Evidence map›Paper›PMID 42677336›Full record

ArticleRheumatology advances in practice2026

'It helps me stay on track': patient experiences using a mobile app for self-management of systemic sclerosis with a focus on fatigue in women.

Yen T Chen, Alexandra E Harper, Mary Alore, Elizabeth Haro, John T Morris, Dinesh Khanna, Susan L Murphy

Registry-linked trialAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07402863 (Self-Guided Resilience-Building Energy Management to Enhance Well-being Intervention for People With Systemic Sclerosis), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

NCT07402863 nacompletednot on this map

Self-Guided Resilience-Building Energy Management to Enhance Well-being Intervention for People With Systemic Sclerosis: A Feasibility Study

TypeinterventionalSponsorUniversity of MichiganRan2025 to 2025Enrolled43ConditionsSystemic SclerosisArmsRENEW
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yen T ChenDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0001-7723-6431
Alexandra E HarperDivision of Rheumatology, University of Michigan Scleroderma Program, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0003-0623-3879
Mary AloreDivision of Rheumatology, University of Michigan Scleroderma Program, Ann Arbor, MI, USA.
Elizabeth HaroDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
John T MorrisVirginia C. Crawford Research Institute, Shepherd Center, Atlanta, GA, USA.ORCID https://orcid.org/0000-0003-3986-1011
Dinesh KhannaDivision of Rheumatology, University of Michigan Scleroderma Program, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0003-1412-4453
Susan L MurphyDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.ORCID https://orcid.org/0000-0001-7924-0012

Funding

ACL HHS 90DPHF0004
6 · The paper itself

Abstract

Objectives: Fatigue is common and burdensome in people with systemic sclerosis (SSc), significantly impacting daily functioning and quality of life. Yet, it remains inadequately addressed in clinical care. This study aimed to explore participants' experiences using the RENEW (Resilience-building Energy Management to Enhance Well-being) mobile app as a standalone self-paced intervention without peer coaching for fatigue self-management. Methods: Semi-structured interviews were conducted with participants with SSc following completion of the 12-week RENEW mobile app intervention. Interviews were analysed using RADaR (Rigorous and Accelerated Data Reduction) technique in combination with thematic content analysis. Results: Fifteen women were included in the analysis (mean age 56 years ± 10), which reflects the higher prevalence of SSc among women. Among participants, 53% had limited SSc, while the remaining had diffuse SSc or overlap, and 40% had been diagnosed with SSc for less than 5 years (short duration). Four themes were identified: (1) the RENEW app and its features were intuitive; (2) the RENEW app's content enhanced the learning experience; (3) the RENEW app became a partner to support SSc self-management and (4) refinements to the app could enhance the patient experience. Conclusion: The RENEW app was perceived as a relevant and user-friendly tool for supporting fatigue self-management in SSc. Findings suggest that a standalone app-based approach may offer a scalable option for fatigue self-management in SSc, while also highlighting areas for refinement to improve engagement and long-term use. Trial registration: clinicaltrials.gov, NCT07402863.

Indexed as

behaviour changefatiguemHealthmobile appqualitative studyresiliencesymptom managementsystemic sclerosisusabilitywell-being

Identifiers

PMID42677336
PMCPMC13529363

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.