TY - JOUR
T1 - An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise
AU - Salvi, Dario
AU - Ottaviano, Manuel
AU - Muuraiskangas, Salla
AU - Martinez-Romero, Alvaro
AU - Vera-Munoz, Cecilia
AU - Triantafyllidis, Andreas
AU - Umpierrez, Maria Fernanda
AU - Waldmeyer, Maria Teresa
AU - Skobel, Erik
AU - Knackstedt, Christian
AU - Liedes, Hilkka
AU - Honka, Anita
AU - Luprano, Jean
AU - Cleland, John G. F.
AU - Stut, Wim
AU - Deighan, Carolyn
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.
AB - Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.
KW - m-Health
KW - cardiac rehabilitation
KW - coronary artery diseases
KW - education and motivation
KW - TECHNOLOGY ACCEPTANCE MODEL
KW - RANDOMIZED CONTROLLED-TRIAL
KW - CARE
KW - MANAGEMENT
KW - BEHAVIOR
KW - DISEASE
KW - METAANALYSIS
KW - PREVENTION
KW - INFARCTION
KW - ADOPTION
U2 - 10.1177/1357633X17697501
DO - 10.1177/1357633X17697501
M3 - Article
SN - 1357-633X
VL - 24
SP - 303
EP - 316
JO - Journal of Telemedicine and Telecare
JF - Journal of Telemedicine and Telecare
IS - 4
ER -