App-Mohedo®: A mobile app for the management of chronic pelvic pain. A design and development study
Metadatos
Mostrar el registro completo del ítemAutor
Díaz Mohedo, Esther; Carrillo León, Antonio L.; Calvache Mateo, Andrés; Ptak, Magdalena; Romero Franco, Natalia; Fernández, Juan CarlosEditorial
Elsevier
Fecha
2024-03-15Referencia bibliográfica
E. Díaz-Mohedo et al. App-Mohedo®: A mobile app for the management of chronic pelvic pain. A design and development study. International Journal of Medical Informatics 186 (2024) 105410 [https://doi.org/10.1016/j.ijmedinf.2024.105410]
Patrocinador
Funding for open access charge: Universidad de Málaga / CBUAResumen
Background: Chronic Pelvic Pain (CPP) has been described as a public health priority worldwide, and it is among the most prevalent and costly healthcare problems.
Graded motor imagery (GMI) is a therapeutic tool that has been successfully used to improve pain in several chronic conditions. GMI therapy is divided into three
stages: laterality training (LRJT, Left Right Judgement Task), imagined movements, and mirror therapy. No tool that allows working with LRJT in pelvic floor has
been developed to date.
Objective: This research aims to describe the process followed for the development of a highly usable, multi-language and multi-platform mobile application using
GMI with LRJT to improve the treatment of patients with CPP. In addition, this will require achieving two other goals: firstly, to generate 550 pelvic floor images and,
subsequently, to carry out an empirical study to objectively classify them into different difficulty levels of. This will allow the app to properly organize and plan the
different therapy sessions to be followed by each patient.
Methodology: For the design, evaluation and development of the app, an open methodology of user-centered design (MPIu + a) was applied. Furthermore, to classify
and establish the pelvic floor images of the app in different difficulty levels, an observational, cross-sectional study was conducted with 132 volunteers through nonprobabilistic
sampling.
Results: On one hand, applying MPIu+a, a total of 5 phases were required to generate an easy-to-use mobile application. On the other hand, the 550 pelvic floor
images were classified into 3 difficulty levels (based on the percentage of correct answers and response time used by the participants in the classification process of
each image): Level 1 (191 images with Accuracy = 100 % and RT = [0–2.5] seconds); Level 2 (208 images with Accuracy = 75–100 % and RT = [2.5–5] seconds);
and Level 3 (151 images with Accuracy = 50–75 % and RT > 5 s).
Conclusion: App-Mohedo® is the first multi-platform, multi-language and easy-to-use mobile application that, through GMI with LRJT, and with an adequate bank of
images classified into three levels of difficulty, can be used as a complementary therapeutic tool in the treatment of patients with CPP. This work can also serve as an
example, model or guide when applying a user-centered methodology, as MPIu + a, to the development of other apps, especially in the field of health.