Algorithm development for corticosteroid management in systemic juvenile idiopathic arthritis trial using consensus methodology.

Background: The management of background corticosteroid therapy in rheumatology clinical trials poses a major challenge. We describe the consensus methodology used to design an algorithm to standardize changes in corticosteroid dosing during the Randomized Placebo Phase Study of Rilonacept in Systemic Juvenile Idiopathic Arthritis Trial (RAPPORT).

Methods: The 20 RAPPORT site principal investigators (PIs) and 4 topic specialists constituted an expert panel that participated in the consensus process.

Consumer informatics in primary care.

The need to promote consumer informatics in all health care settings is essential. Primary care provides timely opportunities to educate and promote the use of e-health tools and computer literacy for consumers. However, these settings are often the least equipped with technology and informed care providers to educate and promote consumer acceptance and use of technology to promote and maintain health.