دورية أكاديمية
Monitoring of Disease Activity With a Smartphone App in Routine Clinical Care in Patients With Axial Spondyloarthritis.
| العنوان: | Monitoring of Disease Activity With a Smartphone App in Routine Clinical Care in Patients With Axial Spondyloarthritis. |
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| المؤلفون: | Kempin R; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Richter JG; J.G. Richter, MD, Poliklinik, Funktionsbereich & Hiller Forschungszentrum für Rheumatologie, Medizinische Fakultät, Universitätsklinikum Düsseldorf, Heinrich-Heine-Universität Düsseldorf, Düsseldorf., Schlegel A; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Baraliakos X; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Tsiami S; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Buehring B; B. Buehring, MD, Bergisches Rheumazentrum Wuppertal, Wuppertal, and Ruhr-Universität Bochum Germany, Bochum, Germany., Kiefer D; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Braun J; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum., Kiltz U; R. Kempin, MD, A. Schlegel, X. Baraliakos, MD, S. Tsiami, MD, D. Kiefer, MD, J. Braun, MD, U. Kiltz, MD, Rheumazentrum Ruhrgebiet, Herne, Ruhr-Universität Bochum, Bochum; uta.kiltz@elisabethgruppe.de. |
| المصدر: | The Journal of rheumatology [J Rheumatol] 2022 Aug; Vol. 49 (8), pp. 878-884. Date of Electronic Publication: 2022 Apr 15. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Journal Of Rheumatology Publishing Co Country of Publication: Canada NLM ID: 7501984 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0315-162X (Print) Linking ISSN: 0315162X NLM ISO Abbreviation: J Rheumatol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Toronto : Journal Of Rheumatology Publishing Co Original Publication: Toronto. |
| مواضيع طبية MeSH: | Antirheumatic Agents*/therapeutic use , Axial Spondyloarthritis* , Mobile Applications* , Spondylarthritis*/drug therapy , Spondylitis, Ankylosing*/drug therapy, Adult ; Female ; Humans ; Male |
| مستخلص: | Objective: To investigate the performance of a health app with respect to usability, adherence, and equivalence of data in daily care of patients with axial spondyloarthritis (axSpA). Methods: Consecutive patients with axSpA were asked to export patient-reported outcomes (PRO) electronically with the AxSpA Live App regularly every 2 weeks over a period of 6 months. The first clinical visit was followed by 2 further personal visits after 3 and 6 months. Patients completed paper-based PRO at every visit; they also completed the Mobile App Rating Scale and the System Usability Scale after 3 and 6 months. Results: Of 103 patients with axSpA, 69 agreed to participate (67.0%): age 41.5 (11.3) years, 58.0% male, Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) 4.3 (2.0), and 76.8% treated with biologic disease-modifying antirheumatic drugs. Patients' adherence to regular app exports was 29.0% and 28.4% after 3 and 6 months, respectively. Significant predictors for good adherence were high disease activity ( P = 0.02) and older age ( P = 0.04). No systematic differences between digital and paper-based BASDAI scores were found (intraclass correlation coefficients 0.99 [95% CI 0.98-0.99]). Performance of the app was rated as good. Conclusion: Collection of digital PROs by AxSpA Live App may be successfully used in patients with axSpA with high disease activity. Our study showed equivalence of digital data, but adherence to the app after 6 months was poor. Higher disease activity and older age resulted in increased adherence to the app. This suggests that the use of health apps like this should concentrate on more severely affected patients. (Copyright © 2022 by the Journal of Rheumatology.) |
| التعليقات: | Comment in: J Rheumatol. 2022 Aug;49(8):861-863. (PMID: 35649555) |
| فهرسة مساهمة: | Keywords: ankylosing spondylitis; disease activity; outcomes; self-assessment |
| المشرفين على المادة: | 0 (Antirheumatic Agents) |
| تواريخ الأحداث: | Date Created: 20220416 Date Completed: 20220801 Latest Revision: 20221022 |
| رمز التحديث: | 20231215 |
| DOI: | 10.3899/jrheum.211116 |
| PMID: | 35428719 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0315-162X |
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| DOI: | 10.3899/jrheum.211116 |