Digital biomarkers for psoriatic arthritis: a qualitative focus group study on patient-perceived opportunities and barriers.

IF 5.1 2区 医学 Q1 RHEUMATOLOGY
Patty de Groot, Wendy Wagenaar, Jasper Foolen, Ilja Tchetverikov, Yvonne P M Goekoop-Ruiterman, Marijn Vis, Marc R Kok, Laura C Coates, Jolanda J Luime
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Abstract

Objectives: The widespread adoption of wearables, for example, smartphones and smartwatches in the daily lives of the general population, allows passive monitoring of physiological and behavioural data in the real world. This qualitative study explores the perspective of psoriatic arthritis (PsA) patients towards these so-called digital biomarkers (dBMs).

Methods: As part of a Design Thinking approach, six focus groups were conducted involving 27 PsA patients. The semistructured topic guide included disease activity, coping strategies, care needs, and potential advantages and disadvantages of dBMs. Thematic analysis followed an abductive coding method.

Results: PsA daily permeates patients' lives, both physically and mentally. Participants discussed how their lives are focused on minimising the impact of the disease on their daily routines. Their attempts to gain control over their disease highly depend on trial and error. Flare-ups are related to physiological as well as behavioural micro and macro changes. Understanding these changes could enable the detection of (early) flare. Participants elicited pros and cons of the use of dBMs, discussed their intended use and made practical remarks. This led to three main themes: 'Perceived dBM opportunities', 'Mapping Disease activity' and 'Perceived dBM barriers and pitfalls'.

Conclusion: PsA patients are receptive to dBMs for tracking the disease symptoms. Disease activity is regarded multifaceted and thus, dBMs should include a broad range of features to truly reflect the disease activity status. Reducing the time of trial and error in learning to manage the disease is regarded beneficial. Establishing and maintaining the relationship with their attending physicians is a prerequisite, even if remote patient monitoring becomes an alternative for some physical hospital visits.

银屑病关节炎的数字生物标记物:关于患者感知的机遇与障碍的焦点小组定性研究。
目的:随着智能手机和智能手表等可穿戴设备在普通人日常生活中的广泛应用,人们可以在现实世界中对生理和行为数据进行被动监测。这项定性研究探讨了银屑病关节炎(PsA)患者对这些所谓数字生物标记物(dBMs)的看法:作为 "设计思维 "方法的一部分,我们开展了六个焦点小组,共有 27 名 PsA 患者参加。半结构化主题指南包括疾病活动、应对策略、护理需求以及 dBM 潜在的优缺点。主题分析采用归纳编码法:PsA 每天都渗透到患者的身心生活中。参与者讨论了他们的生活如何将疾病对日常生活的影响降至最低。他们试图控制病情的努力在很大程度上取决于尝试和错误。疾病发作与生理以及行为的微观和宏观变化有关。了解这些变化可以帮助发现(早期)复发。与会者提出了使用 dBMs 的利弊,讨论了其预期用途,并发表了实际意见。由此产生了三大主题:"认为使用dBM的机会"、"绘制疾病活动图 "和 "认为使用dBM的障碍和陷阱":结论:PsA 患者乐于使用 dBM 追踪疾病症状。疾病活动被认为是多方面的,因此,dBM 应包括广泛的特征,以真实反映疾病活动状态。减少患者在学习管理疾病过程中反复试验的时间被认为是有益的。与主治医师建立并保持联系是前提条件,即使远程病人监护可以替代一些实际的医院就诊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
RMD Open
RMD Open RHEUMATOLOGY-
CiteScore
7.30
自引率
6.50%
发文量
205
审稿时长
14 weeks
期刊介绍: RMD Open publishes high quality peer-reviewed original research covering the full spectrum of musculoskeletal disorders, rheumatism and connective tissue diseases, including osteoporosis, spine and rehabilitation. Clinical and epidemiological research, basic and translational medicine, interesting clinical cases, and smaller studies that add to the literature are all considered.
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