Quick Summary

A recent study published in Multiple Sclerosis and Related Disorders has highlighted the effectiveness of More Stamina, a gamified mobile health (mHealth) app aimed at assisting individuals with Multiple Sclerosis (MS) in managing fatigue, a prevalent and challenging symptom of the condition.

Key Findings from the Study

• The research was conducted by Dr. Guido Giunti and a team from the University of Oulu and Oulu University Hospital in Finland, focusing on the app’s feasibility, usability, and impact over a 60-day period.
• 20 participants used the app daily, leading to several significant outcomes:
• Increased awareness of fatigue patterns, allowing for better daily planning.
• Higher engagement levels correlated with improved self-awareness, especially in those experiencing severe fatigue.
• Facilitated discussions with family and healthcare providers, enhancing understanding of fatigue’s effects.
• Usability improved over time, although some users found data entry to be cognitively demanding, indicating areas for improvement.

How More Stamina Works

More Stamina enables users to track daily activities and energy expenditure through a system of “Stamina Credits,” which gamifies energy management and aids in informed decision-making regarding daily activities. The app is distinguished by its research-driven development process, ensuring that it meets the needs of patients at every stage, from design to testing.

Expert Insights

Dr. Giunti emphasized the importance of understanding fatigue, stating, “Managing it requires more than just medication. More Stamina provides tools for users to comprehend their energy levels and communicate their needs effectively.” Professor Minna Isomursu, a co-author of the study, noted that the app’s development involved real patients and healthcare professionals, ensuring its practical utility.

Challenges in Managing MS Fatigue

Fatigue affects up to 80% of MS patients, significantly impacting their quality of life. The complexity of managing fatigue, which encompasses physical, cognitive, and emotional factors, often leaves patients feeling exhausted and unsupported. The study’s findings suggest that digital health solutions like More Stamina can complement traditional MS care.

Future Directions

While the study confirmed the app’s feasibility and acceptability, researchers call for larger, long-term studies to assess its full clinical impact. The team is exploring ways to integrate More Stamina into broader MS care strategies.

Impact on Patient Communication

One notable outcome of the study was the app’s role in enhancing communication between MS patients and their families. Participants reported that sharing fatigue patterns helped foster understanding and support from loved ones.

Conclusion

The development of More Stamina illustrates the potential of combining scientific research, user-centered design, and patient involvement in creating effective digital health solutions. Dr. Giunti hopes this approach will set a new standard for future digital health applications.

Funding Acknowledgment

The study was supported by Business Finland, the Finnish Innovation Fund (Sitra), the Riitta ja Jorma J. Takanen Foundation, and Marie Sklodowska-Curie Actions.

Sources

• Giunti G, et al. Feasibility and usability evaluation of a gamified fatigue management mobile application for persons with multiple sclerosis in everyday life. Mult Scler Relat Disord. 2025.