Development and Usability Testing of a Mobile Application to Monitor Patient-Reported Outcomes after Stress Urinary Incontinence Surgery.

To develop and perform a usability testing of a mobile application (app) with representative users of surgeons and female patients undergoing stress urinary incontinence (SUI) surgery.

A mobile app was developed with the Medical Device Epidemiology Network (MDEpiNet) High-Performance Integrated Virtual Environment (HIVE) to streamline the collection of patient-reported outcomes following SUI surgery using validated questionnaires. It was designed as a collaborative effort with the Women's Health Initiative (WHI), including patient and surgeon involvement. The app evaluation questions addressed the user's rating on the clarity and length of the questions and the comfort level in using the interface for patients to report post-operative outcomes and surgeons to review them.

A total of twenty patients and five surgeons tested the mobile app and reported their experience and level of satisfaction. The average patient experience score was nine out of ten, with ten being the best. Eleven patients (55%) were interested in replacing in-person follow-up visits with the app. The surgeons reported an average user experience score of 8.6 out of ten. Four surgeons (80%) were interested in replacing in-person visits with the app. The combined experience score between all users was 8.9 out of ten. Fifteen out of twenty-five users (60%) showed interest in replacing in-person visits with the app.

The mobile app for SUI captured important patient-reported outcomes with a high satisfaction reporting from patients and surgeons.

Urology. 2021 Oct 24 [Epub ahead of print]

Bilal Chughtai, Ahra Cho, Vahan Simonyan, Jialin Mao, Charles Viviano, Danica Marinac-Dabic, Shawn Menafee, Charles Rardin, Art Sedrakyan

Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, USA. Electronic address: ., Department of Urology, Weill Cornell Medical College/New York Presbyterian, New York, NY, USA., Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA., Department of Healthcare Policy and Research, Weill Cornell Medical College-New York Presbyterian, New York, NY, USA., Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD 20993, USA., Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Reproductive Medicine, U.C. San Diego Health System, San Diego, CA, USA., Department of Obstetrics and Gynecology, Division of Urogynecology, Women and Infants' Hospital, Brown Medical School, Providence, RI, USA.