Patient-Reported Outcomes Dashboard With Goal Setting to Support Shared Decision-Making in Inflammatory Arthritis

NCT07865390 — Not applicable, Not yet recruiting, 160 participants, Northwestern University

ClinicalTrials Daily · Areas · Conditions · Drugs · Sponsors ·

Personalizing Inflammatory Arthritis Rheumatology Care: Integrating PROMIS Measures and Patient Preferences to Improve Shared Decision-Making

Registry	NCT07865390
Status	Not yet recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: none, health services research
Enrollment	160 (Estimated)
Sponsor	Northwestern University (Other)
Conditions	Arthritis, Psoriatic (PsA), Arthritis, Rheumatoid (RA)
Interventions	Patient-Reported Outcomes Dashboard With Goal Setting (Other)
Dates	start 2027-01-01 (estimated), primary completion 2027-12-31 (estimated), completion 2028-02-29 (estimated), first posted 2026-10-08, last updated 2026-10-15
Locations	1 site in United States

-Summary

The goal of this clinical trial is to learn whether showing patient-reported symptoms and personal treatment goals to rheumatology clinicians on a dashboard in the electronic health record improves shared decision-making for adults with rheumatoid arthritis or psoriatic arthritis.

The main questions it aims to answer are:

* Do patients whose clinicians use the dashboard report more shared decision-making during their rheumatology visits than patients who receive usual care?
* Do patients in the dashboard group report greater progress toward their personal goals and more confidence in managing their symptoms after 6 months?

Researchers will compare the dashboard group to a usual care group to see if the dashboard improves shared decision-making, goal attainment, and self-efficacy.

Participants will:

* Complete a routine symptom questionnaire before their rheumatology visits, as all clinic patients do
* Choose personal treatment goals and rate their progress toward those goals 6 months later
* Complete short surveys before and after two rheumatology visits about 6 months apart

Participants in the dashboard group will also complete questionnaires in the patient portal about pain, fatigue, physical function, sleep, and morning stiffness before each visit. Their answers and goals will be shown to their clinician on a dashboard to guide the conversation during the visit.

Expand all sections · Collapse all

+Arms and interventions

Arm	Type	Interventions	Description
PRO Dashboard With Goal Setting	Experimental	Other: Patient-Reported Outcomes Dashboard With Goal Setting	Before each of two routine rheumatology visits approximately 6 months apart, participants complete the RAPID3 (standard of care for all clinic patients) plus an additional questionnaire series in the patient portal: selection of personal treatment goals, a morning stiffness question, and four PROMIS computer adaptive tests (Pain Interference, Fatigue, Physical Function, and Sleep Disturbance). Responses and goals are displayed to the treating clinician on a dashboard in the electronic health record for use during the visit.
Usual Care	No intervention		Participants receive usual rheumatology care. They do not receive the additional questionnaire series, and no study dashboard is displayed to the clinician. For outcome assessment only, participants select personal goals and rate goal attainment in study surveys that are not shared with the clinician.

Patient-Reported Outcomes Dashboard With Goal Setting (Other): A clinician-facing dashboard embedded in the Epic electronic health record that displays the participant's PROMIS computer adaptive test (CAT) scores (PROMIS Pain Interference, PROMIS Fatigue, PROMIS Physical Function, PROMIS Sleep Disturbance), morning stiffness, and self-selected treatment goals collected through the patient portal before the visit. Clinicians receive training on using the dashboard to support shared decision-making and goal-directed care during the visit.

+Outcome measures

Primary outcomes

Shared Decision-Making [Within 48 hours after the second study visit (approximately 6 months after enrollment)]: CollaboRATE is a 3-item patient-reported measure of shared decision-making during a clinical encounter. Each item is rated from 0 (no effort was made) to 9 (every effort was made). The score is the mean of the three items (range 0 to 9); higher scores indicate more shared decision-making.

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Age 18 years or older
* Diagnosis of rheumatoid arthritis or psoriatic arthritis
* Receiving care at a Northwestern Medicine rheumatology clinic, with an upcoming rheumatology visit
* Active patient portal (MyChart) account
* Able to read and complete questionnaires in English
* Able to provide informed consent

Exclusion Criteria:

* Unable to provide informed consent
* Unable to complete study questionnaires in English

+Locations (1)

Facility	City	Country	Status
Northwestern Medicine Rheumatology	Chicago, Illinois	United States