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23620 Motivational cues as real-time feedback for changing daily activity behavior of patients with COPD
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Tabak, M. and op den Akker, H. and Hermens, H.J. (2013) Motivational cues as real-time feedback for changing daily activity behavior of patients with COPD. Patient education and counseling, 94 (3). pp. 372-378. ISSN 0738-3991 *** ISI Impact 2,232 ***

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Objective: To investigate how COPD patients respond to motivational cues that aim to improve activity behavior and how these responses are related to cue- and context characteristics. In addition, to explore whether activity can be increased and better distributed over the day by providing such cues.
Methods: Fifteen COPD patients participated. Patients used an activity sensor with a smartphone for four weeks, at least four days/week. Patients received motivational cues every two hours with advice on how to improve their activity, on top of real-time visual feedback. The response was calculated by the amount of activity 30 minutes before and after a cue.
Results: In total, 1488 cues were generated. The amount of activity significantly decreased in the 30 min after a discouraging cue (p<0.001) and significantly increased (p<0.05) in the 10 min after an encouraging cue. The activity level increased with 13% in the intervention period compared to corrected baseline (p=0.008). The activity was not more balanced over the day.
Conclusions: COPD patients significantly change their activity level in response to motivational cues, based on continuous ambulatory assessment of activity levels.
Practice implications: Motivational cues could be a valuable component of telemedicine interventions that aim to improve activity behavior.

Item Type:Article
Research Group:EWI-BSS: Biomedical Signals and Systems
Research Program:MIRA-Neural and Motor Systems
Research Project:COPDdotCOM: Development of an infrastructure for remotely supervised activity monitoring of COPD patients and a portal for inter-professional and-patient communication
Uncontrolled Keywords:COPD, feedback, motivational cues, activity behavior, telemedicine
ID Code:23620
Deposited On:23 December 2013
ISI Impact Factor:2,232
More Information:statisticsmetis

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