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Background: MSProDiscuss is a validated physician-completed tool based on a set of weighted questions that include information on multiple sclerosis (MS) relapses, symptoms, and impacts experienced by the patient within the past 6 months. The tool's traffic light system-linked output is meant as an aid for discussing the signs of MS disease progression. The tool is available online at www.msprodiscuss.com. Objectives: To report physician findings on usability and usefulness testing of the MSProDiscuss tool while discussing disease progression with patients in the real-world setting. Methods: An online qualitative survey was undertaken in 34 countries. Health care practitioners (HCPs) completed individual questionnaires (i) after using MSProDiscuss during face-to-face patient consultations and a final questionnaire (f) to capture the overall experience on the tool. The HCPs also provided general feedback and recommendations for improving the tool. Results: In total, 301 HCPs (including 23 MS nurses and 6 neurology nurse practitioners) tested the tool in 6974 patients with MS. The time taken to complete MSProDiscuss during a regular consultation was 1-4 minutes in 97% (i) to 98% (f) of the time. In 94% (i) to 97% (f ) of cases, HCPs agreed that patients were able to comprehend the questions from the tool. HCPs were willing to use the tool again in the same patient 91% (i) of the time. MSProDiscuss was useful in discussing MS symptoms and its impact on daily activities (88% i / 92% f) and cognitive function (79% both i and f) and in discussing progression in general (88% i / 90% f). While completing the final questionnaire, 95% of HCPs agreed that the questions were similar to those asked in regular consultation. MSProDiscuss was also found helpful for understanding the impact of MS symptoms on daily activities (91%) and cognitive function (80%). Overall, 92% of the HCPs would recommend MSProDiscuss to a colleague. Regarding integration of MSProDiscuss into their clinical practice, 92% of HCPs think that it is feasible and 86% are willing to integrate. Key recommendations were to allow for longitudinal follow-up, expand on cognitive assessments, and provide a patient-completed version; these are considered in the updated version of MSPro- Discuss. Conclusions: The findings from this real-world study suggest that MSProDiscuss is a usable and useful tool to facilitate physician-patient discussion on disease progression in daily clinical practice by capturing structured disease history. [ABSTRACT FROM AUTHOR]