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JMIR Mhealth Uhealth. 2018 Mar 01;6(3):e47. doi: 10.2196/mhealth.8518.

Patient Involvement With Home-Based Exercise Programs: Can Connected Health Interventions Influence Adherence?.

JMIR mHealth and uHealth

Rob Argent, Ailish Daly, Brian Caulfield

Affiliations

  1. Beacon Hospital, Dublin, Ireland.
  2. Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland.
  3. School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.

PMID: 29496655 PMCID: PMC5856927 DOI: 10.2196/mhealth.8518

Abstract

Adherence to home exercise in rehabilitation is a significant problem, with estimates of nonadherence as high as 50%, potentially having a detrimental effect on clinical outcomes. In this viewpoint, we discuss the many reasons why patients may not adhere to a prescribed exercise program and explore how connected health technologies have the ability to offer numerous interventions to enhance adherence; however, it is hard to judge the efficacy of these interventions without a robust measurement tool. We highlight how well-designed connected health technologies, such as the use of mobile devices, including mobile phones and tablets, as well as inertial measurement units, provide us with the opportunity to better support the patient and clinician, with a data-driven approach that incorporates features designed to increase adherence to exercise such as coaching, self-monitoring and education, as well as remotely monitor adherence rates more objectively.

©Rob Argent, Ailish Daly, Brian Caulfield. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 01.03.2018.

Keywords: biomedical technology; exercise therapy; patient compliance; rehabilitation; review

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