TY - JOUR
T1 - Outcomes of a Mobile App to Monitor Patient-Reported Outcomes in Rheumatoid Arthritis
T2 - A Randomized Controlled Trial
AU - Lee, Yvonne C.
AU - Lu, Fengxin
AU - Colls, Joshua
AU - Luo, Dee
AU - Wang, Penny
AU - Dunlop, Dorothy D.
AU - Muhammad, Lutfiyya N
AU - Song, Jing
AU - Michaud, Kaleb
AU - Solomon, Daniel H.
N1 - Funding Information:
We thank the patients who participated as well as the physicians who contributed participants and completed exit surveys regarding their experience with the app and care coordinator (Brigham and Women’s Hospital Arthritis Center). We also thank the Brigham Digital Innovation Hub, particularly Dr. Adam Landman and Ms Josie Elias, for their guidance in the design and implementation of the app.
Publisher Copyright:
© 2021, American College of Rheumatology
PY - 2021/8
Y1 - 2021/8
N2 - Objective: To examine the effects of a smartphone application (app) to monitor longitudinal electronic patient-reported outcomes (ePROs) on patient satisfaction and disease activity in patients with rheumatoid arthritis (RA). Methods: We conducted a 6-month randomized controlled trial of care coordination along with an app (intervention) versus care coordination alone (control) in 191 RA patients. Participants in the intervention group were prompted to provide information daily using ePROs. In both the intervention and control groups, a care coordinator contacted participants at 6 and 18 weeks to assess for flares. The main outcome measures were the global satisfaction score from the Treatment Satisfaction Questionnaire for Medication (TSQM), the score from the Perceived Efficacy in Patient-Physician Interactions (PEPPI) Questionnaire, and the Clinical Disease Activity Index (CDAI) score. Results: Groups were similar at baseline. The median TSQM score at 6 months was 83.3 in both groups, and the median PEPPI score at 6 months was 50 in both groups. The median CDAI score at 6 months was 8 in the intervention group versus 10 in the control group. No statistically significant group differences in the medians of TSQM, PEPPI, or CDAI scores at 6 months were detected. Of the 67 intervention participants who completed the exit survey, 90% rated their likelihood of recommending the app as ≥7 of 10. Of the 11 physicians who completed the exit survey, 73% agreed/strongly agreed that they wanted to continue offering the app to patients. Conclusion: A mobile app designed to collect ePRO data on RA symptoms did not significantly improve patient satisfaction or disease activity compared to care coordination alone. However, both patients and physicians reported positive experiences with the app.
AB - Objective: To examine the effects of a smartphone application (app) to monitor longitudinal electronic patient-reported outcomes (ePROs) on patient satisfaction and disease activity in patients with rheumatoid arthritis (RA). Methods: We conducted a 6-month randomized controlled trial of care coordination along with an app (intervention) versus care coordination alone (control) in 191 RA patients. Participants in the intervention group were prompted to provide information daily using ePROs. In both the intervention and control groups, a care coordinator contacted participants at 6 and 18 weeks to assess for flares. The main outcome measures were the global satisfaction score from the Treatment Satisfaction Questionnaire for Medication (TSQM), the score from the Perceived Efficacy in Patient-Physician Interactions (PEPPI) Questionnaire, and the Clinical Disease Activity Index (CDAI) score. Results: Groups were similar at baseline. The median TSQM score at 6 months was 83.3 in both groups, and the median PEPPI score at 6 months was 50 in both groups. The median CDAI score at 6 months was 8 in the intervention group versus 10 in the control group. No statistically significant group differences in the medians of TSQM, PEPPI, or CDAI scores at 6 months were detected. Of the 67 intervention participants who completed the exit survey, 90% rated their likelihood of recommending the app as ≥7 of 10. Of the 11 physicians who completed the exit survey, 73% agreed/strongly agreed that they wanted to continue offering the app to patients. Conclusion: A mobile app designed to collect ePRO data on RA symptoms did not significantly improve patient satisfaction or disease activity compared to care coordination alone. However, both patients and physicians reported positive experiences with the app.
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U2 - 10.1002/art.41686
DO - 10.1002/art.41686
M3 - Article
C2 - 33559338
AN - SCOPUS:85108107291
SN - 2326-5191
VL - 73
SP - 1421
EP - 1429
JO - Arthritis and Rheumatology
JF - Arthritis and Rheumatology
IS - 8
ER -