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

Liv M. V. Schougaard; Line R Knudsen; Birgith E Grove; Jesper M Vestergaard; Niels H Hjollund; Ellen-Margrethe Hauge; Annette de Thurah

doi:10.1002/acr.25105

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

Liv M. V. Schougaard^*, Line R Knudsen, Birgith E Grove, Jesper M Vestergaard, Niels H Hjollund, Ellen-Margrethe Hauge, Annette de Thurah

^*Corresponding author for this work

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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 language	English
Journal	Arthritis Care & Research
Volume	75
Issue	10
Pages (from-to)	2044-2053
Number of pages	10
ISSN	2151-464X
DOIs	https://doi.org/10.1002/acr.25105
Publication status	Published - Oct 2023

Keywords

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

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Arthritis Care Research - 2023 - Schougaard - Socioeconomic Disease‐Related and Personal Factors Associated WithFinal published version, 337 KBLicence: CC BY-NC

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@article{86ede438c41f4a26bec947f333077b8d,

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

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.",

keywords = "Arthritis, Rheumatoid/diagnosis, Comorbidity, Cross-Sectional Studies, Follow-Up Studies, Humans, Social Class",

author = "Schougaard, {Liv M. V.} and Knudsen, {Line R} and Grove, {Birgith E} and Vestergaard, {Jesper M} and Hjollund, {Niels H} and Ellen-Margrethe Hauge and {de Thurah}, Annette",

year = "2023",

month = oct,

doi = "10.1002/acr.25105",

language = "English",

volume = "75",

pages = "2044--2053",

journal = "Arthritis Care & Research",

issn = "2151-464X",

publisher = "John Wiley & Sons Inc.",

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Socio-economic, disease-related, and personal factors associated with participation in remote follow-up in rheumatoid arthritis: A cross-sectional study. / Schougaard, Liv M. V.; Knudsen, Line R ; Grove, Birgith E et al.
In: Arthritis Care & Research, Vol. 75, No. 10, 10.2023, p. 2044-2053.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Socio-economic, disease-related, and personal factors associated with participation in remote follow-up in rheumatoid arthritis

T2 - A cross-sectional study

AU - Schougaard, Liv M. V.

AU - Knudsen, Line R

AU - Grove, Birgith E

AU - Vestergaard, Jesper M

AU - Hjollund, Niels H

AU - Hauge, Ellen-Margrethe

AU - de Thurah, Annette

PY - 2023/10

Y1 - 2023/10

N2 - 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.

AB - 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.

KW - Arthritis, Rheumatoid/diagnosis

KW - Comorbidity

KW - Cross-Sectional Studies

KW - Follow-Up Studies

KW - Humans

KW - Social Class

U2 - 10.1002/acr.25105

DO - 10.1002/acr.25105

M3 - Journal article

C2 - 36785998

SN - 2151-464X

VL - 75

SP - 2044

EP - 2053

JO - Arthritis Care & Research

JF - Arthritis Care & Research

IS - 10

ER -

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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Keywords

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