TY - JOUR
T1 - Smartphone-Based Physical Activity Telecoaching in Chronic Obstructive Pulmonary Disease
T2 - Mixed-Methods Study on Patient Experiences and Lessons for Implementation
AU - Loeckx, Matthias
AU - Rabinovich, Roberto A
AU - Demeyer, Heleen
AU - Louvaris, Zafeiris
AU - Tanner, Rebecca
AU - Rubio, Noah
AU - Frei, Anja
AU - De Jong, Corina
AU - Gimeno-Santos, Elena
AU - Rodrigues, Fernanda M
AU - Buttery, Sara C
AU - Hopkinson, Nicholas S
AU - Büsching, Gilbert
AU - Strassmann, Alexandra
AU - Serra, Ignasi
AU - Vogiatzis, Ioannis
AU - Garcia-Aymerich, Judith
AU - Polkey, Michael I
AU - Troosters, Thierry
N1 - ©Matthias Loeckx, Roberto A Rabinovich, Heleen Demeyer, Zafeiris Louvaris, Rebecca Tanner, Noah Rubio, Anja Frei, Corina De Jong, Elena Gimeno-Santos, Fernanda M Rodrigues, Sara C Buttery, Nicholas S Hopkinson, Gilbert Büsching, Alexandra Strassmann, Ignasi Serra, Ioannis Vogiatzis, Judith Garcia-Aymerich, Michael I Polkey, Thierry Troosters. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 21.12.2018.
PY - 2018/12
Y1 - 2018/12
N2 - Background: Telecoaching 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.Objective: This 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.Methods: We 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.Results: The 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 (PConclusions: The 12-week semiautomated PA telecoaching intervention was well accepted and feasible for patients with COPD and their coaches. The actual usage of the step counter was excellent, whereas actual usage of the smartphone tasks was lower and decreased over time. Patients who required more contact experienced less PA benefits.
AB - Background: Telecoaching 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.Objective: This 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.Methods: We 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.Results: The 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 (PConclusions: The 12-week semiautomated PA telecoaching intervention was well accepted and feasible for patients with COPD and their coaches. The actual usage of the step counter was excellent, whereas actual usage of the smartphone tasks was lower and decreased over time. Patients who required more contact experienced less PA benefits.
KW - physical activity
KW - COPD
KW - telemedicine
KW - smartphone
KW - patient adherence
KW - patient satisfaction
KW - outcome and process assessment (health care)
KW - INTERVENTION
KW - TECHNOLOGY
KW - LIFE
U2 - 10.2196/mhealth.9774
DO - 10.2196/mhealth.9774
M3 - Article
C2 - 30578215
SN - 2291-5222
VL - 6
JO - JMIR mHealth and uHealth
JF - JMIR mHealth and uHealth
IS - 12
M1 - 200
ER -