Chronic Disease, Rheumatic Diseases
Conditions
Keywords
self-management, health assets, Strengths, mHealth, Feasibility
Brief summary
Self-management of chronic illness can be highly demanding and people need to mobilize their personal strengths in order to live well with their condition. A mobile application was designed in collaboration with people with chronic illness and health care providers with the aims to support awareness of patients' strengths and patient-provider dialogues that include strengths. The aim of the present study is to evaluate with mixed methods the perceived usefulness and usability of the application and potential effects of the application on patients.
Detailed description
In this pre-post design pilot study participants will be recruited from self-management courses for people with rheumatic diseases. Before using the application participants will be asked to report their strengths in a written format. After using the mobile application to reflect on their strengths the participants will be interviewed about their experience of using the application and on the task of reflecting on their strengths. They will also be asked to fill out a questionnaire on perceived usefulness and user-friendliness. Before and after using the application the participants fill out questionnaires on emotions (Positive and Negative Affective Scale) and self-efficacy (The Arthritis Self-efficacy Scale). All interviews will be audio-taped and analyzed with a qualitative approach. Descriptive analysis will be applied for quantitative data.
Interventions
DEVICEMobile application
Use of a mobile application (on a borrowed device) with following features: 1) strengths reflection and identification, 2) summary of registered strengths, 3) defining goals, and 4) linking strengths to goals.
Sponsors
South-Eastern Norway Regional Health Authority
Diakonhjemmet Hospital
Oslo University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DEVICE_FEASIBILITY
Masking
NONE
Intervention model description
Participants will be recruited to a pre-post design study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
Setting 1: Inclusion Criteria: * Age of 18 years or older * Can read and speak Norwegian language * Diagnosed with a chronic condition * Participating or having recently participated in a learning and mastery or an outpatient rehabilitation program No
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perceived Usefulness of the Application | Within an hour after using the application | Study-specific questions on perceived usefulness of the application |
| The System Usability Scale | Within an hour after using the application | This 10 item questionnaire measures usability. Each item has 5 response options with total score ranging from 0 to 100. Higher values represent a better outcome. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Positive and Negative Affect Schedule. | Pre-intervention and post-intervention, within an hour after using the application | This scale measures positive and negative affect with two subscales (positive affect and negative affect). Positive affect subscale scores can range from 10-50, with higher scores representing higher levels of positive affect. Negative affect subscale scores can range from 10-50, with lower scores representing lower levels of negative affect. |
| The Arthritis Self-efficacy Scale | Pre-intervention and post-intervention, within an hour after using the application | This scale measures self-efficacy with two subscales with 5 response options. The pain subscale has 5 items and a score range from 0 to 20. The other symptoms subscale has 6 items and a score range from 0 to 24. Higher scores equal higher levels of self-efficacy. |
Countries
Norway
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Mobile Application Participants recruited from a self-management course are asked to use (single time) a mobile application to support reflection of personal strengths. The participant borrows an Ipad and uses the application to 1) reflect and identify their strengths by reviewing a list of examples, 2) define personal goals, and 3) link strengths to goals.
Mobile application: Use of a mobile application (on a borrowed device) with following features: 1) strengths reflection and identification, 2) summary of registered strengths, 3) defining goals, and 4) linking strengths to goals. | 12 |
| Total | 12 |
Baseline characteristics
| Characteristic | Mobile Application | — |
|---|---|---|
| Age, Continuous | 50.0 years | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Sex: Female, Male Female | 11 Participants | — |
| Sex: Female, Male Male | 1 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 12 |
| other Total, other adverse events | 0 / 12 |
| serious Total, serious adverse events | 0 / 12 |
Outcome results
Primary
Perceived Usefulness of the Application
Study-specific questions on perceived usefulness of the application
Time frame: Within an hour after using the application
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to see an overview of my own strengths | Neutral | 2 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to see an overview of my own strengths | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was boring to use the app | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was meaningful and relevant to use the app | Agree or strongly agree | 12 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was meaningful and relevant to use the app | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was meaningful and relevant to use the app | Neutral | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was meaningful and relevant to use the app | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | I became more aware of my own strengths by using the app | Agree or strongly agree | 9 Participants |
| Mobile Application | Perceived Usefulness of the Application | I became more aware of my own strengths by using the app | Disagree or strongly disagree | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | I became more aware of my own strengths by using the app | Neutral | 2 Participants |
| Mobile Application | Perceived Usefulness of the Application | I became more aware of my own strengths by using the app | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to see an overview of my own strengths | Agree or strongly agree | 10 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to see an overview of my own strengths | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to register a goal | Agree or strongly agree | 5 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to register a goal | Disagree or strongly disagree | 2 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to register a goal | Neutral | 4 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to register a goal | Mssing | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to link the strengths to concrete goals | Agree or strongly agree | 6 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to link the strengths to concrete goals | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to link the strengths to concrete goals | Neutral | 5 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was useful for me to be able to link the strengths to concrete goals | Mssing | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | I liked the possibility to register my own notes | Agree or strongly agree | 7 Participants |
| Mobile Application | Perceived Usefulness of the Application | I liked the possibility to register my own notes | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | I liked the possibility to register my own notes | Neutral | 4 Participants |
| Mobile Application | Perceived Usefulness of the Application | I liked the possibility to register my own notes | Mssing | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | For me it would be relevant to share the overview of my strengths with my healthcare provider | Agree or strongly agree | 8 Participants |
| Mobile Application | Perceived Usefulness of the Application | For me it would be relevant to share the overview of my strengths with my healthcare provider | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | For me it would be relevant to share the overview of my strengths with my healthcare provider | Neutral | 4 Participants |
| Mobile Application | Perceived Usefulness of the Application | For me it would be relevant to share the overview of my strengths with my healthcare provider | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was boring to use the app | Agree or strongly agree | 2 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was boring to use the app | Disagree or strongly disagree | 9 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was boring to use the app | Neutral | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was demanding for me to use the app | Agree or strongly agree | 1 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was demanding for me to use the app | Disagree or strongly disagree | 11 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was demanding for me to use the app | Neutral | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | It was demanding for me to use the app | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would like to have the app on my own mobile devise | Agree or strongly agree | 7 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would like to have the app on my own mobile devise | Disagree or strongly disagree | 2 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would like to have the app on my own mobile devise | Neutral | 3 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would like to have the app on my own mobile devise | Mssing | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would recommend the app to others in my situation | Agree or strongly agree | 9 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would recommend the app to others in my situation | Disagree or strongly disagree | 0 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would recommend the app to others in my situation | Neutral | 3 Participants |
| Mobile Application | Perceived Usefulness of the Application | I would recommend the app to others in my situation | Mssing | 0 Participants |
Primary
The System Usability Scale
This 10 item questionnaire measures usability. Each item has 5 response options with total score ranging from 0 to 100. Higher values represent a better outcome.
Time frame: Within an hour after using the application
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Mobile Application | The System Usability Scale | 86.3 score on a scale |
Secondary
The Arthritis Self-efficacy Scale
This scale measures self-efficacy with two subscales with 5 response options. The pain subscale has 5 items and a score range from 0 to 20. The other symptoms subscale has 6 items and a score range from 0 to 24. Higher scores equal higher levels of self-efficacy.
Time frame: Pre-intervention and post-intervention, within an hour after using the application
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Mobile Application | The Arthritis Self-efficacy Scale | Other symptoms sub scale (pre-intervention) | 16.0 score on a scale |
| Mobile Application | The Arthritis Self-efficacy Scale | Pain sub scale (pre-intervention) | 12.0 score on a scale |
| Mobile Application | The Arthritis Self-efficacy Scale | Pain sub scale (post-intervention) | 14.0 score on a scale |
| Mobile Application | The Arthritis Self-efficacy Scale | Other symptoms subscale (post-intervention) | 17.0 score on a scale |
Secondary
The Positive and Negative Affect Schedule.
This scale measures positive and negative affect with two subscales (positive affect and negative affect). Positive affect subscale scores can range from 10-50, with higher scores representing higher levels of positive affect. Negative affect subscale scores can range from 10-50, with lower scores representing lower levels of negative affect.
Time frame: Pre-intervention and post-intervention, within an hour after using the application
| Arm | Measure | Group | Value (MEDIAN) |
|---|---|---|---|
| Mobile Application | The Positive and Negative Affect Schedule. | Positive emotion sub scale (pre-intervention) | 34.0 score on a scale |
| Mobile Application | The Positive and Negative Affect Schedule. | Positive emotion sub scale (post-intervention) | 35.0 score on a scale |
| Mobile Application | The Positive and Negative Affect Schedule. | Negative emotion subscale (pre-intervention) | 12.0 score on a scale |
| Mobile Application | The Positive and Negative Affect Schedule. | Negative emotion (post-intervention) | 11.0 score on a scale |