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Yildirim-Toruner C, Pooni R, Goh YI, Becker-Haimes E, Dearing JW, Fernandez ME, Morgan EM, Parry G, Burnham JM, Ardoin SP, Barbar-Smiley F, Chang JC, Chiraseveenuprapund P, Del Gaizo V, Eakin G, Johnson LC, Kimura Y, Knight AM, Kohlheim M, Lawson EF, Lo MS, Pan N, Ring A, Ronis T, Sadun RE, Smitherman EA, Taxter AJ, Taylor J, Vehe RK, Vora SS, Weiss JE, von Scheven E. Translating research into practice-implementation recommendations for pediatric rheumatology; Proceedings of the childhood arthritis and rheumatology research alliance 2020 implementation science retreat. Pediatr Rheumatol Online J 2022; 20:10. [PMID: 35130904 PMCID: PMC8822721 DOI: 10.1186/s12969-022-00665-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2021] [Accepted: 01/10/2022] [Indexed: 11/17/2022] Open
Abstract
The translation of research findings into clinical practice is challenging, especially fields like in pediatric rheumatology, where the evidence base is limited, there are few clinical trials, and the conditions are rare and heterogeneous. Implementation science methodologies have been shown to reduce the research- to- practice gap in other clinical settings may have similar utility in pediatric rheumatology. This paper describes the key discussion points from the inaugural Childhood Arthritis and Rheumatology Research Alliance Implementation Science retreat held in February 2020. The aim of this report is to synthesize those findings into an Implementation Science Roadmap for pediatric rheumatology research. This roadmap is based on three foundational principles: fostering curiosity and ensuring discovery, integration of research and quality improvement, and patient-centeredness. We include six key steps anchored in the principles of implementation science. Applying this roadmap will enable researchers to evaluate the full range of research activities, from the initial clinical design and evidence acquisition to the application of those findings in pediatric rheumatology clinics and direct patient care.
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Affiliation(s)
| | - Rajdeep Pooni
- grid.414123.10000 0004 0450 875XStanford University School of Medicine, Lucile Packard Children’s Hospital, Stanford Children’s Health, Palo Alto, CA USA
| | - Y. Ingrid Goh
- grid.42327.300000 0004 0473 9646The Hospital for Sick Children, Toronto, Ontario Canada
| | - Emily Becker-Haimes
- grid.25879.310000 0004 1936 8972University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA USA
| | - James W. Dearing
- grid.17088.360000 0001 2150 1785Michigan State University, Michigan, MI USA
| | - Maria E. Fernandez
- grid.267308.80000 0000 9206 2401University of Texas Health Science Center at Houston, Houston, TX USA
| | - Esi M. Morgan
- grid.34477.330000000122986657University of Washington, Seattle, WA USA
| | - Gareth Parry
- grid.418700.a0000 0004 0614 6393Boston Children’s Hospital, (formerly at Institute for Healthcare Improvement (IHI)), Boston, MA USA
| | - Jon M. Burnham
- grid.239552.a0000 0001 0680 8770Children’s Hospital of Philadelphia, Philadelphia, PA USA
| | - Stacy P. Ardoin
- grid.240344.50000 0004 0392 3476Nationwide Children’s Hospital, Columbus, OH USA
| | - Fatima Barbar-Smiley
- grid.240344.50000 0004 0392 3476Nationwide Children’s Hospital, Columbus, OH USA
| | - Joyce C. Chang
- grid.239552.a0000 0001 0680 8770Children’s Hospital of Philadelphia, Philadelphia, PA USA
| | | | - Vincent Del Gaizo
- grid.499903.eCARRA, Partnerships and Patient Engagement, Milwaukee, WI USA
| | - Guy Eakin
- grid.422901.c0000 0004 0371 5124Arthritis Foundation, Atlanta, GA USA
| | - Lisa C. Johnson
- grid.414049.c0000 0004 7648 6828The Dartmouth Institute for health policy and Clinical Practice, Lebanon, NH USA
| | - Yukiko Kimura
- grid.429392.70000 0004 6010 5947The Joseph M. Sanzari Children’s Hospital, Hackensack Meridian School of Medicine, Hackensack, NJ, USA
| | - Andrea M. Knight
- grid.42327.300000 0004 0473 9646The Hospital for Sick Children, Toronto, Ontario Canada
| | - Melanie Kohlheim
- grid.499903.eCARRA, Partnerships and Patient Engagement, Milwaukee, WI USA
| | - Erica F. Lawson
- grid.266102.10000 0001 2297 6811University of California, San Francisco, San Francisco, CA USA
| | - Mindy S. Lo
- grid.418700.a0000 0004 0614 6393Boston Children’s Hospital, (formerly at Institute for Healthcare Improvement (IHI)), Boston, MA USA
| | - Nancy Pan
- grid.5386.8000000041936877XHospital for Special Surgery, Weill Medical College of Cornell University, New York, NY, USA
| | - Andrea Ring
- grid.422901.c0000 0004 0371 5124Arthritis Foundation, Atlanta, GA USA
| | - Tova Ronis
- grid.239560.b0000 0004 0482 1586Children’s National Hospital, George Washington University, Washington, DC USA
| | | | - Emily A. Smitherman
- grid.265892.20000000106344187University of Alabama/ Children’s of Alabama, Birmingham, AL USA
| | - Alysha J. Taxter
- grid.241167.70000 0001 2185 3318Wake Forest University, Winston-Salem, NC USA
| | - Janalee Taylor
- grid.239573.90000 0000 9025 8099Cincinnati Children’s Hospital, OH Cincinatti, USA
| | - Richard K. Vehe
- grid.17635.360000000419368657University of Minnesota, Minnesota, MN USA
| | - Sheetal S. Vora
- grid.17635.360000000419368657University of Minnesota, Minnesota, MN USA ,grid.415907.e0000 0004 0411 7193Atrium Health Levine Children’s Hospital, Charlotte, NC USA
| | - Jennifer E. Weiss
- grid.429392.70000 0004 6010 5947The Joseph M. Sanzari Children’s Hospital, Hackensack Meridian School of Medicine, Hackensack, NJ, USA
| | - Emily von Scheven
- grid.266102.10000 0001 2297 6811University of California, San Francisco, San Francisco, CA USA
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Schifferdecker KE, Butcher RL, Knight E, Creek E, Schrandt MS, Marrow L, Jaffe M, Vinci A, Eakin G. Stakeholder Development of an Online Program to Track Arthritis-Related Patient-Reported Outcomes Longitudinally: Live Yes! INSIGHTS. ACR Open Rheumatol 2020; 2:750-759. [PMID: 33238079 PMCID: PMC7738808 DOI: 10.1002/acr2.11203] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2020] [Accepted: 10/23/2020] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE Patient-reported outcome measures (PROMs) are increasingly used in clinical settings but may not provide benefits to patients outside of health encounters. The Arthritis Foundation's Live Yes! Network provides an opportunity for PROM use by individuals and the network that assists individuals with managing their arthritis between encounters. Our objective was to develop a patient-reported outcomes platform for the network, Live Yes! INSIGHTS, using mixed methods and extensive stakeholder input. METHODS A mixed methods longitudinal transformation design was used, starting with semistructured interviews to specify the main priorities of the program, literature review to identify potential PROMs, modified Delphi and nominal group technique to select final PROMs, and focus groups to guide program implementation, messaging, and use of results. We gathered input from 93 participants, including from individuals living with arthritis (74% of participants), caregivers, providers, researchers, and measurement experts. RESULTS Our mixed methods study resulted in the selection of Patient-Reported Outcomes Measurement Information System (PROMIS)-29, PROMIS Emotional Support Short Form v2.0, and the Health Care Empowerment Questionnaire, to be deployed through a Qualtrics platform. Triangulation of data resulted in identification of potential risks and benefits, including confidentiality, ability to personally track and share data, and an opportunity to contribute to research. CONCLUSION An accessible measurement system backed by psychometrically strong PROMs, created with robust stakeholder engagement, and linked to a national patient network sets the stage for individuals with arthritis to better monitor and improve health outcomes both outside and inside health care settings and for the network to customize programming to meet needs.
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Affiliation(s)
- Karen E. Schifferdecker
- Dartmouth Institute for Health Policy and Clinical PracticeLebanonNew Hampshire
- Dartmouth College Geisel School of MedicineHanoverNew Hampshire
| | - Rebecca L. Butcher
- Dartmouth Institute for Health Policy and Clinical PracticeLebanonNew Hampshire
- Dartmouth College Geisel School of MedicineHanoverNew Hampshire
| | - Erin Knight
- Dartmouth Institute for Health Policy and Clinical PracticeLebanonNew Hampshire
- Dartmouth College Geisel School of MedicineHanoverNew Hampshire
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Vitaloni M, Botto-van Bemden A, Sciortino R, Carné X, Quintero M, Santos-Moreno P, Espinosa R, Rillo O, Monfort J, de Abajo F, Oswald E, Matucci M, du Souich P, Möller I, Romera Baures M, Vinci A, Scotton D, Bibas M, Eakin G, Verges J. A patients' view of OA: the Global Osteoarthritis Patient Perception Survey (GOAPPS), a pilot study. BMC Musculoskelet Disord 2020; 21:727. [PMID: 33160349 PMCID: PMC7648975 DOI: 10.1186/s12891-020-03741-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Accepted: 10/26/2020] [Indexed: 12/26/2022] Open
Abstract
BACKGROUND Globally, osteoarthritis (OA) is the third condition associated with disability. There is still poor treatment in OA but science holds the key to finding better treatments and a cure. It is essential to learn what's important to patients from them to implement the most effective OA management. The OA Patients Task Force, conducted the Global OA Patient Perception Survey (GOAPPS)-the first global survey made by patients to analize the quality of life (QoL) & patient perceptions of care. The goal was to collect data on OA patients' perception of OA to understand patients' needs and expectations to improve OA management. METHODS Observational, cross-sectional study by online survey data collection from six countries, translated into three languages. The questionnaire was comprised of 3 sections: patient demographics and clinical symptomology characteristics; relationship with physicians: perception of attention, treatment, and information provided; and OA impact on daily activity and QoL. The results of the survey were evaluated using the Limited Data Set. The survey results were analyzed using descriptive statistics to characterize the patients' answers. Additionally, Cronbach's alpha was calculated to determine internal consistency validity. RESULTS A total of 1512 surveys were completed in 6 countries. 84.2% of respondents reported pain/tenderness and 91.1% experienced limitations to physical activities. 42.3% of patients were not satisfied with their current OA treatment. 86% had comorbidities, especially hypertension, and obesity. 51.3 and 78% would like access to additional drug or additional non-drug/non-surgical treatments respectively. 48.2% of patients perceived their QoL to be affected by OA. The Cronbach's alpha was 0.61. CONCLUSIONS OA has a significant impact on patients' daily activities and their desire to play an active role in managing this disease. Patients are seeking additional treatments, especially no pharmacological/no surgical treatments stressing the need for investing in clinical research, implementing OA preventive measures, and managing interventions to improve the healthcare value chain in OA.
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Affiliation(s)
| | | | | | | | | | | | - Rolando Espinosa
- Instituto de Medicina Nacional de Rehabilitación, Ciudad de Mexico, Mexico
| | - Oscar Rillo
- Hospital. I. Pirovano, Buenos Aires, Argentina
| | | | - Francisco de Abajo
- University of Alcalá (IRYCIS), University Hospital Principe de Asturias, Madrid, Spain
| | - Elizabeth Oswald
- Osteoarthritis Foundation International (OAFI), Barcelona, Spain
| | | | | | - Ingrid Möller
- Institut Poal, University of Barcelona, Barcelona, Spain
| | | | | | | | - Marco Bibas
- Osteoarthritis Foundation International (OAFI), Barcelona, Spain
| | | | - Josep Verges
- Osteoarthritis Foundation International (OAFI), Barcelona, Spain
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Vitaloni M, Botto-van Bemden A, Sciortino Contreras RM, Scotton D, Bibas M, Quintero M, Monfort J, Carné X, de Abajo F, Oswald E, Cabot MR, Matucci M, du Souich P, Möller I, Eakin G, Verges J. Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review. BMC Musculoskelet Disord 2019; 20:493. [PMID: 31656197 PMCID: PMC6815415 DOI: 10.1186/s12891-019-2895-3] [Citation(s) in RCA: 102] [Impact Index Per Article: 20.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Accepted: 10/14/2019] [Indexed: 12/12/2022] Open
Abstract
Background Knee osteoarthritis (KOA) is a prevalent form of chronic joint disease associated with functional restrictions and pain. Activity limitations negatively impact social connectedness and psychological well-being, reducing the quality of life (QoL) of patients. The purpose of this review is to summarize the existing information on QoL in KOA patients and share the reported individual factors, which may influence it. Methods We conducted a systematic review examining the literature up to JAN/2017 available at MEDLINE, EMBASE, Cochrane, and PsycINFO using KOA and QOL related keywords. Inclusion criteria were QOL compared to at least one demographic factor (e.g., age, gender), lifestyle factor (e.g., functional independence), or comorbidity factor (e.g., diabetes, obesity) and a control group. Analytical methods were not considered as part of the original design. Results A total of 610 articles were reviewed, of which 62 met inclusion criteria. Instruments used to measure QoL included: SF-36, EQ-5D, KOOS, WHOQOL, HAS, AIMS, NHP and JKOM. All studies reported worse QoL in KOA patients when compared to a control group. When females were compared to males, females reported worse QOL. Obesity as well as lower level of physical activity were reported with lower QoL scores. Knee self-management programs delivered by healthcare professionals improved QoL in patients with KOA. Educational level and higher total mindfulness were reported to improve QoL whereas poverty, psychological distress, depression and lacking familial relationships reduce it. Surgical KOA interventions resulted in good to excellent outcomes generally; although, results varied by age, weight, and depression. Conclusion KOA has a substantial impact on QoL. In KOA patients, QoL is also influenced by specific individual factors including gender, body weight, physical activity, mental health, and education. Importantly, education and management programs designed to support KOA patients report improved QoL. QoL data is a valuable tool providing health care professionals with a better comprehension of KOA disease to aid implementation of the most effective management plan.
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Affiliation(s)
| | | | | | | | - Marco Bibas
- Osteoarthritis Foundation International OAFI, Barcelona, Spain
| | | | - Jordi Monfort
- Rheumatology Service, Del Mar Hospital, Barcelona, Spain
| | - Xavier Carné
- Clinical Pharmacology Department, Clinic Hospital, Barcelona, Spain
| | | | | | - Maria R Cabot
- Faculty of Nursing, Clinic Hospital, Barcelona, Spain
| | - Marco Matucci
- Rheumatology Service, University of Florence, Florence, Italy
| | | | - Ingrid Möller
- Poal Institute, University of Barcelona, Barcelona, Spain
| | | | - Josep Verges
- Osteoarthritis Foundation International OAFI, Barcelona, Spain
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Menetski JP, Austin CP, Brady LS, Eakin G, Leptak C, Meltzer A, Wagner JA. The FNIH Biomarkers Consortium embraces the BEST. Nat Rev Drug Discov 2019; 18:567-568. [DOI: 10.1038/d41573-019-00015-w] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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