Development of an Application for Self-Monitoring to Empower Patients With Rheumatoid Arthritis (MyRA)
Authors' conclusion
A web-based self-monitoring application (MyRA) was developed, with an avatar that asks patients through dialogues to score 6 domains, with graphical displays, diary functionality, and practical tips.
Study context
- Population
- Patients with rheumatoid arthritis (RA) and different stakeholders
- Outcome
- Usability: formative (heuristics evaluation) and summative (SUS 0-100; ≥ 68 good to excellent)
Methodological detailsdesign-thinking, cocreative, design-thinking approach, 3 iterative, cocreative phases, focus groups, cocreation sessions, heuristics evaluation, system usability scale, 2 focus groups (empathize and define phase), 2 cocreation sessions (ideation phase), Prototyping and testing phase: usability assessed
- Design-thinking, cocreative
- Design-thinking approach
- 3 iterative, cocreative phases
- Focus groups
- Cocreation sessions
- Heuristics evaluation
- System usability scale
- 2 focus groups (empathize and define phase)
- 2 cocreation sessions (ideation phase)
- Prototyping and testing phase: usability assessed
Main finding
As reported in the abstract
Usability (SUS 0-100; ≥ 68 good to excellent)
Mean SUS score (SD 11.6)
84.4
Further findings
Focus groups: what and how to monitor
- Shortlist to monitor: physical function, quality of life, pain, fatigue, mental well-being, social participation
- Preferences: single-item questions, 0-10 scale, use as needed
Cocreation sessions
- Preference for empathetic dialogues with an avatar for self-monitoring
- Setting goals, adding notes, sharing results and receiving tips could further increase motivation for use
Points for improvement
- Simplifying login procedures, adding notifications, adjusting the avatar's tone of voice
Original publication
Development of an Application for Self-Monitoring to Empower Patients With Rheumatoid Arthritis (MyRA). J Rheumatol. Published 1 March 2025. doi:10. 3899/ jrheum. 2024-1071
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