Socio-economic, disease-related, and personal factors associated with participation in remote follow-up in rheumatoid arthritis: A cross-sectional study

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Abstract

OBJECTIVE: To identify socio-economic, disease-related, and personal factors associated with participation in remote follow-up in rheumatoid arthritis (RA).

METHODS: Following the implementation of a patient-reported outcome-based remote follow-up intervention in RA in Denmark, a cross-sectional study was conducted among 775 prevalent patients. In 2019, an electronic questionnaire was sent to eligible RA patients, covering health literacy and patient experience about involvement and confidence with remote care. Questionnaire data were linked to nationwide registers regarding socio-economic status, labor market affiliation, and co-morbidity. Associations between register and questionnaire-based factors and remote follow-up were analyzed using multiple logistic regression.

RESULTS: All 775 patients were included in the register-based analyses, but only 394/646 (61%) completed the questionnaire. No attachment to the labor market or low household income was associated with lower odds for remote follow-up participation (OR 0.53 (95% CI 0.34 - 0.83)) and (OR 0.69 (95% CI 0.48 - 1.00)). Further, a high level of co-morbidity was associated with lower odds for remote follow-up participation compared to a low/medium level of co-morbidity (OR 0.53 (95% CI 0.34 - 0.81)). No association was found between health literacy and remote follow-up, but remote follow-up attendees reported more confidence in remote care (OR 1.33 (95% CI 1.21 - 1.47)).

CONCLUSION: Participation in remote follow-up was associated with attachement to the labor market, household income, degree of co-morbidity, and confidence with remote care. Additional research is necessary to investigate whether a larger and more divergent group of RA patients should be considered for inclusion in remote follow-up programs.

Original languageEnglish
JournalArthritis Care & Research
Volume75
Issue10
Pages (from-to)2044-2053
Number of pages10
ISSN2151-464X
DOIs
Publication statusPublished - Oct 2023

Keywords

  • Arthritis, Rheumatoid/diagnosis
  • Comorbidity
  • Cross-Sectional Studies
  • Follow-Up Studies
  • Humans
  • Social Class

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