An m-health system for education and motivation in cardiac rehabilitation: the experience of heartcycle guided exercise

Salvi, D. et al. (2018) An m-health system for education and motivation in cardiac rehabilitation: the experience of heartcycle guided exercise. Journal of Telemedicine and Telecare, 24(4), pp. 303-316. (doi: 10.1177/1357633X17697501) (PMID:28350282)

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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.

Item Type:Articles
Additional Information:This work was partially funded by the European Commission through the HeartCycle Project, “Compliance and effectiveness in HF and CHD closed-loop management”, FP7 - 216695.
Glasgow Author(s) Enlighten ID:Cleland, Professor John
Authors: Salvi, D., Ottaviano, M., Muuraiskangas, S., Martınez-Romero, A., Vera-Munoz, C., Triantafyllidis, A., Cabrera Umpierrez, M. F., Arredondo Waldmeyer, M. T., Skobel, E., Knackstedt, C., Liedes, H., Honka, A., Luprano, J., Cleland, J. G.F., Stut, W., and Deighan, C.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > Robertson Centre
Journal Name:Journal of Telemedicine and Telecare
Publisher:SAGE Publications
ISSN (Online):1758-1109
Published Online:28 March 2017
Copyright Holders:Copyright © 2017 The Authors
First Published:First published in Journal of Telemedicine and Telecare 24(4): 303-316
Publisher Policy:Reproduced in accordance with the publisher copyright policy

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