Facilitators and Barriers to Implementing a Remote Monitoring Model of Care for Stable Patients With Axial Spondyloarthritis Using the Consolidated Framework for Implementation Research: Qualitative Study - Summary - MDSpire

Facilitators and Barriers to Implementing a Remote Monitoring Model of Care for Stable Patients With Axial Spondyloarthritis Using the Consolidated Framework for Implementation Research: Qualitative Study

  • By

  • Yu Heng Kwan

  • Xin Ru Chew

  • Humairah Zainal

  • Zhonghui Xiong

  • Melissa Hock

  • Ka-Hao Zee

  • Ying-Ying Leung

  • Truls Østbye

  • Lian Leng Low

  • Hendra Goh

  • Charmaine Wai Yan Sum

  • Sungwon Yoon

  • Charmaine Tze May Wang

  • Warren Fong

  • Julian Thumboo

  • April 30, 2026

  • 0 min

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Objective:

To understand the facilitators and barriers to implementing a PROMise model for remote monitoring of stable patients with axSpA in Singapore, focusing on specific challenges and enablers.

Key Findings:
  • Patients with axSpA experience significant health-related quality of life (HRQoL) issues, which the PROMise model aims to address.
  • Frequent rheumatology visits are costly and inconvenient for patients, highlighting the need for alternative monitoring strategies.
  • The PROMise model aims to reduce healthcare costs while maintaining patient outcomes through remote monitoring, potentially improving HRQoL.
Interpretation:

The study highlights the potential of a remote monitoring model to improve patient care and reduce costs, while emphasizing the need for tailored implementation strategies that directly address identified barriers.

Limitations:
  • The study is limited to a single hospital setting in Singapore, which may affect generalizability to other contexts.
  • Qualitative findings may not capture all perspectives or experiences of a broader patient population, and potential biases in qualitative research could influence results.
Conclusion:

The insights from this study will facilitate the implementation of the PROMise model for stable axSpA patients in Singapore, aiming to enhance care delivery and patient experience.

Original Source(s)

Facilitators and Barriers to Implementing a Remote Monitoring Model of Care for Stable Patients With Axial Spondyloarthritis Using the Consolidated Framework for Implementation Research: Qualitative Study

  • by Yu Heng Kwan, Xin Ru Chew, Humairah Zainal, Zhonghui Xiong, Melissa Hock, Ka-Hao Zee, Ying-Ying Leung, Truls Østbye, Lian Leng Low, Hendra Goh, Charmaine Wai Yan Sum, Sungwon Yoon, Charmaine Tze May Wang, Warren Fong, Julian Thumboo

  • April 30, 2026

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