Collecting patient-reported outcomes via the COTIDIANA smartphone app: a prospective validity study

RMD OpenPublished Prospective validity study

Authors' conclusion

Reliability was particularly stable at shorter intervals with more variation over time. Convergent validity was high between daily and weekly assessment.

Study context

Population
Outpatients ≥18 years with Sjögren's disease (SjD), osteoarthritis (OA) or psoriatic arthritis (PsA) completing short daily and weekly smartphone electronic patient-reported outcomes (ePROMs) (VAS: PGA, pain, anxiety and depression, fatigue, sleep) for 14 days76.12% female
Participants
48 outpatients
Exposure
SjD vs PsA vs OA
  • SjDn = 18
  • PsAn = 20
  • OAn = 10
Outcome
Test-retest reliability (ICC, SDD) for 1-6-day intervals; convergent validity of daily vs weekly ePROMs
Follow-up
14 days
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Test-retest reliability of ePROMs
1-day interval intraclass correlation (ICC), all domains
0.84 and 0.89
1-day interval SDD, all domains
1.04 to 2.10
6-day interval ICC
0.23 to 0.73
6-day interval SDD
1.89 to 2.88
1-, 2- and 3-day intervals ICC (high reliability)
0.83-0.98

Observational data: associations, not effects.

Further findings

Convergent validity: correlation of daily with weekly ePROM

Pain
0.97
Anxiety and depression
0.94
Fatigue
0.90
Sleep
0.95
PGA
0.94

Original publication

Collecting patient-reported outcomes via the COTIDIANA smartphone app: a prospective validity study. RMD Open. Published 27 June 2025. doi:10.1136/rmdopen-2025-005730

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