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Real-world usage of digital health applications (DiGA) in rheumatology: results from a German patient survey
Open accessAbstract
Mobile health applications and digital therapeutics (DTx) aim to improve current patient care. Real-world data on DTx are, however, scarce. The aim of this study was to evaluate the adherence, acceptance, and efficacy of DTx in a clinical routine rheumatology setting. We conducted a prospective observational cohort study assessing the use, adherence, acceptance, and efficacy of the DTx DiGA ( Digitale Gesundheitsanwendungen ) by survey over 12 weeks. Patients included had to have a rheumatic disease and had been prescribed a DiGA. Acceptance was assessed using the Net promoter score (NPS). 48 patients were prescribed DiGA. Of these, 39/48 (81%) completed the follow-up survey. 21/39 (54%) patients downloaded the DTx and 20/39 (51%) used the DTx at least once. 9/39 (23%) of patients stopped quickly afterward and 5/39 (13%) reported having completed the whole DTx program. Lack of time and commitment were reported as the main reasons for non-use. Overall acceptance of DiGA was high (Net promoter score (NPS) mean (SD) 7.8/10 (2.3)). While the majority of patients (60%) reported no improvement, one subgroup of patients (7/20, 35%) who regularly used an exercise-based DTx for back pain reported symptom improvement. Acceptance of DTx in patients with rheumatic diseases is high, however onboarding to DTx use and adherence to DTx is still challenging in patients with rheumatic diseases. In a subgroup of patients with back pain, however, the use of an exercise-based DTx led to symptom improvement.
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“These findings align with previous research39,40, underscoring the potential for digital tools in managing chronic conditions and providing a foundation for future innovations in this field.”
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Metadata
- Authors
- Labinsky, H., Gupta, L., Raimondo, M. G., Schett, G., & Knitza, J.
- Affiliations
- Friedrich-Alexander-Universität Erlangen-Nürnberg (DE)
- Sandwell & West Birmingham Hospitals NHS Trust (GB)
- Corresponding author
- Knitza, Johannes
- Venue
- Rheumatology International
- Published
- 2022-12-21
- Volume
- 43
- Issue
- 4
- Pages
- 713-719
- ISSN
- 0172-8172 (ISSN-L)
- 1437-160X
- PMC
- PMC9770561
- OpenAlex
- W4312059558
- Cited by
- 62
- References
- 22
- Citations by year
- 2026: 13 · 2025: 16 · 2024: 25 · 2023: 8
- FWCI
- 14.06
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Rheumatology International (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, cc-by)
- Research Explorer (The University of Manchester) (submittedVersion, cc-by)
- Funders
- DFG (2886)
- Universitätsklinikum Erlangen
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- digital therapeutics, DiGA, mobile health apps, rheumatic diseases, medication adherence, patient acceptance, back pain, symptom improvement, real-world applications, Net Promoter Score
- MeSH terms
- Back Pain, Humans, Prospective Studies, Rheumatic Diseases, Rheumatology, Mobile Applications
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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