeLower disparityLower health disparitiesMeasuresMedicationMethodologyMethotrexateMethotrexate MethylaminopterinMethotrexatumMetotrexatoMitigate health disparitiesOutcomeParticipantPatient Outcomes AssessmentsPatient Reported MeasuresPatient Reported OutcomesPatientsPersonsPharmaceutical PreparationsPhasePopulationPublic HealthQOCQOLQualitative EvaluationsQuality of CareQuality of lifeRaceRacesRandomized, Controlled TrialsRecommendationReduce health disparitiesRemissionResearchResearch PersonnelResearchersRheumatoid ArthritisRheumatologySiteSpeedStructureSubgroupTeachingTestingTherapeutic immunosuppressionTimeTrainingTranslationsTreatment outcomeVeteransWhite FemalesWhite WomenWorkarthritis therapyartificial immunosuppressionassess effectivenessat-risk femalesat-risk womenbarriers to implementationbenefit sharingco-morbidco-morbiditycomorbiditydeath riskdelivered virtuallydesigndesigningdetermine effectivenessdisabilitydisparity eliminationdisparity in healthdisparity reductiondrug/agenteffective interventioneffectiveness assessmenteffectiveness evaluationeffectiveness studyeffectiveness testingeliminate disparitieseliminating disparitiesenrollethnic minorityevaluate effectivenessexamine effectivenessexperiencefacilitators to implementationfemales at high riskhealth care qualityhealth disparityhealth equityhealth literacyhigh riskhigh risk femalesimmunosuppression therapyimplementation barriersimplementation challengesimplementation facilitatorsimprovedindexingindividualized clinical decisionindividualized decisioninnovateinnovationinnovativeintervention deliveryliteracymalemenmitigate disparitymortalitymortality riskmulti-component interventionmulti-faceted interventionmulti-modal interventionmulticomponent interventionmultifaceted interventionmultimodal interventionnew approachesnovelnovel approachesnovel strategiesnovel strategypandemicpandemic diseaseparticipant engagementpatient centeredpatient engagementpatient orientedpersonalized clinical decisionpersonalized data-driven decisionpersonalized decisionpost interventionprimary outcomeracialracial backgroundracial minorityracial originrandomized control trialreduce disparityreduction in disparityrheumatic arthritisroutine caresecondary outcomeshared decision makingtelehealthtooltranslationtrial designuptakevirtual deliverywomen at high risk♀♂
Applications closed.
Description preview
Background: Rheumatoid arthritis (RA) impacts quality of life causing disability in up to 1% of the population
and 2% of those 60 and older. Men with RA have twice the risk of death as the general population, in part due
to higher disease activity. Despite advances in treatment options and strategies, disparities in outcomes by
race/ethnicity…
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