Please use this identifier to cite or link to this item: doi:10.22028/D291-31266
Title: A Possible Mobile Health Solution in Orthopedics and Trauma Surgery: Development Protocol and User Evaluation of the Ankle Joint App
Author(s): Dittrich, Florian
Back, David Alexander
Harren, Anna Katharina
Jäger, Marcus
Landgraeber, Stefan
Reinecke, Felix
Beck, Sascha
Language: English
Title: JMIR mHealth and uHealth
Volume: 8
Issue: 2
Publisher/Platform: JMIR Publications
Year of Publication: 2020
Free key words: smartphone
ankle sprain
rehabilitation
self-care
mHealth
mobile phone
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Background: Ankle sprains are one of the most frequent sports injuries. With respect to the high prevalence of ankle ligament injuries and patients’ young age, optimizing treatment and rehabilitation is mandatory to prevent future complications such as chronic ankle instability or osteoarthritis. Objective: In modern times, an increasing amount of smartphone usage in patient care is evident. Studies investigating mobile health (mHealth)–based rehabilitation programs after ankle sprains are rare. The aim of this study was to expose any issues present in the development process of a medical app as well as associated risks and chances. Methods: The development process of the Ankle Joint App was defined in chronological order using a protocol. The app’s quality was evaluated using the (user) German Mobile App Rating Scale (MARS-G) by voluntary foot and ankle surgeons (n=20) and voluntary athletes (n=20). Results: A multidisciplinary development team built a hybrid app with a corresponding backend structure. The app’s content provides actual medical literature, training videos, and a log function. Excellent interrater reliability (interrater reliability=0.92; 95% CI 0.86-0.96) was obtained. The mean overall score for the Ankle Joint App was 4.4 (SD 0.5). The mean subjective quality scores were 3.6 (surgeons: SD 0.7) and 3.8 (athletes: SD 0.5). Behavioral change had mean scores of 4.1 (surgeons: SD 0.7) and 4.3 (athletes: SD 0.7). The medical gain value, rated by the surgeons only, was 3.9 (SD 0.6). Conclusions: The data obtained demonstrate that mHealth-based rehabilitation programs might be a useful tool for patient education and collection of personal data. The achieved (user) MARS-G scores support a high quality of the tested app. Medical app development with an a priori defined target group and a precisely intended purpose, in a multidisciplinary team, is highly promising. Follow-up studies are required to obtain funded evidence for the ankle joints app’s effects on economical and medical aspects in comparison with established nondigital therapy paths.
DOI of the first publication: 10.2196/16403
Link to this record: urn:nbn:de:bsz:291--ds-312664
hdl:20.500.11880/29296
http://dx.doi.org/10.22028/D291-31266
ISSN: 2291-5222
Date of registration: 22-Jun-2020
Faculty: M - Medizinische Fakultät
Department: M - Orthopädie
Professorship: M - Keiner Professur zugeordnet
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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