Table 2.
Recommendations from health care professionals on improvements.
| Response | Number of responses | Details of the recommendation | Recommendation already implemented during usability testing |
| Expand components included in the tool or include additional questions | 162 | Add disease duration; add treatment adherence | N/Aa |
| Interpretation of the traffic light output | 79 | Elaborate on the explanation or quantify the output | N/A |
| Improve or expand on the cognitive assessment | 69 | Include an interface with cognitive assessment scales | N/A |
| Include additional variables | 57 | Add more details on the impact of disease on daily activities, for example, relationships, social, work, sexuality, and emotional state | N/A |
| Improve tool sensitivity | 56 | Improve sensitivity of the tool | Improved sensitivity for patients with lower EDSSb scores and with confounding symptoms such as fatigue |
| Include longitudinal follow-up | 29 | N/A | Included in observational studies for longitudinal monitoring; incorporated in electronic health records |
| Improve the user interface | 29 | N/A | User interface was improved on an ongoing basis |
| Provide a patient version | 18 | N/A | Development was ongoing in parallel to the usability testing. Meanwhile, the Your MSc questionnaire is ready |
aN/A: not applicable or implemented.
bEDSS: Expanded Disability Status Scale.
cMS: multiple sclerosis.