OP0198-HPR DEVELOPMENT OF AN INTERDISCIPLINARY NURSE-COORDINATED SELF-MANAGEMENT INTERVENTION (INSELMA) FOR PATIENTS WITH INFLAMMATORY ARTHRITIS

Background Up to 30% of patients with inflammatory arthritis (IA) do not respond sufficiently or tolerate the pharmacological treatment. Consequently, they may experience a substantial impact their in everyday life. Even remission low disease activity state are at risk related symptoms and burden. These need coherent interdisciplinary self-management support manage life chronic condition increase quality A previous EULAR review on effectiveness interventions IA (1) found that well-structured programmes were lacking poorly reported. Objectives This study aimed develop nurse-coordinated intervention, delivered routine clinical care, for ability. Methods The was planned across two Danish hospitals following British Medical Research Councils (MRC) framework developing evaluating Complex Interventions (2). development process consisted four phases: 1) comprehensive scoping needs elements interventions; 2) six workshops involving health professionals (rheumatologists, nurses, physiotherapists, occupational therapists, social worker psychologist) 2 patient representatives from staff primary 40 people total; focused ideas content, outline intervention competence staff; 3) self-management, self-efficacy, literacy principles Acceptance Commitment therapy (ACT) selected as theories tailor 4) manual through recurrent feedback research partners, clinicians involved researchers. Two partners all phases intervention. Results month developed (Figure consisting of: an initial holistic assessment is carried out by coordinating outpatient nurse. Patients asked identify up five important activities unable perform having difficulty accordance Patient Specific Functional Scale; goal-setting action planning patient, relatives nurse; Ongoing achieve goals. opportunities include individual consultations nurse (telephone, online face-to-face, 2.5 hours total), maximum physiotherapist therapist. Also, session about offered. team conferences led can be held during period. status consultation will after 6 months. screening, inclusion, detailing outcomes additional materials developed. Competence who deliver completed. Figure 1. Illustration 6-month INSELMA Conclusion (INSELMA) described based MRC’s Interventions. ready feasibility testing before adaptation test subsequent Randomized Controlled Trial. References [1]Marques et al. Effectiveness (…). RMD Open 2021;7:e001647 [2]Skivington new complex interventions. (…) BMJ 2021;374:n2061 Disclosure Interests None declared