학술논문
Development and real-life use assessment of a self-management smartphone application for patients with inflammatory arthritis. A user-centred step-by-step approach.
Document Type
Article
Author
Beauvais, Catherine; Pham, Thao; Montagu, Guillaume; Gleizes, Sophie; Madrisotti, Francesco; Lafourcade, Alexandre; Vidal, Céline; Dervin, Guillaume; Baudard, Pauline; Desouches, Sandra; Tubach, Florence; Le Calvez, Julian; de Quatrebarbes, Marie; Lafarge, Delphine; Grange, Laurent; Alliot-Launois, Françoise; Jeantet, Henri; Antignac, Marie; Tropé, Sonia; Besset, Ludovic
Source
Subject
*MOBILE apps
*MEDICAL personnel as patients
*MOBILE health
*ARTHRITIS
*PSYCHOLOGICAL adaptation
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Language
ISSN
1932-6203
Abstract
Background: Mobile health applications (apps) are increasing in interest to enhance patient self-management. Few apps are actually used by patients and have been developed for patients with inflammatory arthritis (IA) treated with disease-modifying anti-rheumatic drugs which use entails risk of adverse effects such as infections. Objective: To develop Hiboot, a self-management mobile app for patients with IA, by using a user-centred step-by-step approach and assess its real-life use. Methods: The app development included first a qualitative study with semi-guided audiotaped interviews of 21 patients to identify the impact of IA on daily life and patient treatments practices and an online cross-sectional survey of 344 patients to assess their health apps use in general and potential user needs. A multidisciplinary team developed the first version of the app via five face-to-face meetings. After app launch, a second qualitative study of 21 patients and a users' test of 13 patients and 3 rheumatologists led to the app's current version. The number of app installations, current users and comments were collected from the Google Play store and the Apple store. Results: The qualitative study revealed needs for counselling, patient–health professional partnership, and skills to cope with risk situations; 86.8% participants would be ready to use an app primarily on their rheumatologist's recommendation. Six functionalities were implemented: a safety checklist before treatment administration, aids in daily life situations based on the French academic recommendations, treatment reminders, global well-being self-assessment, periodic counselling messages, and a diary. The Hiboot app was installed 20,500 times from September 2017 to October 2020, with 4300 regular current users. Scores were 4.4/5 stars at Android and iOS stores. Conclusion: Hiboot is a free self-management app for patients with IA developed by a step-by-step process including patients and health professionals. Further evaluation of the Hiboot benefit is needed. [ABSTRACT FROM AUTHOR]