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P260 Adaptation of TECCU App based on patients’ perceptions for telemonitoring inflammatory bowel disease: A qualitative study using focus groups

J. Del Hoyo Francisco1, P. Nos1, R. Faubel2, G. Bastida1, D. Muñoz1, E. Valero1, A. Garrido1, C. Savini3, P. Bella3, B. Peña3, M. Aguas1

1Gastroenterology Department, Hospital La Fe, Valencia, Spain, 2Physiotherapy Department, University of Valencia, Valencia, Spain, 3Confederación de Asociaciones de Enfermos de Crohn y Colitis Ulcerosa de España, Confederación de Asociaciones de Enfermos de Crohn y Colitis Ulcerosa de España, Madrid, Spain

Background

Despite the continuous adaptation of eHealth systems for patients with inflammatory bowel disease (IBD), a significant disconnection persists between users and developers. Since non-adherence remains high, it is necessary to better understand the patients’ perspectives on telemonitoring for IBD. The aim of this study was to adapt the TECCU app to the preferences and needs of IBD patients.

Methods

A qualitative study was carried out using successive focus groups of IBD patients. Meetings were audio-recorded and a thematic analysis approach was employed until data saturation was achieved. The first group included patients who had used the TECCU app in a pilot clinical trial, and subsequent meetings included patients with Crohn’s disease and ulcerative colitis recruited from the Spanish Confederation of patient associations. The information collected at each meeting guided consecutive changes to the platform.

Results

Data saturation was reached after 3 focus groups, involving a total of 18 patients. Three main themes emerged: (1) platform usability; (2) the communication process; and (3) contents of the platform. All participants indicated that TECCU is easy to use, permitting continuous and personalised feedback. Nevertheless, the platform was adapted according to the patients′ perspectives to foster a flexible follow-up and shared decision-making, using open and safe communication networks. Many participants appreciated the educational elements and the app was connected to reliable and continuously updated webpages.

Conclusion

IBD patients valued the usability and personalised monitoring offered by the TECCU App. Improvements in the messaging system and continuous updates of the educational contents were performed to address patients′ needs and favour their engagement.