ArticleBMC musculoskeletal disorders2019
Development and evaluation of a tailored e-self-management intervention (dr. Bart app) for knee and/or hip osteoarthritis: study protocol.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed.
- BABS (Becoming Active in Beating osteoarthritiS): a cluster randomized controlled trial evaluating an information campaign to improve osteoarthritis care and management in Dutch general practices.BMC primary care · 2026Trial
- Economic Evaluation of the Dr. Bart Application in Individuals With Knee and/or Hip Osteoarthritis.Arthritis care & research · 2022Trial
- Use and usability of the dr. Bart app and its relation with health care utilisation and clinical outcomes in people with knee and/or hip osteoarthritis.BMC health services research · 2021Trial
- A Scoping Review on Artificial Intelligence-Supported Interventions for Nonpharmacologic Management of Chronic Rheumatic Diseases.Arthritis care & research · 2026Article
- Application of persuasive system design in mobile health interventions for chronic disease management: a mini review.Frontiers in public health · 2025Review
- Article
- Machine Learning Methods to Personalize Persuasive Strategies in mHealth Interventions That Promote Physical Activity: Scoping Review and Categorization Overview.Journal of medical Internet research · 2024Article
- Development and Use of Mobile Messaging for Individuals With Musculoskeletal Pain Conditions: Scoping Review.JMIR mHealth and uHealth · 2024Article
- mHealth for the Self-management of Knee Osteoarthritis: Scoping Review.Journal of medical Internet research · 2023Article
- Telemedicine Technologies Selection for the Posthospital Patient Care Process after Total Hip Arthroplasty.International journal of environmental research and public health · 2022Review
- Patients' Use of Mobile Health for Self-management of Knee Osteoarthritis: Results of a 6-Week Pilot Study.JMIR formative research · 2021Article
- mHealth for pediatric chronic pain: state of the art and future directions.Expert review of neurotherapeutics · 2020Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis paper describes (the development of) an eHealth tool (dr. Bart app) to enhance self-management and to optimize non-surgical health care utilization in patients with knee and/or hip osteoarthritis (OA) and presents a study aiming 1) to study the effectiveness of the dr. Bart app on health care use 2) to explore differences in use, usability and the clinical outcomes of the dr. Bart app between the Netherlands and Germany.
methodsThe dr. Bart app is a fully automated eHealth application and is based on the Fogg model for behavioural change, augmented with reminders, rewards and self-monitoring to reinforce app engagement and health behaviour. The dr. Bart app propose goals to a healthier lifestyle based on machine learning techniques fed by data collected in a personal profile and choosing behaviour of the app user. Patients ≥50 years with self-reported knee and/or hip OA will be eligible to participate. Participants will be recruited in the community through advertisements in local newspapers and campaigns on social media. This protocol presents a study with three arms, aiming to include 161 patients in each arm. In the Netherlands, patients are randomly allocated to usual care or dr. Bart app and in Germany all patients receive the dr. Bart app. The primary outcome of the first research question is the number of self-reported consultations in secondary health care. The primary outcome of the second research question (comparison between the Netherlands and Germany) is self-management behaviour assessed by the patient activation measure (PAM-13) questionnaire. Secondary outcomes are costs, health-related quality of life, physical functioning and activity, pain, use and usability of the dr. Bart app. Data will be collected through three online questionnaires (at baseline and after 3 and 6 months after inclusion). DISCUSSION: This study will gain insight into the effectiveness of the dr. Bart app in the (conservative) treatment of patients with knee and/or hip OA and differences in the use and usability of the dr. Bart app between the Netherlands and Germany.
trial registrationDutch Trial Register (Trial Number NTR6693 / NL6505 ). Registration date: 4 September 2017.
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