The rheumatoid arthritis treat-to-target trial: a cluster randomized trial within the Corrona rheumatology network.

ABSTRACT:

Background

The treat-to-target (T2T) approach to the care of patients with rheumatoid arthritis involves using validated metrics to measure disease activity, frequent follow-up visits for patients with moderate to high disease activity, and escalation of therapy when patients have inadequate therapeutic response as assessed by standard disease activity scores. The study described is a newly launched cluster-randomized behavioral intervention to assess the feasibility and effectiveness of the T2T approach in US rheumatology practices. It is designed to identify patient and provider barriers to implementing T2T management. This initial paper focuses on the novel study design and methods created to provide these insights.

Methods/design

This trial cluster-randomizes rheumatolog

SUBMITTER: Harrold LR 

PROVIDER: S-EPMC4258022 | biostudies-literature | 2014 Nov

REPOSITORIES: biostudies-literature