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. 2018 Jun 11;4:19. doi: 10.21037/mhealth.2018.05.05

Table 5. Recommended changes to MyHealthyGut from Round 1 pilot testing.

Theme Change Explanation
Wave 1
   Function Improve onboarding process Enhance ease of use and accelerate learning to use the app. Explain how to use way-finding (accordion feature) in the app
Modify symptom reporting Increase number of symptoms you are able to report, and number of bowel movements
Reformat 7-day meal plan Include ability to search for recipes by meal (i.e., breakfast, snack) or by 7-day plan
Add journaling for general digestive health Expand food journaling option so it is available to non-diagnosed celiac
   Features Modify ingredient entry for food journaling Create an attachment feature so long ingredient lists can be added to journal through picture or link
   Content Increase educational content Include information on digestive issues often associated with celiac disease (i.e., IBS), and for general digestive health
   General feedback More used the app, more liked and enjoyed it! Majority were very interested in using an app, and wanted more help managing celiac disease, particularly a list of grocery stores in local city to buy specialty items, safe restaurants (by location), ability to connect with others (online forum), and top request in focus groups was ability to use barcode scanning
Wave 2
   Feature Add tap on feature to explain symbols in food list Explanation of symbols in food lists
   Content Add colour symbols in food lists Change colours of symbols—green for check mark, yellow for caution, red for x
Remove barley from meal plan Although barley was in the general digestive health meal plan (not GF), it created considerable confusion among diagnosed celiac participants
   General feedback Similar general feedback as in Wave 1
Furthermore, even though majority said no would not recommend the app in the online questionnaire, when discussing in focus group, all said they definitely would recommend to others struggling with digestive issues
Love the meal plan