Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease: Mixed-Methods Study on Patient Experiences and Lessons for Implementation

Autor: Loeckx, Matthias, Rabinovich, Roberto A, Demeyer, Heleen, Louvaris, Zafeiris, Tanner, Rebecca, Rubio, Noah, Frei, Anja, De Jong, Corina, Gimeno-Santos, Elena, Rodrigues, Fernanda M, Buttery, Sara C, Hopkinson, Nicholas S, Büsching, Gilbert, Strassmann, Alexandra, Serra, Ignasi, Vogiatzis, Ioannis, Garcia-Aymerich, Judith, Polkey, Michael I, Troosters, Thierry
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: JMIR mHealth and uHealth, Vol 6, Iss 12, p e200 (2018)
Druh dokumentu: article
ISSN: 2291-5222
DOI: 10.2196/mhealth.9774
Popis: BackgroundTelecoaching approaches can enhance physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD). However, their effectiveness is likely to be influenced by intervention-specific characteristics. ObjectiveThis study aimed to assess the acceptability, actual usage, and feasibility of a complex PA telecoaching intervention from both patient and coach perspectives and link these to the effectiveness of the intervention. MethodsWe conducted a mixed-methods study based on the completers of the intervention group (N=159) included in an (effective) 12-week PA telecoaching intervention. This semiautomated telecoaching intervention consisted of a step counter and a smartphone app. Data from a project-tailored questionnaire (quantitative data) were combined with data from patient interviews and a coach focus group (qualitative data) to investigate patient and coach acceptability, actual usage, and feasibility of the intervention. The degree of actual usage of the smartphone and step counter was also derived from app data. Both actual usage and perception of feasibility were linked to objectively measured change in PA. ResultsThe intervention was well accepted and perceived as feasible by all coaches present in the focus group as well by patients, with 89.3% (142/159) of patients indicating that they enjoyed taking part. Only a minority of patients (8.2%; 13/159) reported that they found it difficult to use the smartphone. Actual usage of the step counter was excellent, with patients wearing it for a median (25th-75th percentiles) of 6.3 (5.8-6.8) days per week, which did not change over time (P=.98). The smartphone interface was used less frequently and actual usage of all daily tasks decreased significantly over time (P
Databáze: Directory of Open Access Journals