Tabak, M. and op den Akker, H. and Hermens, H.J.
Motivational cues as real-time feedback for changing daily activity behavior of patients with COPD.
Patient education and counseling, 94 (3).
*** ISI Impact 2,232 ***
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Official URL: http://dx.doi.org/10.1016/j.pec.2013.10.014
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.
|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|
|Deposited On:||23 December 2013|
|ISI Impact Factor:||2,232|
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