Pilot and feasibility of the SMART IBD mobile app to improve self‐management in pediatric inflammatory bowel disease

Author:

Hommel Kevin A.12,Noser Amy E.3,Plevinsky Jill4,Gamwell Kate5,Denson Lee A.26

Affiliation:

1. Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center Center for Adherence and Self‐Management Cincinnati Ohio USA

2. Department of Pediatrics University of Cincinnati College of Medicine Birmington Alabama USA

3. Department of Family Medicine and Community Health University of Minnesota Medical School Minneapolis Minnesota USA

4. Children's Hospital of Philadelphia Greenville South Carolina USA

5. Children's Hospital in the Upstate University of South Carolina School of Medicine Greenville Cincinnati Ohio USA

6. Division of Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center Birmington Alabama USA

Abstract

AbstractObjectivesAccess to evidence‐based self‐management support in pediatric inflammatory bowel disease (IBD) is a significant challenge. Digital therapeutic solutions can increase access and provide data to patients and providers that would otherwise not be available. We have iteratively developed a mobile application, Self‐Management Assistance with Recommended Treatment (SMART) IBD, that allows patients to access self‐management support and record symptoms and medication adherence.MethodsWe conducted a pilot and feasibility study for this digital therapeutic tool in which patients used SMART IBD for 30 days.ResultsResults indicated that patients rated the app quality as good and accessed the app adequately overall, with some pages being used often. Medication adherence increased over the course of the study and was associated with sleep duration, mood, and stool consistency and blood content.ConclusionsOverall, this study demonstrated adequate feasibility for the SMART IBD app and initial findings suggest that additional research is needed to explore the potential impact of this tool in clinical care.

Publisher

Wiley

Reference18 articles.

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4. The role of effective communication with children and their families in fostering adherence to pediatric regimens

5. Medication compliance: a healthcare problem;Berg JS;Ann Pharmacother,1993

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