Mobile App-Based Interactive Care Plan for Migraine: Survey Study of Usability and Improvement Opportunities
Abstract BackgroundWe implemented a novel mobile app-based Migraine Interactive Care Plan (MICP) integrated with our electronic health records (EHRs). The MICP facilitates remote assessment of adult patients with migraine, educational content delivery, and care team communicat...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2025-03-01
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| Series: | JMIR Formative Research |
| Online Access: | https://formative.jmir.org/2025/1/e66763 |
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| Summary: | Abstract
BackgroundWe implemented a novel mobile app-based Migraine Interactive Care Plan (MICP) integrated with our electronic health records (EHRs). The MICP facilitates remote assessment of adult patients with migraine, educational content delivery, and care team communication. Feasibility of the MICP was demonstrated in a pilot implementation study.
ObjectiveWe aimed to assess the preferences and satisfaction of patients with migraine users of a mobile app-based care plan integrated with the EHR.
MethodsAn electronic survey was administered to a single cohort of MICP users between December 6, 2021, and December 30, 2021. The survey assessed patient preferences for which data to track, frequency of tracking, and satisfaction with the MICP. Survey responses were compared between subsets determined by patient-reported headache frequency and treatment with and without botulinum toxin and calcitonin gene-related peptide (CGRP) antagonist therapy. The Wilcoxon rank-sum test was used for continuous variables and the χ2
ResultsThe total sample size was 184 and the survey response rate was 30.4% (56/184). No significant differences in age (PP
ConclusionsMost MICP users were motivated to track headache frequency, medication treatment with response, functional impairment, and pain intensity. Opportunities to improve the MICP include (1) allowing patients to change the frequency of assessments and notifications; (2) recording personal observations or comments through free text, which may include headache triggers; (3) assessment of headache severity using a 1 to 10 pain scale; and (4) tailoring headache education based on frequency and severity (episodic vs chronic migraine). These observations may be useful to improve the usability of the MICP and similar EHR-integrated migraine care platforms that others may develop. |
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| ISSN: | 2561-326X |