NCT05530694Completed
Rheumatoid Arthritis Shared Decision Making
Implementation of Shared Decision Making in Rheumatoid Arthritis: A Stepped Wedge, Cluster-randomized Trial
Source: ClinicalTrials.gov · Last updated 6 Mar 2026
Brief summary (registry, in English)
Shared decision making is the first overarching principle for the treat to target guidelines for rheumatoid arthritis (RA) and has been proposed as a potential mechanism to reduce health disparities, however there is little evidence to inform effective ways to implement this practice in the care of Veterans with RA. The purpose of this project is to evaluate the effectiveness of a multi-component shared decision making intervention on RA disease activity, adherence to RA medications and patient knowledge of RA. The proposed research will contribute to fundamental knowledge about how to effectively foster shared decision making across varied VA rheumatology clinical settings to improve patient disease outcomes and experience; and support clinicians to engage patients in meaningful ways with the ultimate goal to improve health, reduce disability, and eliminate disparities.
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 900 (actual)
- First submitted
- 21 Jul 2022
- Start date
- 19 Sept 2022
- Primary completion date
- 23 Feb 2026
- Lead sponsor
- VA Office of Research and Development
- Diseases
- Rheumatoid arthritis
- NCT number
- NCT05530694
What you commit to
- Study type: Interventional
- Participants enrolled: 900
- From 19 Sept 2022 to the primary completion date, 23 Feb 2026
- 4 sites in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other illness
- Cognitive impairment
Other
- Inability to speak
- -none
- Have held a leadership position within their respective institution for \<12 months
- Have worked in a clinic setting other than rheumatology
- Have worked in a clinic setting \<12 months
Who the study is looking for
- Meet administrative data definition of rheumatoid arthritis (see recruitment section)
- Receive rheumatology outpatient care at participating clinics and seen at least once in prior 12 months
- Age 18 years or older
- English speaking
- Moderate to high RA disease activity within 18 months prior to enrollment
- -Rheumatology attendings, fellows or advanced practice partners (nurse practitioners or physicians assistants) at the respective clinics
- Have held a leadership position within their respective institution for minimum of 12 months prior to enrollment
- Have worked in the rheumatology clinic setting at their respective institution for minimum of 12 months prior
Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers
Sites (4)
Sites in registry order. Save your city in your profile to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA Coordinator of this site? Confirm its status | Philadelphia | United States | Unknown status |
| VA Portland Health Care System, Portland, OR Coordinator of this site? Confirm its status | Portland | United States | Unknown status |
| San Francisco VA Medical Center, San Francisco, CA Coordinator of this site? Confirm its status | San Francisco | United States | Unknown status |
| Wilmington VA Medical Center, Wilmington, DE Coordinator of this site? Confirm its status | Wilmington | United States | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.