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A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation

BACKGROUND: Inflammatory bowel disease (IBD) causes chronic inflammation of the gastrointestinal tract. IBD is characterized by an unpredictable disease course that varies greatly between individuals and alternates between the periods of relapse and remission. A low energy level (fatigue) is a commo...

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Autores principales: Oddsson, Saemundur Jon, Gunnarsdottir, Thrudur, Johannsdottir, Lilja Gudrun, Amundadottir, Maria Lovisa, Frimannsdottir, Arna, Molander, Pauliina, Ylanne, Anna Karoliina, Islind, Anna Sigridur, Oskarsdottir, Maria, Thorgeirsson, Tryggvi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10182451/
https://www.ncbi.nlm.nih.gov/pubmed/37115598
http://dx.doi.org/10.2196/39331
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author Oddsson, Saemundur Jon
Gunnarsdottir, Thrudur
Johannsdottir, Lilja Gudrun
Amundadottir, Maria Lovisa
Frimannsdottir, Arna
Molander, Pauliina
Ylanne, Anna Karoliina
Islind, Anna Sigridur
Oskarsdottir, Maria
Thorgeirsson, Tryggvi
author_facet Oddsson, Saemundur Jon
Gunnarsdottir, Thrudur
Johannsdottir, Lilja Gudrun
Amundadottir, Maria Lovisa
Frimannsdottir, Arna
Molander, Pauliina
Ylanne, Anna Karoliina
Islind, Anna Sigridur
Oskarsdottir, Maria
Thorgeirsson, Tryggvi
author_sort Oddsson, Saemundur Jon
collection PubMed
description BACKGROUND: Inflammatory bowel disease (IBD) causes chronic inflammation of the gastrointestinal tract. IBD is characterized by an unpredictable disease course that varies greatly between individuals and alternates between the periods of relapse and remission. A low energy level (fatigue) is a common symptom, whereas stress and reduced sleep quality may be the triggering factors. Therapeutic guidelines call for effective disease assessment, early intervention, and personalized care using a treat-to-target approach, which may be difficult to achieve through typical time- and resource-constrained standard care. Providing patients with a digital health program that incorporates helpful self-management features and patient support to complement standard care may be optimal for improving the disease course. OBJECTIVE: This study aimed to perform a preliminary program evaluation, analyzing engagement and preliminary effectiveness and the effect on participants’ energy levels (fatigue), stress, and sleep quality, of a newly developed 16-week digital health program (SK-311 and SK-321) for patients with IBD. METHODS: Adults with IBD were recruited to participate in a real-world, live, digital health program via Finnish IBD patient association websites and social media. No inclusion or exclusion criteria were applied for this study. Baseline characteristics were entered by the participants upon sign-up. Platform engagement was measured by tracking the participants’ event logs. The outcome measures of stress, energy levels (fatigue), and quality of sleep were reported by participants through the platform. RESULTS: Of the 444 adults who registered for the digital health program, 205 (46.2%) were included in the intention-to-treat sample. The intention-to-treat participants logged events on average 41 times per week (5.9 times per day) during the weeks in which they were active on the digital platform. More women than men participated in the intervention (126/205, 88.7%). The mean age of the participants was 40.3 (SD 11.5) years, and their mean BMI was 27.9 (SD 6.0) kg/m(2). In total, 80 people provided the required outcome measures during weeks 12 to 16 (completers). Treatment completion was strongly predicted by the number of active days in week 1. Analysis of the completers (80/205, 39%) showed significant improvements for stress (t(79)=4.57; P<.001; percentage change=−23.26%) and energy levels (t(79)=−2.44; P=.017; percentage change=9.48%); however, no significant improvements were observed for quality of sleep (t(79)=−1.32; P=.19). CONCLUSIONS: These results support the feasibility of a digital health program for patients with IBD (SK-311 and SK-321) and suggest that treatment completion might have a substantial positive effect on patient-reported stress and energy levels in a real-world setting. These findings are promising and provide initial support for using the Sidekick Health digital health program to supplement standard care for patients with IBD.
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spelling pubmed-101824512023-05-14 A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation Oddsson, Saemundur Jon Gunnarsdottir, Thrudur Johannsdottir, Lilja Gudrun Amundadottir, Maria Lovisa Frimannsdottir, Arna Molander, Pauliina Ylanne, Anna Karoliina Islind, Anna Sigridur Oskarsdottir, Maria Thorgeirsson, Tryggvi JMIR Form Res Original Paper BACKGROUND: Inflammatory bowel disease (IBD) causes chronic inflammation of the gastrointestinal tract. IBD is characterized by an unpredictable disease course that varies greatly between individuals and alternates between the periods of relapse and remission. A low energy level (fatigue) is a common symptom, whereas stress and reduced sleep quality may be the triggering factors. Therapeutic guidelines call for effective disease assessment, early intervention, and personalized care using a treat-to-target approach, which may be difficult to achieve through typical time- and resource-constrained standard care. Providing patients with a digital health program that incorporates helpful self-management features and patient support to complement standard care may be optimal for improving the disease course. OBJECTIVE: This study aimed to perform a preliminary program evaluation, analyzing engagement and preliminary effectiveness and the effect on participants’ energy levels (fatigue), stress, and sleep quality, of a newly developed 16-week digital health program (SK-311 and SK-321) for patients with IBD. METHODS: Adults with IBD were recruited to participate in a real-world, live, digital health program via Finnish IBD patient association websites and social media. No inclusion or exclusion criteria were applied for this study. Baseline characteristics were entered by the participants upon sign-up. Platform engagement was measured by tracking the participants’ event logs. The outcome measures of stress, energy levels (fatigue), and quality of sleep were reported by participants through the platform. RESULTS: Of the 444 adults who registered for the digital health program, 205 (46.2%) were included in the intention-to-treat sample. The intention-to-treat participants logged events on average 41 times per week (5.9 times per day) during the weeks in which they were active on the digital platform. More women than men participated in the intervention (126/205, 88.7%). The mean age of the participants was 40.3 (SD 11.5) years, and their mean BMI was 27.9 (SD 6.0) kg/m(2). In total, 80 people provided the required outcome measures during weeks 12 to 16 (completers). Treatment completion was strongly predicted by the number of active days in week 1. Analysis of the completers (80/205, 39%) showed significant improvements for stress (t(79)=4.57; P<.001; percentage change=−23.26%) and energy levels (t(79)=−2.44; P=.017; percentage change=9.48%); however, no significant improvements were observed for quality of sleep (t(79)=−1.32; P=.19). CONCLUSIONS: These results support the feasibility of a digital health program for patients with IBD (SK-311 and SK-321) and suggest that treatment completion might have a substantial positive effect on patient-reported stress and energy levels in a real-world setting. These findings are promising and provide initial support for using the Sidekick Health digital health program to supplement standard care for patients with IBD. JMIR Publications 2023-04-28 /pmc/articles/PMC10182451/ /pubmed/37115598 http://dx.doi.org/10.2196/39331 Text en ©Saemundur Jon Oddsson, Thrudur Gunnarsdottir, Lilja Gudrun Johannsdottir, Maria Lovisa Amundadottir, Arna Frimannsdottir, Pauliina Molander, Anna Karoliina Ylanne, Anna Sigridur Islind, Maria Oskarsdottir, Tryggvi Thorgeirsson. Originally published in JMIR Formative Research (https://formative.jmir.org), 28.04.2023. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on https://formative.jmir.org, as well as this copyright and license information must be included.
spellingShingle Original Paper
Oddsson, Saemundur Jon
Gunnarsdottir, Thrudur
Johannsdottir, Lilja Gudrun
Amundadottir, Maria Lovisa
Frimannsdottir, Arna
Molander, Pauliina
Ylanne, Anna Karoliina
Islind, Anna Sigridur
Oskarsdottir, Maria
Thorgeirsson, Tryggvi
A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title_full A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title_fullStr A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title_full_unstemmed A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title_short A New Digital Health Program for Patients With Inflammatory Bowel Disease: Preliminary Program Evaluation
title_sort new digital health program for patients with inflammatory bowel disease: preliminary program evaluation
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10182451/
https://www.ncbi.nlm.nih.gov/pubmed/37115598
http://dx.doi.org/10.2196/39331
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