Engagement and attrition with eHealth tools for remote monitoring in chronic arthritis: a systematic review and meta-analysis.

However, while one study found women with chronic arthritis to be more engaged than men, 31 no such difference was apparent in others. 28 40 Similarly, higher completion rates were reported with lower disease activity in an established RA population, 40 whereas the inverse was found in a recent study on SpA, 25 and qualitative data suggested that a lack of symptoms might hinder engagement. 41 In addition, one study found higher completion rates for patients treated with biological disease-modifying drugs, 32 while this finding was contradicted in another report. 25 Moreover, engagement was not affected by the diagnosis itself in any of the included studies with mixed populations.

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