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  1. Article ; Online: Strategies to improve effectiveness of physical activity coaching systems: Development of personas for providing tailored feedback.

    Achterkamp, Reinoud / Dekker-Van Weering, Marit Gh / Evering, Richard Mh / Tabak, Monique / Timmerman, Josien G / Hermens, Hermie J / Vollenbroek-Hutten, Miriam Mr

    Health informatics journal

    2016  Volume 24, Issue 1, Page(s) 92–102

    Abstract: Mobile physical activity interventions can be improved by incorporating behavioural change theories. Relations between self-efficacy, stage of change, and physical activity are investigated, enabling development of feedback strategies that can be used to ...

    Abstract Mobile physical activity interventions can be improved by incorporating behavioural change theories. Relations between self-efficacy, stage of change, and physical activity are investigated, enabling development of feedback strategies that can be used to improve their effectiveness. A total of 325 healthy control participants and 82 patients wore an activity monitor. Participants completed a self-efficacy or stage of change questionnaire. Results show that higher self-efficacy is related to higher activity levels. Patients are less active than healthy controls and show a larger drop in physical activity over the day. Patients in the maintenance stage of change are more active than patients in lower stages of change, but show an equally large drop in level of physical activity. Findings suggest that coaching should at least be tailored to level of self-efficacy, stage of change, and physical activity pattern. Tailored coaching strategies are developed, which suggest that increasing self-efficacy of users is most important. Guidelines are provided.
    MeSH term(s) Adult ; Analysis of Variance ; Exercise/psychology ; Feedback ; Female ; Health Behavior ; Humans ; Male ; Mentoring/methods ; Mentoring/standards ; Mentoring/statistics & numerical data ; Middle Aged ; Motivation ; Self Efficacy ; Surveys and Questionnaires
    Language English
    Publishing date 2016-06-27
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2213115-2
    ISSN 1741-2811 ; 1460-4582
    ISSN (online) 1741-2811
    ISSN 1460-4582
    DOI 10.1177/1460458216653242
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Co-creation of an ICT-supported cancer rehabilitation application for resected lung cancer survivors: design and evaluation.

    Timmerman, Josien G / Tönis, Thijs M / Dekker-van Weering, Marit G H / Stuiver, Martijn M / Wouters, Michel W J M / van Harten, Wim H / Hermens, Hermie J / Vollenbroek-Hutten, Miriam M R

    BMC health services research

    2016  Volume 16, Page(s) 155

    Abstract: Background: Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent ... ...

    Abstract Background: Lung cancer (LC) patients experience high symptom burden and significant decline of physical fitness and quality of life following lung resection. Good quality of survivorship care post-surgery is essential to optimize recovery and prevent unscheduled healthcare use. The use of Information and Communication Technology (ICT) can improve post-surgery care, as it enables frequent monitoring of health status in daily life, provides timely and personalized feedback to patients and professionals, and improves accessibility to rehabilitation programs. Despite its promises, implementation of telehealthcare applications is challenging, often hampered by non-acceptance of the developed service by its end-users. A promising approach is to involve the end-users early and continuously during the developmental process through a so-called user-centred design approach. The aim of this article is to report on this process of co-creation and evaluation of a multimodal ICT-supported cancer rehabilitation program with and for lung cancer patients treated with lung resection and their healthcare professionals (HCPs).
    Methods: A user-centered design approach was used. Through semi-structured interviews (n = 10 LC patients and 6 HCPs), focus groups (n = 5 HCPs), and scenarios (n = 5 HCPs), user needs and requirements were elicited. Semi-structured interviews and the System Usability Scale (SUS) were used to evaluate usability of the telehealthcare application with 7 LC patients and 10 HCPs.
    Results: The developed application consists of: 1) self-monitoring of symptoms and physical activity using on-body sensors and a smartphone, and 2) a web based physical exercise program. 71 % of LC patients and 78 % of HCPs were willing to use the application as part of lung cancer treatment. Accessibility of data via electronic patient records was essential for HCPs. LC patients regarded a positive attitude of the HCP towards the application essential. Overall, the usability (SUS median score = 70, range 35-95) was rated acceptable.
    Conclusions: A telehealthcare application that facilitates symptom monitoring and physical fitness training is considered a useful tool to further improve recovery following surgery of resected lung cancer (LC) patients. Involvement of end users in the design process appears to be necessary to optimize chances of adoption, compliance and implementation of telemedicine.
    MeSH term(s) Female ; Focus Groups ; Follow-Up Studies ; Humans ; Lung Neoplasms/psychology ; Lung Neoplasms/rehabilitation ; Male ; Middle Aged ; Patient Care Planning/trends ; Program Development ; Program Evaluation ; Quality of Life ; Survivors/psychology ; Survivors/statistics & numerical data ; Telemedicine/trends
    Language English
    Publishing date 2016-04-27
    Publishing country England
    Document type Journal Article
    ISSN 1472-6963
    ISSN (online) 1472-6963
    DOI 10.1186/s12913-016-1385-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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