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. 2021 Nov 25;5(11):e30495. doi: 10.2196/30495

Table 3.

Summary of patient feedback from qualitative assessment at baseline (N=18).

App feature and areas of high likeability and usability Areas lacking and suggestions for improvement Implications for the patient–HCPa visit
Dashboard

  • Provides a clear overall picture of the patient’s knee OAb

  • Creates visual prompts around issues that patients may want to discuss with their HCP, such as pain in relation to activity levels

  • Likely to improve knowledge of OA—allows patients to moderate symptoms and identify limits

  • Should provide option for adding notes to symptom inputs

  • Include reminders prompting patients to enter their symptoms and ability to enter data retrospectively

  • Text should be enlarged for easier reading

  • Considered the feature that would be most likely to improve communication with HCPs—prompts patients to discuss issues such as pain and impact on activity levels

  • Receptiveness of HCPs was considered a limiting factor


Goals

  • Intuitive and simple to use

  • Useful for encouraging patients to set goals (particularly for those who set goals infrequently); helpful for self-management

  • Goals were considered likely to work for activity and exercise, less so for symptom management

  • Addition of reminders and a built-in reward system would be helpful

  • Should include a notes feature so that patients can enter specifics on what was done to achieve goals

  • Should link pain reduction goals to resources (less of a goal than an outcome)

  • Not considered a useful feature as patients do not typically discuss goals with their HCP

Activities

  • Easy to update, plot, and review activities; liked the calendar view

  • Helpful to remind patients to complete activities

  • Feature needs more specificity; should expand categories, for example, add duration to aerobic activities

  • Present information as bullets and enlarge the font size

  • More detailed instructions on how to use the activity feature

  • Some overlap between activity categories (eg, aquatic and aerobic exercise)

  • Link to exercise resources

  • Not identified as a useful feature for communication with HCPs


Flags

  • Provides important visual link to activity avoidance

  • Encourages patients to be more diligent and in tune with their symptoms

  • Helpful for patients to look back on past flags and observe changes over time

  • Helpful for self-management and avoiding or documenting acute episodes

  • Improve specificity of flags—expand the list of categories so they are more specific

  • Add ≥1 descriptor per flag for improved specificity (eg, pain, low mood, and activity avoidance)

  • Helpful to note what patients would like to discuss with their HCPs

  • Patients expressed that their HCPs may not be keen on using this feature

  • Logging flags would add validity to the issues patients bring to their HCPs

Information

  • Considered the best feature by most patients—particularly the exercise resources

  • Good information from reliable resources


  • Include SMARTc goals link on the main page

  • Include more strengthening exercises and guidance on exercise for specific patients (eg, with or without mobility issues)

  • Could help to encourage discussion of local resources and information that are relevant to specific issues

aHCP: health care provider.

bOA: osteoarthritis.

cSMART: specific, measurable, attainable, relevant, time-based.