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Revenäs, Å. (2016). CO-DESIGNING A MOBILE INTERNET SERVICE FOR SELF-MANAGEMENT OF PHYSICAL ACTIVITY IN RHEUMATOID ARTHRITIS. Paper presented at Annual European Congress of Rheumatology (EULAR), JUN 08-11, 2016, London, ENGLAND. Annals of the Rheumatic Diseases, 75, 32-33
Open this publication in new window or tab >>CO-DESIGNING A MOBILE INTERNET SERVICE FOR SELF-MANAGEMENT OF PHYSICAL ACTIVITY IN RHEUMATOID ARTHRITIS
2016 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 75, p. 32-33Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2016
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46009 (URN)10.1136/annrheumdis-2016-eular.6208 (DOI)000401523100125 ()
Conference
Annual European Congress of Rheumatology (EULAR), JUN 08-11, 2016, London, ENGLAND
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H., Ahlen, H., Brusewitz, M., Pettersson, S. & Asenlof, P. (2016). Mobile Internet service for self-management of physical activity in people with rheumatoid arthritis: evaluation of a test version. RMD Open, 2(1), Article ID UNSP e000214.
Open this publication in new window or tab >>Mobile Internet service for self-management of physical activity in people with rheumatoid arthritis: evaluation of a test version
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2016 (English)In: RMD Open, E-ISSN 2056-5933, Vol. 2, no 1, article id UNSP e000214Article in journal (Refereed) Published
Abstract [en]

Objectives: Life-long adherence to health-enhancing physical activity (PA) is a major challenge for people with rheumatoid arthritis (RA). Our aim was to evaluate the utilisation of and experiences with a RA-specific, mobile internet PA support service, 'tRAppen', developed through a co-design process. Methods: 28 participants with RA formed 3 web communities and tested tRAppen for 6 weeks. A mixed-method design was used to combine different types of data. Log data and questionnaire data were analysed quantitatively, while data from telephone interviews were analysed with a directed content analysis. Results: 25 of the 28 participants used tRAppen. Log data indicated that a majority of them registered their PA, sent likes and posted comments to peers, set personal goals and made exercise plans. tRAppen was rated as easy and fun to use, and fairly informative and supportive for PA, and was highly recommended for people with RA. The interview analysis resulted in the following 6 categories describing the utilisation of and experiences with tRAppen: (1) experiences in general, (2) feasibility of features, (3) value as support for PA, (4) enjoyment, (5) ideas for improvements and (6) additional factors. Conclusions: tRAppen is the first co-designed mobile internet service developed specifically for the self management of PA in people with RA. The results are promising and indicate that tRAppen may be useful for supporting a physically active lifestyle in a subpopulation at certain risk of poor health. It will now be revised, launched and continuously updated in an iterative process involving its future users.

Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2016
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46010 (URN)10.1136/rmdopen-2015-000214 (DOI)000443521500029 ()27099777 (PubMedID)
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Martin, C., Opava, C. H., Brusewitz, M., Keller, C. & Asenlof, P. (2015). A Mobile Internet Service for Self-Management of Physical Activity in People With Rheumatoid Arthritis: Challenges in Advancing the Co-Design Process During the Requirements Specification Phase. JMIR Research Protocols, 4(3), Article ID UNSP e111.
Open this publication in new window or tab >>A Mobile Internet Service for Self-Management of Physical Activity in People With Rheumatoid Arthritis: Challenges in Advancing the Co-Design Process During the Requirements Specification Phase
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2015 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 4, no 3, article id UNSP e111Article in journal (Refereed) Published
Abstract [en]

Background: User involvement in the development of health care services is important for the viability, usability, and effectiveness of services. This study reports on the second step of the co-design process. Objective: The aim was to explore the significant challenges in advancing the co-design process during the requirements specification phase of a mobile Internet service for the self-management of physical activity (PA) in rheumatoid arthritis (RA). Methods: A participatory action research design was used to involve lead users and stakeholders as co-designers. Lead users (n=5), a clinical physiotherapist (n=1), researchers (n=2) with knowledge in PA in RA and behavioral learning theories, an eHealth strategist (n=1), and an officer from the patient organization (n=1) collaborated in 4 workshops. Data-collection methods included video recordings and naturalistic observations. Results: The inductive qualitative video-based analysis resulted in 1 overarching theme, merging perspectives, and 2 subthemes reflecting different aspects of merging: (1) finding a common starting point and (2) deciding on design solutions. Seven categories illustrated the specific challenges: reaching shared understanding of goals, clarifying and handling the complexity of participants' roles, clarifying terminology related to system development, establishing the rationale for features, negotiating features, transforming ideas into concrete features, and participants' alignment with the agreed goal and task. Conclusions: Co-designing the system requirements of a mobile Internet service including multiple stakeholders was a complex and extensive collaborative decision-making process. Considering, valuing, counterbalancing, and integrating different perspectives into agreements and solutions (ie, the merging of participants' perspectives) were cmcial for moving the process forward and were considered the core challenges of co-design. Further research is needed to replicate the results and to increase knowledge on key factors for a successful co-design of health care services.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2015
Keywords
eHealth, participatory design, rheumatoid arthritis, user involvement, video observations
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46011 (URN)10.2196/resprot.4824 (DOI)000362730300024 ()26381221 (PubMedID)
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Martin, C., Opava, C. H., Keller, C. & Asenlof, P. (2015). CHALLENGES IN CO-DESIGNING A WEB SERVICE TO SUPPORT SELF-MANAGEMENT OF PHYSICAL ACTIVITY IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS. Annals of the Rheumatic Diseases, 74, 1313-1313
Open this publication in new window or tab >>CHALLENGES IN CO-DESIGNING A WEB SERVICE TO SUPPORT SELF-MANAGEMENT OF PHYSICAL ACTIVITY IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS
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2015 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 74, p. 1313-1313Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2015
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46012 (URN)10.1136/annrheumdis-2015-eular.2583 (DOI)000215799104269 ()
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H., Martin, C., Demmelmaier, I., Keller, C. & Asenlof, P. (2015). Development of a Web-Based and Mobile App to Support Physical Activity in Individuals With Rheumatoid Arthritis: Results From the Second Step of a Co-Design Process. JMIR Research Protocols, 4(1), Article ID UNSP e22.
Open this publication in new window or tab >>Development of a Web-Based and Mobile App to Support Physical Activity in Individuals With Rheumatoid Arthritis: Results From the Second Step of a Co-Design Process
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2015 (English)In: JMIR Research Protocols, ISSN 1929-0748, E-ISSN 1929-0748, Vol. 4, no 1, article id UNSP e22Article in journal (Refereed) Published
Abstract [en]

Background: Long-term adherence to physical activity recommendations remains challenging for most individuals with rheumatoid arthritis (RA) despite evidence for its health benefits. Objective: The aim of this study was to provide basic data on system requirement specifications for a Web-based and mobile app to self-manage physical activity. More specifically, we explored the target user group, features of the future app, and correlations between the system requirements and the established behavior change techniques (BCTs). Methods: We used a participatory action research design. Qualitative data were collected using multiple methods in four workshops. Participants were 5 individuals with RA, a clinical physiotherapist, an officer from the Swedish Rheumatism Association, a Web designer, and 2 physiotherapy researchers. A taxonomy was used to determine the degree of correlation between the system requirements and established BCTs. Results: Participants agreed that the future Web-based and mobile app should be based on two major components important for maintaining physical activity: (1) a calendar feature for goal setting, planning, and recording of physical activity performance and progress, and (2) a small community feature for positive feedback and support from peers. All system requirements correlated with established BCTs, which were coded as 24 different BCTs. Conclusions: To our knowledge, this study is the first to involve individuals with RA as co-designers, in collaboration with clinicians, researchers, and Web designers, to produce basic data to generate system requirement specifications for an eHealth service. The system requirements correlated to the BCTs, making specifications of content and future evaluation of effectiveness possible.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC, 2015
Keywords
eHealth, Internet intervention, physical activity, rheumatoid arthritis, behavior change techniques, participatory design
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46013 (URN)10.2196/resprot.3795 (DOI)000360016500022 ()25665589 (PubMedID)
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H., Demmelmaier, I., Keller, C. & Asenlof, P. (2014). Development of a Web and Mobile Application (WeMApp) to support physical activity in rheumatoid arthritis: results from the second step of a co-design process. Scandinavian Journal of Rheumatology, 43, 79-79
Open this publication in new window or tab >>Development of a Web and Mobile Application (WeMApp) to support physical activity in rheumatoid arthritis: results from the second step of a co-design process
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2014 (English)In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, E-ISSN 1502-7732, Vol. 43, p. 79-79Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
INFORMA HEALTHCARE, 2014
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46015 (URN)000341757300119 ()
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H. & Asenlof, P. (2014). Lead users' ideas on core features to support physical activity in rheumatoid arthritis: a first step in the development of an internet service using participatory design. BMC Medical Informatics and Decision Making, 14, Article ID 21.
Open this publication in new window or tab >>Lead users' ideas on core features to support physical activity in rheumatoid arthritis: a first step in the development of an internet service using participatory design
2014 (English)In: BMC Medical Informatics and Decision Making, ISSN 1472-6947, E-ISSN 1472-6947, Vol. 14, article id 21Article in journal (Refereed) Published
Abstract [en]

Background: Despite the growing evidence of the benefits of physical activity (PA) in individuals with rheumatoid arthritis (RA), the majority is not physically active enough. An innovative strategy is to engage lead users in the development of PA interventions provided over the internet. The aim was to explore lead users' ideas and prioritization of core features in a future internet service targeting adoption and maintenance of healthy PA in people with RA. Methods: Six focus group interviews were performed with a purposively selected sample of 26 individuals with RA. Data were analyzed with qualitative content analysis and quantification of participants' prioritization of most important content. Results: Six categories were identified as core features for a future internet service: up-to-date and evidence-based information and instructions, self-regulation tools, social interaction, personalized set-up, attractive design and content, and access to the internet service. The categories represented four themes, or core aspects, important to consider in the design of the future service: (1) content, (2) customized options, (3) user interface and (4) access and implementation. Conclusions: This is, to the best of our knowledge, the first study involving people with RA in the development of an internet service to support the adoption and maintenance of PA. Participants helped identifying core features and aspects important to consider and further explore during the next phase of development. We hypothesize that involvement of lead users will make transfer from theory to service more adequate and user-friendly and therefore will be an effective mean to facilitate PA behavior change.

Place, publisher, year, edition, pages
BMC, 2014
Keywords
Physical activity, Rheumatoid arthritis, Focus group, Internet service
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46014 (URN)10.1186/1472-6947-14-21 (DOI)000334552000001 ()24655757 (PubMedID)
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H. & Asenlof, P. (2013). DEVELOPING AN INTERVENTION ON THE INTERNET FOR HEALTH ENHANCING PHYSICAL ACTIVITY BEHAVIOR IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS: PATIENTS' EXPERIENCES AND INNOVATIONS. Annals of the Rheumatic Diseases, 72, 1053-1053
Open this publication in new window or tab >>DEVELOPING AN INTERVENTION ON THE INTERNET FOR HEALTH ENHANCING PHYSICAL ACTIVITY BEHAVIOR IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS: PATIENTS' EXPERIENCES AND INNOVATIONS
2013 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, p. 1053-1053Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2013
National Category
Medical Engineering
Identifiers
urn:nbn:se:mdh:diva-46017 (URN)000331587905454 ()
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Opava, C. H. & Asenlof, P. (2013). DEVELOPING AN INTERVENTION ON THE INTERNET FOR HEALTH ENHANCING PHYSICAL ACTIVITY BEHAVIOR IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS: PATIENTS' EXPERIENCES AND INNOVATIONS. Annals of the Rheumatic Diseases, 72, 55-55
Open this publication in new window or tab >>DEVELOPING AN INTERVENTION ON THE INTERNET FOR HEALTH ENHANCING PHYSICAL ACTIVITY BEHAVIOR IN INDIVIDUALS WITH RHEUMATOID ARTHRITIS: PATIENTS' EXPERIENCES AND INNOVATIONS
2013 (English)In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, p. 55-55Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
BMJ PUBLISHING GROUP, 2013
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-46016 (URN)000331587901225 ()
Available from: 2019-11-13 Created: 2019-11-13 Last updated: 2019-11-13Bibliographically approved
Revenäs, Å., Johansson, A.-C. & Leppert, J. (2009). A randomized study of two physiotherapeutic approaches after knee ligament reconstruction. Advances in Physiotherapy, 11(1), 30-41
Open this publication in new window or tab >>A randomized study of two physiotherapeutic approaches after knee ligament reconstruction
2009 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 11, no 1, p. 30-41Article in journal (Refereed) Published
Abstract [en]

Little is known about whether physiotherapeutic knee classes provide additional benefits in the rehabilitation after anterior cruciate ligament reconstruction (ACLR). In the present randomized study, we compare the results of a hospital-based programme, Knee-class Therapy (KT), with an individual programme with limited physiotherapy appointments, Guided Therapy (GT), 6 and 12 months after knee surgery, in terms of function, activity level, muscle strength, knee-joint stability and knee-joint mobility. After ACLR, 24 patients were randomized to the KT group and 27 to the GT group. Fourteen patients in the KT group and 24 in the GT group completed the physiotherapy appointments as prescribed. At 6 months after surgery, the median Lysholm knee score was significantly higher in the KT group. At the 12-month follow-up, the GT group's improvement in the Lysholm knee score was significantly greater than the KT group's. Non-compliance was high in the KT group. The subgroup analysis of the non-compliers in the KT group showed that their improvement in the Lysholm knee score between 0 and 12 months was significantly greater than that of the KT group's compliers. These results could indicate that an individual exercise programme with limited physiotherapy appointments might be as effective as physiotherapeutic knee classes.

Keywords
Anterior cruciate ligament, Guiding Therapy, Knee-class Therapy, Physiotherapy, Rehabilitation, Surgical reconstruction
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:mdh:diva-22370 (URN)10.1080/14038190801999497 (DOI)2-s2.0-62249159185 (Scopus ID)
Available from: 2013-11-05 Created: 2013-11-05 Last updated: 2019-08-08Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-3419-9292

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