{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T10:05:38Z","timestamp":1779444338218,"version":"3.53.1"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T00:00:00Z","timestamp":1774569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["P30AR072583"],"award-info":[{"award-number":["P30AR072583"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to develop and evaluate a new patient\u2010facing tool to facilitate patient self\u2010examination of joints as a complement to telehealth during the management of rheumatoid arthritis (RA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using a community\u2010based rheumatology network, we evaluated the efficacy of an in\u2010app cartoon\u2010based joint examination module that guides patients through self\u2010conducted physical examinations by comparing patient\u2010derived joint counts with those recorded by physicians during in\u2010office visits. A total of 100 patients were enrolled from outpatient rheumatology clinics. Scatter plots and regression models were used to analyze the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, rheumatologists recorded fewer tender and swollen joints than patients with RA. The correlation between patient and provider assessments was higher for the tender joint count (r\u00a0=\u00a00.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.0001) than for the swollen joint count (r\u00a0=\u00a00.33,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). In terms of disease activity, patients\u2019 joint counts led to composite disease activity scores that were accurate in predicting low disease activity (LDA) or remission but were likely to overestimate active disease compared to physicians\u2019 assessments, with a positive predictive value of a patient assessing that they were in LDA at 95% with specificity of 94%, whereas the negative predictive value was only 50% with a sensitivity of 54%.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>As remote therapeutic monitoring becomes increasingly used in health care, this study has relevance for the future expansion and application of telehealth procedures in rheumatology, particularly in providing insights regarding the types of patient training that might be required and the choice of patients in whom RA disease activity remote monitoring will have the highest utility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/acr2.90018","type":"journal-article","created":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T09:54:46Z","timestamp":1774605286000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating a Smartphone App\u2013Based Module for Joint Self\u2010Assessment as a Complementary Tool in Rheumatoid Arthritis Remote Disease Management"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0079-5109","authenticated-orcid":false,"given":"Swamy","family":"Venuturupalli","sequence":"first","affiliation":[{"name":"Cedars Sinai Medical Center  Los Angeles California"},{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin Jessica","family":"He","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mhun\u2010Jeong Isaac","family":"Lee","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Talya","family":"Koger","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Havadjias","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogamanas","family":"Jinka","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Fortune","sequence":"additional","affiliation":[{"name":"Attune Health  Los Angeles California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fenglong","family":"Xie","sequence":"additional","affiliation":[{"name":"Foundation for Advancing Science, Technology, Education, and Research  Hoover Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujie","family":"Su","sequence":"additional","affiliation":[{"name":"Foundation for Advancing Science, Technology, Education, and Research  Hoover Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5308-9721","authenticated-orcid":false,"given":"Sandeep K.","family":"Sodhi","sequence":"additional","affiliation":[{"name":"Illumination Health  Hoover Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neelkamal","family":"Soares","sequence":"additional","affiliation":[{"name":"University of Michigan Medical School  Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Gavigan","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3889-9034","authenticated-orcid":false,"given":"Shilpa","family":"Venkatachalam","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Cush","sequence":"additional","affiliation":[{"name":"Texas Christian University Burnett School of Medicine  Fort Worth"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Ali","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4951-6476","authenticated-orcid":false,"given":"William B.","family":"Nowell","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Curtis","sequence":"additional","affiliation":[{"name":"Global Healthy Living Foundation  Upper Nyack New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9201-8678","authenticated-orcid":false,"given":"Rebecca","family":"Grainger","sequence":"additional","affiliation":[{"name":"Te Whatu Ora Health New Zealand Capital Coast and Hutt Valley  Wellington New Zealand"},{"name":"University of Otago Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-8976","authenticated-orcid":false,"given":"Jeffrey R.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Foundation for Advancing Science, Technology, Education, and Research  Hoover Alabama"},{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,27]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Health Resources and Services Administration.What is telehealth? 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