EULAR points to consider for the development, evaluation and implementation of mobile health applications aiding self-management in people living with rheumatic and musculoskeletal diseases

Abstract

Background Mobile health applications (apps) are available

to enable people with rheumatic and musculoskeletal diseases

(RMDs) to better self-manage their health. However, guidance

on the development and evaluation of such apps is lacking.

Objectives The objective of this EULAR task force was

to establish points to consider (PtC) for the development,

evaluation and implementation of apps for self-management

of RMDs.

Methods A systematic literature review of app content and

development strategies was conducted, followed by patient

focus group and an online survey. Based on this information

and along with task force expert opinion, PtC were formulated

in a face-to-face meeting by a multidisciplinary task force

panel of experts, including two patient research partners. The

level of agreement among the panel in regard to each PtC was

established by anonymous online voting.

Results Three overarching principles and 10 PtC were

formulated. Three PtC are related to patient safety, considered

as a critical issue by the panel. Three are related to relevance

of the content and functionalities. The requirement for

transparency around app development and funding sources,

along with involvement of relevant health professionals, were

also raised. Ease of app access across ages and abilities was

highlighted, in addition to considering the cost benefit of apps

from the outset. The level of agreement was from 8.8 to 9.9

out of 10.

Conclusion These EULAR PtC provide guidance on important

aspects that should be considered for the development,

evaluation and implementation of existing and new apps.