ClinicalTrials.gg
CompletedNCT03437863Updated Nov 16, 2021Results posted

Feasibility of a Mobile Application to Support Reflection and Dialog About Strengths in People With Chronic Illness

An interventional study of Mobile application in Chronic Disease and Rheumatic Diseases, sponsored by Oslo University Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-16.

Primary conditionRheumatic DiseasesRegistry: Chronic DiseaseReclassifiedWhy we changed it
Registry
Chronic Disease — the first condition term the registry derived for this study.
ClinicalTrials.gg
Rheumatic Diseases
Why
  1. Chronic Disease is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Rheumatic Diseases.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Oslo University Hospital · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 100 Years
Sex
All
01

Study summary

Self-management of chronic illness can be highly demanding and people need to mobilize their personal strengths in order to live well with their condition. A mobile application was designed in collaboration with people with chronic illness and health care providers with the aims to support awareness of patients' strengths and patient-provider dialogues that include strengths. The aim of the present study is to evaluate with mixed methods the perceived usefulness and usability of the application and potential effects of the application on patients.

Read the detailed description

In this pre-post design pilot study participants will be recruited from self-management courses for people with rheumatic diseases. Before using the application participants will be asked to report their strengths in a written format. After using the mobile application to reflect on their strengths the participants will be interviewed about their experience of using the application and on the task of reflecting on their strengths. They will also be asked to fill out a questionnaire on perceived usefulness and user-friendliness. Before and after using the application the participants fill out questionnaires on emotions (Positive and Negative Affective Scale) and self-efficacy (The Arthritis Self-efficacy Scale). All interviews will be audio-taped and analyzed with a qualitative approach. Descriptive analysis will be applied for quantitative data.

02

Conditions studied

  • Chronic Disease
  • Rheumatic Diseases

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Keywords

  • self-management
  • health assets
  • Strengths
  • mHealth
  • Feasibility
03

In context

Rheumatic Diseases Reclassified

264 studies on the registry are indexed under Rheumatic Diseases; 60 are open to participants now.

This study's enrollment of 12 is below the median of 100 across 167 interventional studies indexed under Rheumatic Diseases.

Browse Rheumatic Diseases studies →

Lead sponsor

Oslo University Hospital is the lead sponsor of 834 studies on the registry; 149 are open to participants now.

Compared within Rheumatic Diseases, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Chronic Disease. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Setting 1:

Inclusion Criteria:

  • Age of 18 years or older
  • Can read and speak Norwegian language
  • Diagnosed with a chronic condition
  • Participating or having recently participated in a learning and mastery or an outpatient rehabilitation program

No exclusion criteria

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Mobile application

    Participants recruited from a self-management course are asked to use (single time) a mobile application to support reflection of personal strengths. The participant borrows an Ipad and uses the application to 1) reflect and identify their strengths by reviewing a list of examples, 2) define personal goals, and 3) link strengths to goals.

    Device: Mobile application

Interventions

  • DeviceMobile application

    Use of a mobile application (on a borrowed device) with following features: 1) strengths reflection and identification, 2) summary of registered strengths, 3) defining goals, and 4) linking strengths to goals.

06

What researchers measure

Primary outcomes

  1. Perceived Usefulness of the Application

    Study-specific questions on perceived usefulness of the application

    Time frame: Within an hour after using the application

  2. The System Usability Scale

    This 10 item questionnaire measures usability. Each item has 5 response options with total score ranging from 0 to 100. Higher values represent a better outcome.

    Time frame: Within an hour after using the application

Secondary outcomes

  1. The Positive and Negative Affect Schedule.

    This scale measures positive and negative affect with two subscales (positive affect and negative affect). Positive affect subscale scores can range from 10-50, with higher scores representing higher levels of positive affect. Negative affect subscale scores can range from 10-50, with lower scores representing lower levels of negative affect.

    Time frame: Pre-intervention and post-intervention, within an hour after using the application

  2. The Arthritis Self-efficacy Scale

    This scale measures self-efficacy with two subscales with 5 response options. The "pain" subscale has 5 items and a score range from 0 to 20. The "other symptoms" subscale has 6 items and a score range from 0 to 24. Higher scores equal higher levels of self-efficacy.

    Time frame: Pre-intervention and post-intervention, within an hour after using the application

07

Results

Posted Nov 16, 2021

Participant flow

Participant flow — Overall Study
MilestoneMobile Application
Started12
Completed12
Not completed0

Outcome measures

PrimaryPerceived Usefulness of the Application

Study-specific questions on perceived usefulness of the application

Time frame:
Within an hour after using the application
Reported as:
Count of participants · Participants
Perceived Usefulness of the Application
ParticipantsMobile Application
It was meaningful and relevant to use the app — Agree or strongly agree12
It was meaningful and relevant to use the app — Disagree or strongly disagree0
It was meaningful and relevant to use the app — Neutral0
It was meaningful and relevant to use the app — Mssing0
I became more aware of my own strengths by using the app — Agree or strongly agree9
I became more aware of my own strengths by using the app — Disagree or strongly disagree1
I became more aware of my own strengths by using the app — Neutral2
I became more aware of my own strengths by using the app — Mssing0
It was useful for me to see an overview of my own strengths — Agree or strongly agree10
It was useful for me to see an overview of my own strengths — Disagree or strongly disagree0
It was useful for me to see an overview of my own strengths — Neutral2
It was useful for me to see an overview of my own strengths — Mssing0
It was useful for me to be able to register a goal — Agree or strongly agree5
It was useful for me to be able to register a goal — Disagree or strongly disagree2
It was useful for me to be able to register a goal — Neutral4
It was useful for me to be able to register a goal — Mssing1
It was useful for me to be able to link the strengths to concrete goals — Agree or strongly agree6
It was useful for me to be able to link the strengths to concrete goals — Disagree or strongly disagree0
It was useful for me to be able to link the strengths to concrete goals — Neutral5
It was useful for me to be able to link the strengths to concrete goals — Mssing1
I liked the possibility to register my own notes — Agree or strongly agree7
I liked the possibility to register my own notes — Disagree or strongly disagree0
I liked the possibility to register my own notes — Neutral4
I liked the possibility to register my own notes — Mssing1
For me it would be relevant to share the overview of my strengths with my healthcare provider — Agree or strongly agree8
For me it would be relevant to share the overview of my strengths with my healthcare provider — Disagree or strongly disagree0
For me it would be relevant to share the overview of my strengths with my healthcare provider — Neutral4
For me it would be relevant to share the overview of my strengths with my healthcare provider — Mssing0
It was boring to use the app — Agree or strongly agree2
It was boring to use the app — Disagree or strongly disagree9
It was boring to use the app — Neutral1
It was boring to use the app — Mssing0
It was demanding for me to use the app — Agree or strongly agree1
It was demanding for me to use the app — Disagree or strongly disagree11
It was demanding for me to use the app — Neutral0
It was demanding for me to use the app — Mssing0
I would like to have the app on my own mobile devise — Agree or strongly agree7
I would like to have the app on my own mobile devise — Disagree or strongly disagree2
I would like to have the app on my own mobile devise — Neutral3
I would like to have the app on my own mobile devise — Mssing0
I would recommend the app to others in my situation — Agree or strongly agree9
I would recommend the app to others in my situation — Disagree or strongly disagree0
I would recommend the app to others in my situation — Neutral3
I would recommend the app to others in my situation — Mssing0
PrimaryThe System Usability Scale

This 10 item questionnaire measures usability. Each item has 5 response options with total score ranging from 0 to 100. Higher values represent a better outcome.

Time frame:
Within an hour after using the application
Reported as:
Median · score on a scale
The System Usability Scale
score on a scaleMobile Application
The System Usability Scale86.3 (70 to 100)
SecondaryThe Positive and Negative Affect Schedule.

This scale measures positive and negative affect with two subscales (positive affect and negative affect). Positive affect subscale scores can range from 10-50, with higher scores representing higher levels of positive affect. Negative affect subscale scores can range from 10-50, with lower scores representing lower levels of negative affect.

Time frame:
Pre-intervention and post-intervention, within an hour after using the application
Reported as:
Median · score on a scale
The Positive and Negative Affect Schedule.
score on a scaleMobile Application
Positive emotion sub scale (pre-intervention)34.0 (31.0 to 46.0)
Positive emotion sub scale (post-intervention)35.0 (28.0 to 45.0)
Negative emotion subscale (pre-intervention)12.0 (10.0 to 23.0)
Negative emotion (post-intervention)11.0 (10.0 to 16.0)
SecondaryThe Arthritis Self-efficacy Scale

This scale measures self-efficacy with two subscales with 5 response options. The "pain" subscale has 5 items and a score range from 0 to 20. The "other symptoms" subscale has 6 items and a score range from 0 to 24. Higher scores equal higher levels of self-efficacy.

Time frame:
Pre-intervention and post-intervention, within an hour after using the application
Reported as:
Median · score on a scale
The Arthritis Self-efficacy Scale
score on a scaleMobile Application
Pain sub scale (pre-intervention)12.0 (5.0 to 16.0)
Pain sub scale (post-intervention)14.0 (6.0 to 17.0)
Other symptoms sub scale (pre-intervention)16.0 (8.0 to 22.0)
Other symptoms subscale (post-intervention)17.0 (10.0 to 22.0)

Adverse events

Collected over Within about 1 hour from testing the application.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Mobile Application0/12 (0%)0/12 (0%)0/12 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Mobile Application
Median50.0 (30 to 76)
Sex: Female, Male
Sex: Female, Male(Participants)Mobile Application
Female11
Male1
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Mobile Application
08

Study locations

1 site
  • Diakonhjemmet Hospital
    Oslo, 0370, Norway
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Sep 2018, 5 months.

Results were first posted in Nov 2021, 3 years 1 month after primary completion.

Of 72 non-industry interventional studies with no phase under Rheumatic Diseases, half reached primary completion within 26 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 46. This study's 5 months is below that.

Counting every sponsor, half of 74 studies reached it within 26 months; a quarter within 10 and three quarters within 46.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 13, 2018
First posted
Feb 19, 2018
StartActual
Apr 18, 2018
Primary completionActual
Sep 20, 2018
CompletionActual
Sep 20, 2018
Results first posted
Nov 16, 2021
Last update
Nov 16, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 16, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03437863
Collaborators
South-Eastern Norway Regional Health Authority, Diakonhjemmet Hospital
Responsible party
Elin Borosund (Principal Investigator, Oslo University Hospital) — Principal investigator
First posted
Feb 19, 2018
Start date
Apr 18, 2018
Primary completion
Sep 20, 2018
Completion
Sep 20, 2018
Results posted
Nov 16, 2021
Last update
Nov 16, 2021

Study contacts

Olöf B Kristjansdottir, PhD
principal investigator · Oslo University Hospital, Center for Shared Decision Making and Collaborative Care Research

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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