Rheumatoid arthritis (RA) care has been revolutionized in the last decade with the advent of biotherapies. Only 66% of treated patients are compliant. Nevertheless, studies analyzing the medication adherence in RA are rare. The aim of this study is thus to evaluate RA treatment adherence considering demographic data, vaccination coverage, feeding behavior and the use of e-health tools.
Rheumatoid arthritis (RA) care has been revolutionized in the last decade with the advent of biotherapies. The success of this therapeutic strategy is based on several factors, including the medication adherence. Whatever the method used, adherence evaluation is not sufficient, around 66% of the treated patients. Nevertheless, studies analysing the predictive factors of medication adherence in RA are rare. RA patients are also educated about the infectious risk related to RA and treatments, and the importance of vaccination. These recommendations are not always respected by the patients, without knowing the exact factors leading to this decision. Furthermore, a lot of patients take personal initiatives without the agreement and the help of their practitioner, like diets or special feeding behaviors. Lastly, plenty of patients affected bv chronic diseases claim and use electronic health tools without any real evidence of the efficacy of such device. The aim of this study is thus to evaluate RA treatment adherence considering demographic data, vaccination coverage, feeding behavior and the use of e-health tools.
Study Type
OBSERVATIONAL
Enrollment
590
Questionnaire
CHU de Bordeaux - service de rhumatologie
Bordeaux, France
Service de Rhumatologie
Clermont-Ferrand, France
Service de rhumatologie
Limoges, France
Service de rhumatologie
Montpellier, France
Service de Rhumatologie
Proportion of patients who presented a good medication adherence according to the medication adherence questionnaire
Time frame: At baseline (day 0)
Proportion of patients vaccinated against influenza and pneumococcal bacteria
Time frame: At baseline (day 0)
Proportion of reasons of non-vaccination, globally and for each type of vaccination.
Time frame: At baseline (day 0)
Proportion of factors influencing rheumatologists to propose vaccination.
Time frame: At baseline (day 0)
Proportion of vaccinated patients who present a good medication adherence to RA specific therapies
Time frame: At baseline (day 0)
Proportion of patients using electronic health tools
Time frame: At baseline (day 0)
Proportion of patients using electronic health tools who present a good medication adherence to RA specific therapies
Time frame: At baseline (day 0)
Proportion of patients with a special diet, globally and by type of diet
Time frame: At baseline (day 0)
Proportion of patients presenting functional bowel disorder
Time frame: At baseline (day 0)
Proportion of patients with a special diet who present a good medication adherence to RA specific therapies
Time frame: At baseline (day 0)
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Toulouse, France
Number of patients with a good medication adherence, according to age
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to gender
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to socio-professional category
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to educational level
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to involvement in a patients association
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to alcohol and/or tobacco consumption
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to disease duration
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to rheumatoid factor and/or ACPA positivity
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to DAS28 score levels
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to actual RA treatments
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to the use of alternative therapies (acupuncture and/or sophrology).
Medication adherence will be evaluated with medication adherence questionnaires
Time frame: At baseline (day 0)
Number of patients for each personality trait category
Personality trait categories will be evaluated by the French version of Big Five Inventory questionnaire.
Time frame: At baseline (day 0)
Number of patients with a good medication adherence, according to each personality trait category
Medication adherence will be evaluated with medication adherence questionnaires. Personality trait categories will be evaluated by the French version of Big Five Inventory questionnaire.
Time frame: At baseline (day 0)
Number of patients with a vaccination coverage, according to each personality trait category.
Personality trait categories will be evaluated by the French version of Big Five Inventory questionnaire.
Time frame: At baseline (day 0)
Number of patients with a special diet, according to each personality trait category
Personality trait categories will be evaluated by the French version of Big Five Inventory questionnaire
Time frame: At baseline (day 0)
Number of patients using electronic health tools, according to each personality trait category
Personality trait categories will be evaluated by the French version of Big Five Inventory questionnaire
Time frame: At baseline (day 0)