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Engagement, Retention, and Acceptability in a Digital Health Program for Atopic Dermatitis: Prospective
Sigrídur Lára Gudmundsdóttir1,2, Tommaso Ballarini3, María L Ámundadóttir1
1Sidekick Health Digital Therapeutics, Kopavogur, Iceland.
JMIR Formative Research
|March 28, 2023
Summary
A digital health program showed high engagement and retention for atopic dermatitis patients, improving symptoms and quality of life. This mobile health intervention is feasible and beneficial for managing eczema.
Area of Science:
- Digital health interventions
- Mobile health (mHealth)
- Atopic dermatitis management
Background:
- Atopic dermatitis significantly impacts quality of life (QoL) through chronic eczema, pruritus, and pain.
- Poor treatment adherence and disease understanding are challenges in long-term atopic dermatitis management.
- Digital therapeutics offer a promising approach to support patients and improve QoL.
Purpose of the Study:
- To assess the feasibility of a digital health program for atopic dermatitis.
- Evaluate program engagement, retention, and user acceptability.
- Determine the impact on patient-reported outcomes and quality of life.
Main Methods:
- A 6-week smartphone app-based digital health program was implemented in Iceland.
- Program components included education, medication reminders, patient-reported outcomes (PROs), meditation, and lifestyle coaching.
- Feasibility was measured by app retention and engagement; user satisfaction was assessed using the mHealth App Usability Questionnaire (MAUQ).
Main Results:
- High completion rate (95%) with significant daily app engagement (6.5 days/week, 8.2 missions/day).
- Strong engagement with education, medication reminders, and PROs; notable reduction in atopic dermatitis symptom severity and improvement in QoL PROs.
- High user satisfaction (6.2/7) indicates program acceptability.
Conclusions:
- The digital health program demonstrated high feasibility, engagement, and retention in atopic dermatitis patients.
- The intervention successfully reduced symptom severity and improved quality of life indicators.
- Digital health programs show potential as a valuable tool for atopic dermatitis management.
