Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation

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 usag...

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Autores: Loeckx, Matthias, Rabinovich, Roberto A., Demeyer, Heleen, Louvaris, Zafeiris, Tanner, Rebecca, Rubio, Noah, Frei, Anja, de Jong, Corina, Gimeno Santos, Elena, 1980-, Rodrigues, Fernanda M., Buttery, Sara C., Hopkinson, Nicholas S., Büsching, Gilbert, Strassmann, Alexandra, Serra, Ignasi, Vogiatzis, Ioannis, García Aymerich, Judith, Polkey, Michael I., Troosters, Thierry
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/43553
Acceso en línea:http://hdl.handle.net/10230/43553
http://dx.doi.org/10.2196/mhealth.9774
Access Level:acceso abierto
Palabra clave:COPD
Outcome and process assessment (health care)
Patient adherence
Patient satisfaction
Physical activity
Smartphone
Telemedicine
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dc.title.none.fl_str_mv Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
title Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
spellingShingle Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
Loeckx, Matthias
COPD
Outcome and process assessment (health care)
Patient adherence
Patient satisfaction
Physical activity
Smartphone
Telemedicine
title_short Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
title_full Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
title_fullStr Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
title_full_unstemmed Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
title_sort Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementation
dc.creator.none.fl_str_mv Loeckx, Matthias
Rabinovich, Roberto A.
Demeyer, Heleen
Louvaris, Zafeiris
Tanner, Rebecca
Rubio, Noah
Frei, Anja
de Jong, Corina
Gimeno Santos, Elena, 1980-
Rodrigues, Fernanda M.
Buttery, Sara C.
Hopkinson, Nicholas S.
Büsching, Gilbert
Strassmann, Alexandra
Serra, Ignasi
Vogiatzis, Ioannis
García Aymerich, Judith
Polkey, Michael I.
Troosters, Thierry
author Loeckx, Matthias
author_facet Loeckx, Matthias
Rabinovich, Roberto A.
Demeyer, Heleen
Louvaris, Zafeiris
Tanner, Rebecca
Rubio, Noah
Frei, Anja
de Jong, Corina
Gimeno Santos, Elena, 1980-
Rodrigues, Fernanda M.
Buttery, Sara C.
Hopkinson, Nicholas S.
Büsching, Gilbert
Strassmann, Alexandra
Serra, Ignasi
Vogiatzis, Ioannis
García Aymerich, Judith
Polkey, Michael I.
Troosters, Thierry
author_role author
author2 Rabinovich, Roberto A.
Demeyer, Heleen
Louvaris, Zafeiris
Tanner, Rebecca
Rubio, Noah
Frei, Anja
de Jong, Corina
Gimeno Santos, Elena, 1980-
Rodrigues, Fernanda M.
Buttery, Sara C.
Hopkinson, Nicholas S.
Büsching, Gilbert
Strassmann, Alexandra
Serra, Ignasi
Vogiatzis, Ioannis
García Aymerich, Judith
Polkey, Michael I.
Troosters, Thierry
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv COPD
Outcome and process assessment (health care)
Patient adherence
Patient satisfaction
Physical activity
Smartphone
Telemedicine
topic COPD
Outcome and process assessment (health care)
Patient adherence
Patient satisfaction
Physical activity
Smartphone
Telemedicine
description 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 (P<.001). Patients needing more contact time had a smaller increase in PA, with mean (SD) of +193 (SD 2375) steps per day, +907 (SD 2306) steps per day, and +1489 (SD 2310) steps per day in high, medium, and low contact time groups, respectively; P for-trend=.01. The overall actual usage of the different components of the intervention was not associated with change in step count in the total group (P=.63). Conclusions: 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. Trial registration: ClinicalTrials.gov NCT02158065; http://clinicaltrials.gov/ct2/show/NCT02158065 (Archived by WebCite at http://www.webcitation.org/73bsaudy9).
publishDate 2018
dc.date.none.fl_str_mv 2018
2020
2020
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/43553
http://dx.doi.org/10.2196/mhealth.9774
url http://hdl.handle.net/10230/43553
http://dx.doi.org/10.2196/mhealth.9774
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv JMIR mHealth and uHealth. 2018;6(12):e200
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv JMIR Publications Inc.
publisher.none.fl_str_mv JMIR Publications Inc.
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Smartphone-based physical activity telecoaching in chronic obstructive pulmonary disease: mixed-methods study on patient experiences and lessons for implementationLoeckx, MatthiasRabinovich, Roberto A.Demeyer, HeleenLouvaris, ZafeirisTanner, RebeccaRubio, NoahFrei, Anjade Jong, CorinaGimeno Santos, Elena, 1980-Rodrigues, Fernanda M.Buttery, Sara C.Hopkinson, Nicholas S.Büsching, GilbertStrassmann, AlexandraSerra, IgnasiVogiatzis, IoannisGarcía Aymerich, JudithPolkey, Michael I.Troosters, ThierryCOPDOutcome and process assessment (health care)Patient adherencePatient satisfactionPhysical activitySmartphoneTelemedicineBackground: 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 (P<.001). Patients needing more contact time had a smaller increase in PA, with mean (SD) of +193 (SD 2375) steps per day, +907 (SD 2306) steps per day, and +1489 (SD 2310) steps per day in high, medium, and low contact time groups, respectively; P for-trend=.01. The overall actual usage of the different components of the intervention was not associated with change in step count in the total group (P=.63). Conclusions: 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. Trial registration: ClinicalTrials.gov NCT02158065; http://clinicaltrials.gov/ct2/show/NCT02158065 (Archived by WebCite at http://www.webcitation.org/73bsaudy9).JMIR Publications Inc.202020202018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/43553http://dx.doi.org/10.2196/mhealth.9774reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJMIR mHealth and uHealth. 2018;6(12):e200© 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. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mhealth and uhealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/435532026-06-12T07:21:37Z
score 15,811543

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