Rheumatoid arthritis

Development of an Application for Self-Monitoring to Empower Patients With Rheumatoid Arthritis (MyRA)

J RheumatolPublished Development and usability study

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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