Journal of Multidisciplinary Healthcare (Nov 2023)

Exploring Impact of Multidisciplinary Care on Patient Activation in Saudi Rheumatoid Arthritis Patients: A Cross-Sectional Survey—Extended Results from the COPARA National Project

  • Almalag HM,
  • Al Juffali L,
  • Alshehri MM,
  • Altokhais NA,
  • Aljanobi GA,
  • El Dessougi MI,
  • AlHarthi A,
  • Attar SM,
  • Bahlas SM,
  • Alfurayj AS,
  • Alazmi MS,
  • Asiri AM,
  • AlOmair MM,
  • Omair MA

Journal volume & issue
Vol. Volume 16
pp. 3455 – 3463

Abstract

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Haya M Almalag,1 Lobna Al Juffali,1 Maha M Alshehri,2 Nouf A Altokhais,2 Ghada A Aljanobi,3 Maha I El Dessougi,4 Amal AlHarthi,4 Suzan M Attar,5 Sami M Bahlas,5 Abdullah S Alfurayj,6 Mansour S Alazmi,7 Alhussain M Asiri,8 Mohammed M AlOmair,8 Mohammed A Omair9 1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 2College of Pharmacy, King Saud University, Riyadh, Saudi Arabia; 3Rheumatology Unit, Department of Medicine, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia; 4Rheumatology Unit, Department of Medicine, Security Forces Hospital, Riyadh, Saudi Arabia; 5Rheumatology Unit, Department of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia; 6Rheumatology Unit, Department of Medicine, Buraidah Central Hospital, Buraidah, Saudi Arabia; 7Rheumatology Unit, Department of Medicine, Prince Mohammed Medical City, Sakaka-Aljouf, Saudi Arabia; 8Rheumatology Unit, Department of Medicine, Aseer Central Hospital, Abha, Saudi Arabia; 9Rheumatology Unit, Department of Medicine, King Saud University, Riyadh, Saudi ArabiaCorrespondence: Haya M Almalag, Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia, Email [email protected]: Multidisciplinary setting in healthcare provide positive patient outcomes.Objective: To evaluate the impact of specialized rheumatology clinics (multidisciplinary settings) on the activation and engagement of rheumatoid arthritis (RA) patients.Material and Methods: This cross-sectional survey assessed patient activation using the patient activation measure-13. Participants attending Specialized Rheumatology Clinics (SRC multidisciplinary clinics) were compared with age- and sex-matched patients attending Standard of Care (SOC). The study was observational in nature, assessing several demographic and therapeutic options and their relation to the clinical setting and patient activation.Results: This study included 117 SRC matched RA patients with 117 SOC. The majority of the included patients were female (n=211, 90.2%), > 40 years of age (n=177, 75.6%), and had intermediate-to-high education (n=147, 62.8%). Patients in the SRC were also more likely to have activation levels 3 and 4 with an odds ratio of 3.194 (95% confidence interval [CI] 1.835– 5.562, p< 0.001). In addition, SRC participants were more likely to be in levels 3 and 4 activation, even after adjustment for confounding variables, with an adjusted odds ratio of 2.401 (95% CI 1.121– 4.758, p=0.012) and 2.175 (95% CI 1.127– 4.196, p=0.020), respectively.Conclusion: Establishing SRC for RA patients seems to have a positive impact on patient activation and engagement and adds to the previously explored benefits of multidisciplinary care in chronic disease management.Keywords: patient activation, multidisciplinary care, rheumatoid arthritis

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