95857 20210902121619.0 doi 10.1089/tmj.2018.0264 sideral 116426 ART-2020-116426 eng Echarri, A The Harvey-Bradshaw Index Adapted to a Mobile Application Compared with In-Clinic Assessment: The MediCrohn Study 2020 Access copy available to the general public Unrestricted Objectives: Mobile apps are useful tools in e-health and self-management strategies in disease monitoring. We evaluated the Harvey-Bradshaw index (HBI) mobile app self-administered by the patient to see if its results agreed with HBI in-clinic assessed by a physician. Methods: Patients were enrolled in a 4-month prospective study with clinical assessments at months 1 and 4. Patients completed mobile app HBI and within 48 h, HBI was performed by a physician (gold standard). HBI scores characterized Crohn''s disease (CD) as remission <5 or active >= 5. We determined agreement per item and total HBI score and intraclass correlation coefficients (ICCs). Bland-Altman plot was performed. HBI changes in disease activity from month 1 to month 4 were determined. Results: A total of 219 patients were enrolled. All scheduled assessments (385 pairs of the HBI questionnaire) showed a high percentage of agreement for remission/activity (92.4%, kappa = 0.796), positive predictive value (PPV) for remission of 98.2%, and negative predictive value of 76.7%. High agreement was also found at month 1 (93.15%, kappa = 0.82) and month 4 (91.5%, kappa = 0.75). Bland-Altman plot was more uniform when the HBI mean values were <5 (remission). ICC values were 0.82, 0.897, and 0.879 in all scheduled assessments, 1 and 4 months, respectively. Conclusions: We found a high percentage of agreement between patients' self-administered mobile app HBI and in-clinic physician assessment to detect CD activity with a remarkably high PPV for remission. The mobile app HBI might allow a strict control of inflammation by remote monitoring and flexible follow-up of CD patients. Reduction of sanitary costs could be possible. info:eu-repo/grantAgreement/ES/ISCIII/FIS/2015–2017 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.536 2020 HEALTH CARE SCIENCES & SERVICES 36 / 108 = 0.333 2020 Q2 T2 0.95 2020 Health Informatics 2020 Q1 Medicine (miscellaneous) 2020 Q1 Health Information Management 2020 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Vera, I Ollero, V Arajol, C Riestra, S Robledo, P Calvo, M Gallego, F Ceballos, D Castro, B Aguas, M García-López, Santiago Universidad de Zaragoza (orcid)0000-0003-3970-5457 Mar?n-Jim?nez, I Chaparro, M Mesonero, P Guerra, I Guardiola, J Nos, P Mu?iz, J 1007 610 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Medicina 26, 1 (2020), 78-86 Telemed. J. e-Health TELEMEDICINE AND E-HEALTH 1530-5627 322355 http://zaguan.unizar.es/record/95857/files/texto_completo.pdf Versión publicada 19911 http://zaguan.unizar.es/record/95857/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:95857 articulos driver 2021-09-02-08:46:09 ARTICLE