{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:58:31Z","timestamp":1785376711063,"version":"3.55.0"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R01HS025405"],"award-info":[{"award-number":["R01HS025405"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care & Research"],"published-print":{"date-parts":[[2026,8]]},"abstract":"\n Objective<\/jats:title>\n We developed a novel electronic health record sidecar application to visualize key rheumatoid arthritis (RA) outcomes, including disease activity, physical function, and pain, via a patient\u2010facing graphical interface designed for use during outpatient visits (\u201cRA PRO dashboard\u201d). Initial qualitative studies showed positive perceptions from patients; here we assessed the effect of the RA PRO dashboard on patient decision\u2010making, self\u2010efficacy in symptom management, medication beliefs, and medication adherence in a randomized pragmatic trial.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted an open cohort, stepped\u2010wedge cluster\u2010randomized trial at a single academic rheumatology clinic between February 2020 and August 2023. Rheumatology clinicians were randomized as clinician\u2010patient clusters into four intervention sequences (5 time periods). Primary outcome measures derived from patient questionnaires were the 4\u2010item SURE (Sure of myself, Understand information, Risk\u2010benefit ratio, Encouragement) scale of decisional conflict; PROMIS\u2010SE 4a (Patient\u2010Reported Outcomes Measurement Information System\u2013Self\u2010Efficacy for Managing Symptoms); Beliefs about Medicines Questionnaire\u2013Specific Necessity\u2010Concerns differential; and medication adherence. Generalized estimating equations models were used to evaluate the effect of clinician access to the dashboard on each outcome.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A total of 23 clinicians were included in the analysis, and 554 patients completed 1,083 study visits, of which 664 were in the intervention group. Adoption of the RA PRO dashboard by clinicians was highly variable. We observed limited effects of the intervention on the outcomes.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This trial revealed no significant short\u2010term effects of the RA PRO dashboard on measures of patient decision\u2010making, self\u2010efficacy, medication beliefs, or adherence. Despite previous qualitative work showing improvements in the care experience, this study suggests that the dashboard's impact on traditional behavioral outcomes, at least in the short term, is limited.<\/jats:p>\n \n \n \n image<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/acr.70016","type":"journal-article","created":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T03:53:16Z","timestamp":1766116396000},"page":"1006-1015","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of a Novel Electric Health Record Sidecar Application to Display Rheumatoid Arthritis Clinical Outcomes During Clinic Visits: Results of a Stepped\u2010Wedge Cluster Randomized Pragmatic Trial"],"prefix":"10.1002","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2687-5043","authenticated-orcid":false,"given":"Gabriela","family":"Schmajuk","sequence":"first","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3298-2112","authenticated-orcid":false,"given":"Jing","family":"Li","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0341-5231","authenticated-orcid":false,"given":"Cathy","family":"Nasrallah","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2240-6180","authenticated-orcid":false,"given":"Cherish","family":"Wilson","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1100-2270","authenticated-orcid":false,"given":"Alicia","family":"Hamblin","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5541-4670","authenticated-orcid":false,"given":"Christine","family":"Hariz","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4085-7983","authenticated-orcid":false,"given":"Cammie","family":"Young","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9257-2609","authenticated-orcid":false,"given":"Stephen","family":"Shiboski","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5637-7515","authenticated-orcid":false,"given":"Emma","family":"Kersey","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8127-9426","authenticated-orcid":false,"given":"Mary","family":"Nakamura","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-7503","authenticated-orcid":false,"given":"Judith F.","family":"Ashouri","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6233-985X","authenticated-orcid":false,"given":"Mehrdad","family":"Matloubian","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0439-1785","authenticated-orcid":false,"given":"Andrew J.","family":"Gross","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6771-3465","authenticated-orcid":false,"given":"Jennifer","family":"Barton","sequence":"additional","affiliation":[{"name":"Oregon Health Sciences University Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7414-4280","authenticated-orcid":false,"given":"Beth","family":"Berrean","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4264-2046","authenticated-orcid":false,"given":"Jonathan","family":"Prugh","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3508-4094","authenticated-orcid":false,"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[{"name":"University of California San Francisco San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.2196\/31186"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21713"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/JMQ.0000000000000079"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.40111"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocae180"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzab067"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocx159"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000000800"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.8343"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/20552076241288739"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k1614"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1527-3"},{"key":"e_1_2_6_14_1","volume-title":"PROMIS\u00ae Self\u2010Efficacy for Managing Chronic Conditions Scoring Manual"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-6773.2006.00637.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmh730"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1545109709352884"},{"key":"e_1_2_6_18_1","unstructured":"Ottawa Hospital Research Institute.Decisional Conflict Scale.https:\/\/decisionaid.ohri.ca\/eval_dcs.html. Accessed March 22 2024."},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870449908407311"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S166451"},{"key":"e_1_2_6_21_1","volume-title":"Advanced Web Metrics with Google Analytics","author":"Clifton B.","year":"2012"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-017-1862-2"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280220932962"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000062554.74615.4C"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-024-02530-2"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-3402756"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.2196\/11072"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-024-02696-9"}],"container-title":["Arthritis Care & Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.70016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr.70016","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.70016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T01:15:46Z","timestamp":1785374146000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.70016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,23]]},"references-count":27,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/acr.70016"],"URL":"https:\/\/doi.org\/10.1002\/acr.70016","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,23]]},"assertion":[{"value":"2025-05-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}