User experience with a voice-enabled smartphone app to collect patient-reported outcomes in rheumatoid arthritis

Murray, Meredith; Penney, Stephen P; Landman, Adam B.; Elias, Josephine; Mullen, Brian; Sipe, Harold; Hartog, Bert; Richard, Emma; Xu, Chang; Solomon, Daniel H.

doi:10.55563/clinexprheumatol/xsdfl2

Cited by 2 publications

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“…The RA app was developed by the investigators through several iterations. 5,18 We employed a user-centered design process that revised the user interface, frequency of PRO delivery, and presentation of data to rheumatologists. Four validated PRO short forms were delivered to patients through the application with SMS push notification reminders, one PRO every 48 hours; thus, all four PROs were requested in an 8-day cycle.…”

Section: Methodsmentioning

confidence: 99%

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A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency

Solomon,

Altwies,

Santacroce

et al. 2024

Arthritis & Rheumatology

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BackgroundPatient reported outcome (PRO) collection between visits for rheumatoid arthritis (RA) could improve visit efficiency, reducing in‐person visits for patients with stable symptoms while facilitating access for those with symptoms. We examined whether a mobile health PRO app integrated in the electronic health record (EHR) can reduce visit volume for RA.MethodsWe developed an app for RA that prompted patients every other day to complete brief PRO questionnaires. Results of the app were integrated into the EHR. We tested the app in a controlled interrupted time‐series between 2020‐2023. Rheumatologists received EHR‐based messages based on PRO results recommending the patient receive a visit earlier or later than scheduled. Primary outcome was monthly visit volume during year before vs year after initiation.Results150 RA patients consented and used the app. Median age was 62 years, 83% were female, 7% had fewer than 2 years of disease, and 50% were seropositive; 150 controls were well matched. Among the app cohort, estimated monthly visit volume in the year prior to use of the app: 31.2 (95% CI 28.0‐34.3); in controls, this was 30.4 (27.3‐33.6). In year using the app, the estimated monthly visit volume 36.8 (33.4‐40.3) compared to 38.7 (35.2‐42.3) in controls. The difference in the differences between the cohorts was not statistically significant (‐2.7 visits, 95% CI –9.3‐4.0). No differences were noted in flare rates or visit delays.ConclusionsIn this initial trial of a PRO app intervention to improve visit efficiency, we found no association with reduced visit volume.image

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Section: Methodsmentioning

confidence: 99%

“…The RA app was developed by the investigators through several iterations 5,18 . We employed a user‐centered design process that revised the user interface, frequency of PRO delivery, and presentation of data to rheumatologists.…”

Section: Methodsmentioning

confidence: 99%

A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency

Solomon,

Altwies,

Santacroce

et al. 2024

Arthritis & Rheumatology

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

et al. 2022

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ObjectivesAlthough eHealth tools are potentially useful for remote disease monitoring, barriers include concerns of low engagement and high attrition. We aimed to summarise evidence on patients’ engagement and attrition with eHealth tools for remotely monitoring disease activity/impact in chronic arthritis.MethodsA systematic literature search was conducted for original articles and abstracts published before September 2022. Eligible studies reported quantitative measures of patients’ engagement with eHealth instruments used for remote monitoring in chronic arthritis. Engagement rates were pooled using random effects meta-analysis.ResultsOf 8246 references, 45 studies were included: 23 using smartphone applications, 13 evaluating wearable activity trackers, 7 using personal digital assistants, 6 including web-based platforms and 2 using short message service. Wearable-based studies mostly reported engagement as the proportion of days the tracker was worn (70% pooled across 6 studies). For other eHealth tools, engagement was mostly reported as completion rates for remote patient-reported outcomes (PROs). The pooled completion rate was 80%, although between-study heterogeneity was high (I293%) with significant differences between eHealth tools and frequency of PRO-collection. Engagement significantly decreased with longer study duration, but attrition varied across studies (0%–89%). Several predictors of higher engagement were reported. Data on the influence of PRO-reporting frequency were conflicting.ConclusionGenerally high patient engagement was reported with eHealth tools for remote monitoring in chronic arthritis. However, we found considerable between-study heterogeneity and a relative lack of real-world data. Future studies should use standardised measures of engagement, preferably assessed in a daily practice setting.Trial registeration numberThe protocol was registered on PROSPERO (CRD42021267936).

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User experience with a voice-enabled smartphone app to collect patient-reported outcomes in rheumatoid arthritis

Cited by 2 publications

References 0 publications

A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency

A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency

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

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