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
Affiliations
- Beacon Hospital, Dublin, Ireland.
- Insight Centre for Data Analytics, University College Dublin, Dublin, Ireland.
- 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
References
- J Soc Psychol. 1975 Dec;97(Second Half):303-4 - PubMed
- BMC Geriatr. 2017 Mar 23;17 (1):77 - PubMed
- Pain. 1991 Jan;44(1):5-28 - PubMed
- J Sport Rehabil. 2012 Feb;21(1):18-25 - PubMed
- Rev Panam Salud Publica. 2002 Aug;12(2):86-94 - PubMed
- BMJ Open. 2014 Jun 27;4(6):e005044 - PubMed
- J Rheumatol. 2006 Feb;33(2):333-41 - PubMed
- J Athl Train. 2003 Jun;38(2):158-162 - PubMed
- Man Ther. 2010 Dec;15(6):514-21 - PubMed
- Physiotherapy. 2016 Mar;102(1):7-9 - PubMed
- J Am Geriatr Soc. 2003 Mar;51(3):387-92 - PubMed
- J Epidemiol Community Health. 2001 Feb;55(2):132-8 - PubMed
- Phys Ther. 1993 Nov;73(11):771-82; discussion 783-6 - PubMed
- J Sports Sci. 1996 Dec;14(6):471-82 - PubMed
- Clin Rehabil. 2014 Sep;28(9):835-46 - PubMed
- Disabil Rehabil. 2017 Mar;39(6):519-534 - PubMed
- Health Psychol Rev. 2015 ;9(3):323-44 - PubMed
- Arthritis Care Res (Hoboken). 2010 Aug;62(8):1087-94 - PubMed
- J Vis Exp. 2013 Nov 08;(81):e50643 - PubMed
- Scand J Med Sci Sports. 2008 Dec;18(6):798-809 - PubMed
- BMJ. 2008 Sep 29;337:a1655 - PubMed
- Res Social Adm Pharm. 2014 Nov-Dec;10(6):e87-98 - PubMed
- Man Ther. 2003 May;8(2):110-6 - PubMed
- Res Q Exerc Sport. 2002 Sep;73(3):310-9 - PubMed
- Physiotherapy. 2016 Jun;102(2):127-35 - PubMed
- J Physiother. 2017 Jul;63(3):161-167 - PubMed
- Syst Rev. 2014 Feb 10;3:10 - PubMed
- Haemophilia. 2014 Mar;20(2):e121-7 - PubMed
- Aust Fam Physician. 2015 Jan-Feb;44(1-2):39-42 - PubMed
- Physiother Theory Pract. 2005 Apr-Jun;21(2):93-102 - PubMed
- Control Clin Trials. 2003 Apr;24(2):182-99 - PubMed
- Conf Proc IEEE Eng Med Biol Soc. 2014;2014:2965-8 - PubMed
- J Clin Pharm Ther. 2001 Oct;26(5):331-42 - PubMed
- Ann Phys Rehabil Med. 2016 Apr;59(2):107-13 - PubMed
- Man Ther. 2010 Jun;15(3):220-8 - PubMed
- J Rehabil Med. 2014 Feb;46(2):153-8 - PubMed
- J Telemed Telecare. 2011;17(4):195-8 - PubMed
- Rehabil Psychol. 2013 Feb;58(1):64-72 - PubMed
- J Am Coll Cardiol. 2016 Aug 23;68(8):789-801 - PubMed
- Phys Ther. 1996 Oct;76(10):1082-8 - PubMed
- Spine J. 2013 Dec;13(12):1940-50 - PubMed
- Man Ther. 2015 Dec;20(6):727-35 - PubMed
- Musculoskeletal Care. 2015 Mar;13(1):1-18 - PubMed
- QJM. 2013 Aug;106(8):703-7 - PubMed
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