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Patient participants expressed that KOA seriously impacted their lives and lifestyles, and they wanted their knee pain to be considered as important as other health problems. In contrast, physicians uniformly conceptualised KOA as a relatively minor health problem, although they still recognised it as a painful condition that often limits patients\u2019 activities. Consequently, physicians did not regard KOA as a condition to be proactively and aggressively managed. The gap between physicians\u2019 and patients\u2019 conceptualisation of KOA and its treatment extended to the use of an app for self-management. While patients were supportive of the app, physicians were sceptical of its use and focused more on accountability and patient resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The clear discord between physicians\u2019 mental models and patients\u2019 lived experience and perceived needs around KOA emphasised a gap in understanding and communication about treatment and management of KOA. As such, this preliminary and formative research will inform a codesign approach to develop an app that will act as a communications tool between patients and physicians, enabling patient\u2013physician discussions regarding modifiable self-management options based on a patient\u2019s perspectives and needs.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2018-024016","type":"journal-article","created":{"date-parts":[[2019,2,2]],"date-time":"2019-02-02T09:24:11Z","timestamp":1549099451000},"page":"e024016","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":49,"title":["Qualitative study to elicit patients\u2019 and primary care physicians\u2019 perspectives on the use of a self-management mobile health application for knee osteoarthritis"],"prefix":"10.1136","volume":"9","author":[{"given":"Tanya","family":"Barber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Behnam","family":"Sharif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvia","family":"Teare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Shewchuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee A","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Marlett","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolanda","family":"Cibere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Mrklas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Wasylak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6280-0511","authenticated-orcid":false,"given":"Linda C","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Campbell-Scherer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah A","family":"Marshall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,2,1]]},"reference":[{"key":"2024051714164198000_9.1.e024016.1","first-page":"630","article-title":"The rise of osteoarthritis","volume":"81","author":"Ehrlich","year":"2003","journal-title":"Bull World Health Organ"},{"key":"2024051714164198000_9.1.e024016.2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.2.91"},{"key":"2024051714164198000_9.1.e024016.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2007.06.014"},{"key":"2024051714164198000_9.1.e024016.4","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.065904"},{"key":"2024051714164198000_9.1.e024016.5","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12173"},{"key":"2024051714164198000_9.1.e024016.6","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2600"},{"key":"2024051714164198000_9.1.e024016.7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s10916-016-0492-7","article-title":"Use of mobile health applications for health-seeking behavior among us adults","volume":"40","author":"Bhuyan","year":"2016","journal-title":"J Med Syst"},{"key":"2024051714164198000_9.1.e024016.8","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-5-16"},{"key":"2024051714164198000_9.1.e024016.9","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.berh.2016.08.006","article-title":"Use of eHealth technologies to enable the implementation of musculoskeletal Models of Care: Evidence and practice","volume":"30","author":"Slater","year":"2016","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"2024051714164198000_9.1.e024016.10","doi-asserted-by":"crossref","unstructured":"Choi W , Zheng H , Franklin P , et al . mHealth technologies for osteoarthritis self-management and treatment: A systematic review. 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