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Self-assessment of Rheumatoid Arthritis Disease Activity Using a Smartphone Application. Development and 3-month

S Nishiguchi1, H Ito, M Yamada

  • 1Shu Nishiguchi, R.P.T., M.Sc., Department of Physical Therapy, Human Health Sciences, Kyoto University Graduate School of Medicine, 53 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto 606-8507, Japan,

Methods of Information in Medicine
|September 23, 2015
PubMed
Summary

A smartphone application for rheumatoid arthritis (RA) self-assessment proved feasible. The system accurately tracked disease activity and was well-received by patients, offering a useful tool for RA management.

Keywords:
Rheumatoid arthritisdisease activityfeasibility studyself-assessmentsmartphone

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Area of Science:

  • Medical Informatics
  • Digital Health
  • Rehabilitation Methodologies

Background:

  • Rheumatoid arthritis (RA) is a chronic inflammatory condition leading to joint damage and functional decline.
  • Frequent and objective assessments are crucial for managing RA progression.
  • A novel self-assessment system using a smartphone application was developed for RA patients.

Purpose of the Study:

  • To evaluate the feasibility of a smartphone-based self-assessment system for rheumatoid arthritis patients.
  • To determine if the system could accurately monitor disease activity over time.

Main Methods:

  • Nine RA patients used a smartphone application for three months to track daily disease activity.
  • A Disease Activity Score (DAS28) predictive model provided daily feedback.
  • Clinical DAS28 assessments by a rheumatologist were conducted monthly.

Main Results:

  • The application's disease activity measurements showed strong correlation with clinical assessments.
  • Most participants found the system easy to use and beneficial.
  • The DAS28 predictive model demonstrated longitudinal accuracy.

Conclusions:

  • The smartphone self-assessment system is a feasible and acceptable tool for RA patients.
  • The DAS28 predictive model can reliably predict disease activity longitudinally.
  • This system offers a potentially valuable tool for both patients and healthcare providers in managing RA.