A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency
Main finding · Estimated monthly visit volume, year using the applicationResult — go to the resultDifference in the differences −2.7 visits 95% CI −9.3 to 4.0Authors' conclusion
In this initial trial of a PRO application intervention to improve visit efficiency, we found no association with reduced visit volume.
Study context
- Population
- Patients with rheumatoid arthritis (RA), 2020–2023 (median age 62 years, 83% female, 50% seropositive)
- Participants
- 150 vs 150
- Comparison
- Mobile health patient-reported outcome (PRO) application integrated in the electronic health record (EHR) vs matched controls
- Applicationn = 150
- Controlsn = 150reference
- Outcome
- Monthly visit volume during the year before vs the year after initiation
- Follow-up
- Year after initiation
Methodological detailsmatched controls
- Matched controls
Main finding
As reported in the abstract
Estimated monthly visit volume, year using the application
Difference in the differences
−2.7 visits
95% CI −9.3 to 4.0
By group
Application
36.8
95% CI 33.4–40.3
Controls
38.7
95% CI 35.2–42.3
Applicationvs Controls
difference in the differences −2.7 visits (95% CI −9.3 to 4.0)
Further findings
Median
| Outcome | Application | Controls |
|---|---|---|
| Estimated monthly median visit volume, year before application use · year before initiation | 31.2 (95% CI 28.0–34.3) | 30.4 (95% CI 27.3–33.6) |
Flare rates and visit delays
- No differences noted
Original publication
A Mobile Health Application Integrated in the Electronic Health Record for Rheumatoid Arthritis Patient–Reported Outcomes: A Controlled Interrupted Time‐Series Analysis of Impact on Visit Efficiency. Arthritis Rheumatol. Published 16 January 2024. doi:10.
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