PREVAIL Model of Care for Rheumatoid Arthritis

Recruiting in Palo Alto (17 mi)

Overseen ByLouise Thoma, DPT, PhD

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: University of North Carolina, Chapel Hill

No Placebo Group

Trial Summary

What is the purpose of this trial?The goal of this clinical trial is to learn if the PREVAIL model of care is a feasible way to integrate rehabilitation into routine rheumatology care for adults with rheumatoid arthritis (RA). The model of care consists of three essential components: a screening tool (Daily Activity and Participation Screen (DAPS)), a recommendation to the rheumatology clinician regarding rehabilitation referral and exercise, and an online exercise resource tailored for adults with RA. Participants will complete baseline assessments before their scheduled routine visit with a rheumatology clinician, attend their visit, receive their exercise and/or rehabilitation recommendation, and complete follow-up assessments roughly three months after their visit. Based on a participant's DAPS score, they may be recommended to complete a brief consultation call with a study physical therapist, who may or may not refer them to physical therapy (PT). Participants may also be asked to elaborate on their experience with the PREVAIL model of care in an interview.

Eligibility Criteria

This trial is for adults with rheumatoid arthritis. Participants should be scheduled for a routine visit with their rheumatology clinician and willing to follow the PREVAIL model of care, which includes using an online exercise resource. Details on specific inclusion or exclusion criteria are not provided.

Inclusion Criteria

I am over 18 years old.

I have been diagnosed with rheumatoid arthritis.

Receiving routine care from a UNC rheumatology clinician

+1 more

Exclusion Criteria

I have significant memory or thinking problems.

Current or recent (within the last six months) participation in PT

I am under 18 years old.

+8 more

Participant Groups

The PREVAIL model of care is being tested to see if it's a good way to add rehabilitation into regular treatment for rheumatoid arthritis patients. It involves screening with DAPS, advice on rehab and exercise from clinicians, and an online exercise program tailored for RA.

1Treatment groups

Experimental Treatment

Group I: Intervention GroupExperimental Treatment1 Intervention

Participants will all receive a recommendation from their rheumatology provider based on their DAPS score. Recommendations will consist of an exercise resource and potentially a referral for a brief PT consultation call.