Using Large-Scale Sensor Data to Test Factors Predictive of Perseverance in Home Movement Rehabilitation: Early Exercise Frequency and Schedule Consistency

Autor: Sangjoon J. Kim, Veronica A. Swanson, George H. Collier, Amanda R. Rabinowitz, Daniel K. Zondervan, David J. Reinkensmeyer
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: IEEE Transactions on Neural Systems and Rehabilitation Engineering, Vol 32, Pp 3251-3260 (2024)
Druh dokumentu: article
ISSN: 1534-4320
1558-0210
44437595
DOI: 10.1109/TNSRE.2024.3428915
Popis: Home-based exercises are an important component of stroke rehabilitation but are seldom fully completed. Past studies of exercise perseverance in the general public have suggested the importance of early exercise frequency and schedule consistency (in terms of which days of the week exercises are performed) because they encourage habit formation. To test whether these observations apply after a stroke, we leveraged data from 2,583 users of a sensor-based system (FitMi) developed to motivate movement exercises at home. We grouped users based on their early exercise frequency (defined across the initial 6 weeks of use) and calculated the evolution of habit score (defined as exercise frequency multiplied by exercise duration) across 6 months. We found that habit score decayed exponentially over time but with a slower decay constant for individuals with higher early frequency. Only the group with an early exercise frequency of 4 days/week or more had non-zero habit score at six months. Within each frequency group, dividing individuals into higher and lower consistency subgroups revealed that the higher consistency subgroups had significantly higher habit scores. These results are consistent with previous studies on habit formation in exercise and may help in designing effective home rehabilitation programs after stroke.
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