Self-Management of Rheumatoid Arthritis: Mobile Applications

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RHEUMATOID ARTHRITIS (L MORELAND, SECTION EDITOR)

Self-Management of Rheumatoid Arthritis: Mobile Applications Elizabeth Mollard 1

&

Kaleb Michaud 2

Accepted: 15 November 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose of Review To review the self-management of rheumatoid arthritis (RA) using mobile applications. Recent Findings Recent research supports that self-management not only can be an empowering behavior for an individual but also has been shown to improve health outcomes in RA. Mobile health applications are growing in popularity and adoption. Emerging evidence supports that using a mobile application for RA self-management may reduce disease activity and improve health outcomes. Summary This review discusses mobile applications designed to improve self-management of RA as well as applications not specific to RA that also may be useful for self-management in this population. Future research should focus on the efficacy of mobile apps for health outcomes and ways to improve the adoption of and adherence to mobile apps in individuals with RA. Keywords Rheumatoid arthritis . Self-management . Mobile application . mHealth . Smartphone . Incentivization

Introduction Mobile technology has become a ubiquitous part of human life in both developed and developing countries. Up to 90% of consumer time on smartphones is spent using mobile applications (apps) [1]. With the normalization of mobile app technology for nearly all facets of life, it was only natural that health care–related services would become available in this modality. There are upwards of 318,000 mobile health applications available to consumers, and 60% of patients report using a mobile health app [2, 3]. Health care providers themselves are more frequently using mobile applications in their health care practices, with the American Medical Association encouraging evidence-based integration of mobile health into health care practice [4]. The shift toward mobile health has changed health care in many ways. No longer is the patient only a participant in their health care when visiting their Topical Collection on Rheumatoid Arthritis * Kaleb Michaud [email protected] Elizabeth Mollard [email protected] 1

University of Nebraska Medical Center, 550 N. 19th Street, #357, Lincoln, NE 68508-0620, USA

2

986270 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE 68198-6270, USA

doctor’s office; they now have information, tools, and access to experts at arm’s length. The rapid advance of mobile technology and mobile health apps has been especially significant for persons with rheumatoid arthritis (RA), a chronic and progressive disease that requires daily self-management for both quality and longevity of life. Self-management of RA requires an individual to have the confidence and skills to manage and live well with their disease [5]. Self-management in RA may include individualized education on RA, selfmonitoring and tracking of symptoms or flares, goal setting and behavioral cha