Gossec, L., Cantagrel, A., Soubrier, M., Berthelot, J.-M., Joubert, J.-M., Combe, B., Czarlewski, W., Wendling, D., Dernis, E., Grange, L., Beauvais, C., Perdriger, A., Nataf, H., Dougados, M., Servy, H. (2017).
Introduction : Sanoia is an online interactive electronic e-health platform developed to allow patient self-assessment and self-monitoring. The objective was to assess in rheumatoid arthritis (RA) patients, the efficacy on patient-physician interactions, of giving access to Sanoia.
Methods : In this French, multi-center, 12-months randomized controlled trial (CarNET: NCT02200068), patients with RA and internet access were randomized to: access without incentives to the Sanoia platform after minimal training, or usual care. The primary outcome was the change from baseline in patient-physician interactions, by the patient-reported Perceived Efficacy in Patient–Physician Interactions (PEPPI-5) questionnaire. The number of accesses to Sanoia was recorded and satisfaction with the platform was assessed through a 0–10 numeric rating scale. Analyses were in intention to treat (ITT), on SAS.
Results : Of 320 RA patients (159 Sanoia versus 161 usual care), mean (standard deviation) age was 57.0 (12.7) years, mean (SD) disease duration was 14.6 (11.1) years, 216 (67.5%) were taking a biologic and 253 (79.1%) were female. Mean (SD) PEPPI scores at baseline and 12 months were 38.6 (8.2) and 39.2 (8.0) (delta = +0.60 [5.52]) versus 39.7 (7.3) and 38.8 (8.0) (delta = −0.91 [6.08]) in the Sanoia and control group, respectively (P = 0.01). Although mean satisfaction with the platform was very high (1.46 [1.52]), 41 patients (25.7%) never accessed Sanoia.
Conclusion : Giving RA patients access to the interactive Sanoia e-health platform led to a small improvement in patient-perceived patient-physician interactions. A disjunction between patient satisfaction and access to the platform was noted. E-Health platforms are promising in RA.
(publication) Gossec, L., Cantagrel, A., Soubrier, M., Berthelot, J.-M., Joubert, J.-M., Combe, B., Czarlewski, W., Wendling, D., Dernis, E., Grange, L., Beauvais, C., Perdriger, A., Nataf, H., Dougados, M., Servy, H. (2017). An e-health interactive self-assessment website (Sanoia®) in rheumatoid arthritis. A 12-month randomized controlled trial in 320 patients. Joint Bone Spine, 85(6), 709-714.