{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:43:20Z","timestamp":1785545000398,"version":"3.56.0"},"reference-count":36,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Hum Factors"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The OA Coach mobile app was developed to support individuals with knee osteoarthritis in self-managing their condition. The app aims to fill a current gap in the osteoarthritis mobile app field by combining key features such as symptom tracking, objective activity tracking, educational modules, and encouragement notifications underpinned by behavior change theory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to describe the development of the OA Coach mobile app and assess its usability in a 6-week feasibility study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The app was designed in consultation with consumers, rheumatologists, physiotherapists, and osteoarthritis researchers. The app prototype contained four screens: (1) a home screen to track goals and activities, (2) a progress page, (3) a learning page with self-directed modules, and (4) an inbox for communication with the study team. For the feasibility study, 30 participants were recruited between March and April 2024 from a database of osteoarthritis trial participants or through the Osteoarthritis Chronic Care Program at Royal North Shore Hospital, Sydney, Australia. Participants were eligible if they were aged 45 years or older, had knee pain \u22654 on an 11-point numerical pain rating scale and knee stiffness lasting &lt;30 minutes in duration, or stiffness &gt;30 minutes and diagnosed with knee osteoarthritis through a health care provider or radiographs. Participants were provided access to the app and asked to interact with it daily for 6 weeks. Outcomes were assessed through online questionnaires or through mobile app data. The primary outcome was usability, assessed using the mHealth App Usability Questionnaire (MAUQ). Secondary outcomes included computer self-efficacy and osteoarthritis knowledge. The quantitative data were summarized descriptively. Qualitative feedback was collected through open-ended survey responses and discussed within the research team to improve the app.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 30 participants completed the study. There was a 1:1 ratio of male to female participants, with an average age of 66.9 (SD 9.1) years and a mean pain level of 6.0 (IQR 5.0-6.8) on an 11-point numerical pain rating scale. Twenty-nine responses from the MAUQ were available for analysis. Most statements scored &gt;5 out of 7 (\u201csomewhat agree\u201d), indicating that the app was easy to use. The mean satisfaction score for the app on the MAUQ was 4.7 (SD 2.0) out of 7. Qualitative feedback from participants indicated the need for clear instructions on how to use and navigate the app, improved structure and integration of the exercise program, and improved tailoring of osteoarthritis education and support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, the OA Coach app was well accepted by participants. Based on participant feedback, the app will be revised to improve aspects of clarity, ease of use, and personalization. The updated app will be tested against other methods of care delivery in a randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/84857","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:20:07Z","timestamp":1777926007000},"page":"e84857-e84857","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of the \u201cOA Coach\u201d Mobile App to Support Individuals with Osteoarthritis: Development and Usability Testing"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4450-8194","authenticated-orcid":false,"given":"Vicky","family":"Duong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9828-3770","authenticated-orcid":false,"given":"Naomi","family":"Bloul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0340-0232","authenticated-orcid":false,"given":"Jocelyn","family":"Bowden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6085-445X","authenticated-orcid":false,"given":"Karen","family":"Bracken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5213-7295","authenticated-orcid":false,"given":"Kate","family":"Bryce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2766-7142","authenticated-orcid":false,"given":"Leticia","family":"Deveza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1625-8490","authenticated-orcid":false,"given":"Jillian","family":"Eyles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0111-7163","authenticated-orcid":false,"given":"Abdolhay","family":"Farivar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1529-9231","authenticated-orcid":false,"given":"Robin","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7816-2198","authenticated-orcid":false,"given":"Sarah","family":"Kobayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1046-0775","authenticated-orcid":false,"given":"Na","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4789-2598","authenticated-orcid":false,"given":"Carin","family":"Pratt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7737-389X","authenticated-orcid":false,"given":"Charlotte","family":"Strong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1422-0198","authenticated-orcid":false,"given":"Venkatesha","family":"Venkatesha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2223-2182","authenticated-orcid":false,"given":"Shirley","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-752X","authenticated-orcid":false,"given":"David J","family":"Hunter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,15]]},"reference":[{"issue":"3","key":"R1","doi-asserted-by":"publisher","first-page":"e187","DOI":"10.1016\/S2665-9913(24)00247-9","article-title":"The projected burden of arthritis among adults and children in Australia to the year 2040: a population-level forecasting study","volume":"7","author":"Ackerman","journal-title":"Lancet Rheumatol"},{"issue":"8","key":"R2","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1038\/s41584-020-0447-8","article-title":"Core and adjunctive interventions for osteoarthritis: efficacy and models for implementation","volume":"16","author":"Bowden","journal-title":"Nat Rev Rheumatol"},{"issue":"16","key":"R3","doi-asserted-by":"publisher","first-page":"1568","DOI":"10.1001\/jama.2023.19675","article-title":"Evaluation and treatment of knee pain: a review","volume":"330","author":"Duong","journal-title":"JAMA"},{"issue":"5","key":"R4","doi-asserted-by":"publisher","first-page":"782","DOI":"10.1111\/jep.12402","article-title":"Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review","volume":"21","author":"Basedow","journal-title":"J Eval Clin Pract"},{"issue":"2","key":"R5","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1002\/art.41142","article-title":"2019 American College of Rheumatology\/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee","volume":"72","author":"Kolasinski","journal-title":"Arthritis Rheumatol"},{"issue":"11","key":"R6","doi-asserted-by":"publisher","first-page":"1578","DOI":"10.1016\/j.joca.2019.06.011","article-title":"OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis","volume":"27","author":"Bannuru","journal-title":"Osteoarthr Cartil"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1007\/s12160-013-9486-6","article-title":"The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions","volume":"46","author":"Michie","journal-title":"Ann Behav Med"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-119","article-title":"Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions","volume":"11","author":"Greaves","journal-title":"BMC Public Health"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8252","article-title":"Assessing therapeutic alliance in the context of mHealth interventions for mental health problems: development of the Mobile Agnew Relationship Measure (mARM) questionnaire","volume":"20","author":"Berry","journal-title":"J Med Internet Res"},{"issue":"3","key":"R10","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1111\/1468-0009.12278","article-title":"Software\u2010related recalls of health information technology and other medical devices: implications for FDA regulation of digital health","volume":"95","author":"Ronquillo","journal-title":"Milbank Q"},{"key":"R11","unstructured":"Global action plan on physical activity 2018\u20132030: more active people for a healthier world. World Health Organization; 2018. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/33339c9c-3a9f-46d4-9f12-ae9ff0dfdc6a\/content [Accessed 27-06-2026]"},{"issue":"2","key":"R12","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1177\/1357633X16628996","article-title":"Role of telerehabilitation in patients following total knee arthroplasty: evidence from a systematic literature review and meta-analysis","volume":"23","author":"Shukla","journal-title":"J Telemed Telecare"},{"issue":"7","key":"R13","doi-asserted-by":"publisher","first-page":"983","DOI":"10.1080\/09638288.2018.1514661","article-title":"Smartphone apps for total hip replacement and total knee replacement surgery patients: a systematic review","volume":"42","author":"Bahadori","journal-title":"Disabil Rehabil"},{"issue":"4","key":"R14","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1177\/1357633X16686748","article-title":"The comparison of telerehabilitation and face-to-face rehabilitation after total knee arthroplasty: a systematic review and meta-analysis","volume":"24","author":"Jiang","journal-title":"J Telemed Telecare"},{"issue":"1","key":"R15","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2900-x","article-title":"Technology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: a systematic review and meta-analysis","volume":"20","author":"Wang","journal-title":"BMC Musculoskelet Disord"},{"issue":"7","key":"R16","doi-asserted-by":"publisher","DOI":"10.2196\/15365","article-title":"Digital self-management interventions for people with osteoarthritis: systematic review with meta-analysis","volume":"22","author":"Safari","journal-title":"J Med Internet Res"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.7717\/peerj.5846","article-title":"Effectiveness of telephone-based interventions for managing osteoarthritis and spinal pain: a systematic review and meta-analysis","volume":"6","author":"O\u2019Brien","journal-title":"PeerJ"},{"issue":"9","key":"R18","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.33172","article-title":"Combined digital interventions for pain reduction in patients undergoing knee replacement: a randomized clinical trial","volume":"6","author":"Duong","journal-title":"JAMA Netw Open"},{"key":"R19","unstructured":"Household use of information technology. Australian Bureau of Statistics. URL: https:\/\/www.abs.gov.au\/statistics\/industry\/technology-and-innovation\/household-use-information-technology\/2016-17 [Accessed 30-01-2023]"},{"issue":"5","key":"R20","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1097\/RHU.0000000000001896","article-title":"Assessment of mobile health applications for management of knee and\/or hip osteoarthritis using the mobile application rating scale","volume":"29","author":"Hensley","journal-title":"J Clin Rheumatol"},{"issue":"12","key":"R21","doi-asserted-by":"publisher","first-page":"943","DOI":"10.2519\/jospt.2018.8275","article-title":"Self-reported home exercise adherence: a validity and reliability study using concealed accelerometers","volume":"48","author":"Nicolson","journal-title":"J Orthop Sports Phys Ther"},{"issue":"4","key":"R22","doi-asserted-by":"publisher","DOI":"10.1002\/pri.1966","article-title":"Correlations between objective and self-reported step count adherence following total knee replacement: a longitudinal repeated-measures cohort study","volume":"27","author":"Duong","journal-title":"Physiother Res Int"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1016\/j.pecinn.2022.100047","article-title":"A feasibility study of a best practice health literacy app for Australian adults with chronic kidney disease","volume":"1","author":"Zwi","journal-title":"PEC Innov"},{"issue":"3","key":"R24","doi-asserted-by":"publisher","DOI":"10.2196\/14837","article-title":"A mobile app and dashboard for early detection of infectious disease outbreaks: development study","volume":"7","author":"Ahn","journal-title":"JMIR Public Health Surveill"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p24","article-title":"Osteoarthritis in people over 16: diagnosis and management-updated summary of NICE guidance","volume":"380","author":"Wood","journal-title":"BMJ"},{"issue":"24","key":"R26","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1136\/bjsports-2020-102955","article-title":"World Health Organization 2020 guidelines on physical activity and sedentary behaviour","volume":"54","author":"Bull","journal-title":"Br J Sports Med"},{"issue":"4","key":"R27","doi-asserted-by":"publisher","DOI":"10.2196\/11500","article-title":"The mHealth app usability questionnaire (MAUQ): development and validation study","volume":"7","author":"Zhou","journal-title":"JMIR Mhealth Uhealth"},{"issue":"3","key":"R28","doi-asserted-by":"publisher","first-page":"220","DOI":"10.3109\/09638288.2011.593682","article-title":"Measuring technology self efficacy: reliability and construct validity of a modified computer self efficacy scale in a clinical rehabilitation setting","volume":"34","author":"Laver","journal-title":"Disabil Rehabil"},{"issue":"2","key":"R29","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1002\/msc.1727","article-title":"The osteoarthritis knowledge scale","volume":"21","author":"Darlow","journal-title":"Musculoskeletal Care"},{"issue":"2","key":"R30","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1037\/1040-3590.10.2.176","article-title":"Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample","volume":"10","author":"Antony","journal-title":"Psychol Assess"},{"issue":"2","key":"R31","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","journal-title":"Psychiatry Res"},{"issue":"1","key":"R32","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1097\/MLR.0000000000001664","article-title":"Guidelines for designing and evaluating feasibility pilot studies","volume":"60","author":"Teresi","journal-title":"Med Care"},{"key":"R33","doi-asserted-by":"publisher","DOI":"10.2196\/83507","article-title":"Messages and notifications for the \u201cOA Coach\u201d knee osteoarthritis self-management mobile app: codevelopment and evaluation using a participatory research design with focus groups and surveys","volume":"28","author":"Bryce","journal-title":"J Med Internet Res"},{"issue":"7","key":"R34","doi-asserted-by":"publisher","first-page":"998","DOI":"10.1016\/j.joca.2026.02.014","article-title":"Blind spots in reporting and representation in knee osteoarthritis research: a systematic review of the sociodemographic and clinical characteristics of 22,443 participants in randomised controlled trials of first-line care","volume":"34","author":"Low","journal-title":"Osteoarthr Cartil"},{"issue":"3","key":"R35","doi-asserted-by":"publisher","first-page":"984","DOI":"10.1177\/1460458217735676","article-title":"mHealth technologies for osteoarthritis self-management and treatment: a systematic review","volume":"25","author":"Choi","journal-title":"Health Informatics J"},{"issue":"3","key":"R36","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocarto.2025.100647","article-title":"Protocol for the comparison of remote versus face-to-face osteoarthritis management programs (COASTAL): a randomized implementation trial","volume":"7","author":"Yuan","journal-title":"Osteoarthr Cartil Open"}],"container-title":["JMIR Human Factors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e84857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:25:55Z","timestamp":1785536755000},"score":1,"resource":{"primary":{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e84857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,15]]},"references-count":36,"URL":"https:\/\/doi.org\/10.2196\/84857","relation":{},"ISSN":["2292-9495"],"issn-type":[{"value":"2292-9495","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,15]]},"article-number":"v13i3e84857"}}