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Home-Based Monitor for Gait and Activity Analysis
Published on: August 8, 2019
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The interactive web-based program MSmonitor for self-management and multidisciplinary care in multiple sclerosis:
Peter Joseph Jongen1, Ludovicus G Sinnige2, Björn M van Geel3
1Department of Community and Occupational Medicine, University Medical Center Groningen, University Groningen, Groningen, the Netherlands ; MS4 Research Institute, Nijmegen, the Netherlands.
Patient Preference and Adherence
|December 31, 2015
Summary
MSmonitor, a web-based tool, aids persons with multiple sclerosis (PwMS) in self-management and integrated care. Pilot data show repeated use of specific questionnaires and diaries improved quality of life and fatigue management.
Area of Science:
- Neurology
- Digital Health
- Patient Self-Management
Background:
- Growing need for self-management tools for persons with multiple sclerosis (PwMS).
- Integration of multidisciplinary health data is crucial for comprehensive MS care.
- Development of MSmonitor, a patient-reported outcome-based web program (2009-2014).
Purpose of the Study:
- Describe the MSmonitor concept and its program elements.
- Analyze MSmonitor's role in self-managing fatigue.
- Evaluate the impact of MSmonitor usage on health-related quality of life (HRQoL).
Main Methods:
- Retrospective comparison of fatigue and HRQoL before and after MSmonitor usage.
- Correlative analysis of usage frequency and fatigue change.
- Description of MSmonitor's components: validated questionnaires, inventories, diaries, and functionalities.
Main Results:
- MSmonitor includes six validated questionnaires, two inventories, two diaries, and functionalities like e-consult.
- Currently used in 17 hospitals by 581 PwMS and 200+ healthcare professionals.
- PwMS using LMSQoL and MFIS-5 questionnaires showed improved HRQoL (P<0.026).
- Activities Diary usage correlated with fatigue improvement (r=0.292; P=0.028).
Conclusions:
- MSmonitor facilitates self-management and integrated care for PwMS.
- Repeated use of MFIS-5 and LMSQoL questionnaires is linked to increased HRQoL.
- Repeated use of the Activities Diary may aid in fatigue self-management.
