A hand exercise mobile app for people with rheumatoid arthritis in Turkey: design, development and usability study

Background Narcolepsy is a chronic sleep disorder with a broad variety of symptoms. Although narcolepsy is primarily characterized by excessive daytime sleepiness and cataplexy (loss of muscle control triggered by emotions), patients may suffer from hypnagogic hallucinations, sleep paralysis, and fragmented night sleep. However, the spectrum of narcolepsy also includes symptoms not related to sleep, such as cognitive or psychiatric problems. Symptoms vary greatly among patients and day-to-day variance can be considerable. Available narcolepsy questionnaires do not cover the whole symptom spectrum and may not capture symptom variability. Therefore, there is a clinical need for tools to monitor narcolepsy symptoms over time to evaluate their burden and the effect of treatment. Objective This study aimed to describe the design, development, implementation, and evaluation of the Narcolepsy Monitor, a companion app for long-term symptom monitoring in narcolepsy patients. Methods After several iterations during which content, interaction design, data management, and security were critically evaluated, a complete version of the app was built. The Narcolepsy Monitor allows patients to report a broad spectrum of experienced symptoms and rate their severity based on the level of burden that each symptom imposes. The app emphasizes the reporting of changes in relative severity of the symptoms. A total of 7 patients with narcolepsy were recruited and asked to use the app for 30 days. Evaluation was done by using in-depth interviews and user experience questionnaire. Results We designed and developed a final version of the Narcolepsy Monitor after which user evaluation took place. Patients used the app on an average of 45.3 (SD 19.2) days. The app was opened on 35% of those days. Daytime sleepiness was the most dynamic symptom, with a mean number of changes of 5.5 (SD 3.7) per month, in contrast to feelings of anxiety or panic, which was only moved 0.3 (SD 0.7) times per month. Mean symptom scores were highest for daytime sleepiness (1.8 [SD 1.0]), followed by lack of energy (1.6 [SD 1.4]) and often awake at night (1.5 [SD 1.0]). The personal in-depth interviews revealed 3 major themes: (1) reasons to use, (2) usability, and (3) features. Overall, patients appreciated the concept of ranking symptoms on subjective burden and found the app easy to use. Conclusions The Narcolepsy Monitor appears to be a helpful tool to gain more insight into the individual burden of narcolepsy symptoms over time and may serve as a patient-reported outcome measure for this debilitating disorder.

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Smartphone Apps Targeting Physical Activity in People With Rheumatoid Arthritis: Systematic Quality Appraisal and Content Analysis

JMIR mhealth and uhealth ◽

10.2196/18495 ◽

2020 ◽

Vol 8 (7) ◽

pp. e18495 ◽

Cited By ~ 1

Author(s):

Lindsay M Bearne ◽

Mandeep Sekhon ◽

Rebecca Grainger ◽

Anthony La ◽

Mehrdad Shamali ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Physical Activity ◽

Rating Scale ◽

Mobile App ◽

Information Support ◽

World Health ◽

Smartphone Apps ◽

High Quality ◽

App Store ◽

Google Play

Background Rheumatoid arthritis (RA) is a disabling, inflammatory joint condition affecting 0.5%-1% of the global population. Physical activity (PA) and exercise are recommended for people with RA, but uptake and adherence tend to be low. Smartphone apps could assist people with RA to achieve PA recommendations. However, it is not known whether high quality, evidence-informed PA apps that include behavior change techniques (BCTs) previously identified as effective for PA adherence are available for people with RA. Objective This study aims to systematically identify apps that include goals to facilitate PA for adults with RA and assess app quality and content for the inclusion of relevant BCTs against recommendations for cardiorespiratory, resistance, flexibility, and neuromotor PA and exercise. Methods A systematic search of the Apple App Store and Google Play Store in the United Kingdom was conducted to identify English language apps that promote PA for adults with RA. Two researchers independently assessed app quality (mobile app rating scale [MARS]; range 0-5) and content (BCT Taxonomy version 1, World Health Organization, the American College of Sports Medicine, and the European League against Rheumatism recommendations for PA). The completeness of reporting of PA prescription was evaluated using a modified version of the Consensus on Exercise Reporting Template (CERT; range 0-14). Results A total of 14,047 apps were identified. Following deduplication, 2737 apps were screened for eligibility; 6 apps were downloaded (2 on the Apple App Store and 4 on the Google Play Store), yielding 4 unique apps. App quality varied (MARS score 2.25-4.17). Only 1 app was congruent with all aspects of the PA recommendations. All apps completely or partially recommended flexibility and resistance exercises, 3 apps completely or partially advised some form of neuromotor exercise, but only 2 offered full or partial guidance on cardiorespiratory exercise. Completeness of exercise reporting was mixed (CERT scores 7-14 points) and 3-7 BCTs were identified. Two BCTs were common to all apps (information about health consequences and instruction on how to perform behavior). Higher quality apps included a greater number of BCTs and were more closely aligned to PA guidance. No published trials evaluating the effect of the included apps were identified. Conclusions This review identifies 4 PA apps of mixed quality and content for use by people with RA. Higher quality apps were more closely aligned to PA guidance and included a greater number of BCTs. One high-quality app (Rheumatoid Arthritis Information Support and Education) included 7 BCTs and was fully aligned with PA and exercise guidance. The effect of apps on PA adherence should be established before implementation.

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Mobile App Design, Development, and Publication for Adverse Drug Reaction Assessments of Causality, Severity, and Preventability

JMIR mhealth and uhealth ◽

10.2196/mhealth.6261 ◽

2017 ◽

Vol 5 (5) ◽

pp. e78 ◽

Cited By ~ 8

Author(s):

Muslimah Ithnin ◽

Mohd Dzulkhairi Mohd Rani ◽

Zuraidah Abd Latif ◽

Paveethra Kani ◽

Asmalita Syaiful ◽

...

Keyword(s):

Adverse Drug Reaction ◽

Drug Reaction ◽

Mobile App ◽

Design Development ◽

App Design

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Quality of a Supporting Mobile App for Rheumatic Patients: Assessment Using the User Version of the Mobile Application Scale (uMARS) and Associated Patient Characteristics (Preprint)

10.2196/preprints.30324 ◽

2021 ◽

Author(s):

Antonia Lambrecht ◽

Nicolas Vuillerme ◽

Christina Raab ◽

David Simon ◽

Eva-Maria Messner ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Psoriatic Arthritis ◽

Rating Scale ◽

End Users ◽

Quality Score ◽

Mobile App ◽

Subjective Quality ◽

Ehealth Literacy ◽

Rheumatic Patients

BACKGROUND Mobile applications promise to improve current health care. A growing number app quality studies exist to help patients and physicians choose appropriate, helpful and useful applications. However, current mobile app quality ratings are mostly physician-based. They exclude patients although as end-users, patients are able to provide the most relevant feedback. In a recent physician-based review of rheumatic apps, Rheuma Auszeit received the best overall rating (4.2/5), however this app has never been systematically evaluated by the intended end-users, rheumatic patients. OBJECTIVE The aim of this study was (1) to assess the quality of Rheuma Auszeit by rheumatic patients and (2) to evaluate the association between uMARS (User Version of the Mobile App Rating Scale) scores and patients’ characteristics. METHODS Consecutive patients with rheumatoid arthritis, psoriatic arthritis and spondyloarthritis were seen at the rheumatology clinic at university hospital Erlangen, Germany. They were asked to evaluate the app Rheuma Auszeit using the uMARS and to complete a paper-based survey evaluating the individual preferences, attitudes and ehealth literacy. uMARS assesses the dimensions of engagement, functionality, aesthetics, information, and subjective quality on 5-point scales. The association between uMARS scores and patients’ characteristics was further explored. RESULTS Between December 2018 and January 2019, a total of 126 patients evaluated Rheuma Auszeit using uMARS and filled out the paper-based survey. The median uMARS score was 3.9, IQR 0.7. Functionality was the domain with the highest rating (median 4.8, IQR 0.8), followed by aesthetics (median 4.0, IQR 0.7), information (median 3.5, IQR 0.8), and engagement (median 3.2, IQR 1.0). Subjective quality was average (median 3.0, IQR 1.0). The lowest scoring individual item was customization with a median of 2.5/5. Lower functionality scores were reported among older female rheumatic patients (P<.004). Older male rheumatic patients reported a higher subjective quality score (P<.024). Perceived disease activity and disease duration did not significantly correlate with any uMARS subdomain scores. eHealth literacy significantly correlated with functionality uMARS subdomain ratings (Rho=0.18; P<.042). Preferred time of app usage significantly correlated with engagement (Rho=0.20; P<.024), functionality (Rho=0.19; P<.029), total uMARS score (Rho=0.21; P<.017) and subjective quality score (Rho=0.21; P<.017). The vast majority of rheumatic patients would consider recommending Rheuma Auszeit to other patients (117/126; 92.9%). CONCLUSIONS Rheuma Auszeit was well accepted by patients suffering from rheumatoid arthritis, psoriatic arthritis and ankylosing spondyloarthritis. Lacking customization could lead to low app compliance and should be improved. The study highlights the potential and feasibility of therapeutic complementary digital solutions in rheumatology.

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PENGEMBANGAN APLIKASI MOBILE APP SEBAGAI MEDIA PEMBELAJARAN PADA POKOK BAHASAN LINGKARAN

Jurnal Riset Pembelajaran Matematika Sekolah ◽

10.21009/jrpms.031.01 ◽

2019 ◽

Vol 3 (1) ◽

pp. 1-6

Author(s):

Dwi antari Wijayanti

Keyword(s):

Research And Development ◽

Mobile App ◽

Design Development ◽

Analysis Design ◽

One To One

Objek matematika yang bersifat abstrak membuat siswa mengalami kesulitan dalam memvisualisasikannya, sehingga diperlukan sebuah inovasi dalam pembelajaran matematika melalui pengembangan media pembelajaran. Tujuan dari penelitian ini adalah untuk mengembangkan aplikasi mobile app yang dapat dimanfaatkan sebagai media pembelajaran pada pokok bahasan lingkaran untuk siswa Sekolah Menengah Pertama. Penelitian ini menggunakan metode penelitian Research and Development dengan menggunakan model ADDIE yang terdiri dari lima tahap yaitu analysis, design, development, implementation, dan evaluation. Untuk memastikan kesesuaian atau kelayakan atas media pembelajaran yang telah dikembangkan, dilakukan ujicoba dilakukan dengan melibatkan ahli materi, bahasa, dan media. Selain itu juga dilakukan ujicoba one to one dan ujicoba kelas kecil terhadap guru dan siswa. Dari hasil pengujian menunjukkan bahwa hasil uji oleh ahli materi memberikan persentase nilai rata-rata sebesar 82.75% terhadap media pembelajaran interaktif yang dikembangkan. Sedangkan hasil dari validasi ahli media pembelajaran diperoleh persentase rata-rata sebesar 84%. Pada pengujian one to one yang dilakukan terhadap guru secara keseluruhan diperoleh persentase 89%, sedangkan hasil pengujian one to one yang dilakukan terhadap siswa secara keseluruhan diperoleh persentase 88%, sehingga dapat hasil pengujian dapat dikaterorikan sangat baik dinilai dari aspek materi, pembelajaran, dan bahasa. Dari hasil pengujian secara keseluruhan menunjukkan bahwa aplikasi mobile app sebagai media pembelajaran pada pokok bahasan lingkaran yang telah dikembangkan sudah sangat baik dan layak untuk digunakan oleh siswa sebagai bahan atau sumber belajar yang dapat digunakan dimana saja. Kata kunci : media pembelajaran, matematika, aplikasi mobile app, materi lingkaran

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