RAISE

Rare AutoImmune SElf-management programme development 

Summary

This project aims to provide self-management and psychological support for people with rare autoimmune rheumatic diseases. Our first aim is to ensure that the support provided is relevant for all people, through reaching people who may not have been involved in research before. The second aim is to get agreement for the content and structure of this support from people with these diseases and healthcare teams across the UK. The rare autoimmune rheumatic diseases include systemic lupus erythematosus, vasculitis, scleroderma, myositis and Sjogren s syndrome. They can affect people of any age and can be fatal. They often have a negative impact on peoples quality of life (social, work and family life). We have gathered information from six online meetings with groups of people who have these conditions. They told us that they wanted to know the truth about their disease and treatment, alongside help adapting to living with a rare and serious disease. Our survey of NHS rheumatology departments shows that the majority (80%) do not provide support to help patients deal with the impact of living with one of these diseases. Firstly, we will work with six groups of patients in total, 2 each in Bristol, Weston-Super-Mare and Leeds. These will be organised with the help of community groups. The focus groups will help gather a range of views regarding support needs. Secondly, we will perform a UK-wide patient survey of support needs, translated into the ten most spoken languages in the UK. Paper versions will be available in NHS rheumatology departments, and we will share an online version through patient charities. Lastly, survey results and group responses will be used to build a picture of the type of support needed and how to achieve this in practice. The research team will present the results to the patient partners involved, charities, NHS management and healthcare professionals asking the question: How can we achieve this support for patients with rare rheumatic diseases within the current NHS? The team will then make changes to the support programme based on the feedback received. The researcher leading the patient and public involvement will work closely with community groups. The three patient partners, who have lived experience (one vasculitis and two lupus patients) will work within the research team throughout the life of the project and will take part in all decision making. A group will be formed from patient participants and patient research partners to help design the next steps of the support programme together. Patient research partners will help design how the outcome of this research will be shared with healthcare professionals and patients. This will include publications, lay summaries shared by patient organisations and presentations at conferences and community events.

Further Information

https://www.fundingawards.nihr.ac.uk/award/NIHR206603