An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise

Dario Salvi (Corresponding Author), Manuel Ottaviano, Salla Muuraiskangas, Alvaro Martínez-Romero, Cecilia Vera-Muñoz, Andreas Triantafyllidis, Maria Fernanda Cabrera Umpiérrez, Maria Teresa Arredondo Waldmeyer, Erik Skobel, Christian Knackstedt, Hilkka Liedes, Anita Honka, Jean Luprano, John GF Cleland, Wim Stut, Carolyn Deighan

Research output: Contribution to journalArticleScientificpeer-review

10 Citations (Scopus)

Abstract

Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.
Original languageEnglish
Article number303316
Number of pages14
JournalJournal of Telemedicine and Telecare
Volume24
Issue number4
Early online date2017
DOIs
Publication statusPublished - 2018
MoE publication typeA1 Journal article-refereed

Fingerprint

Health Education
Motivation
Exercise
Rehabilitation
Habits
Telemedicine
Cardiac Rehabilitation
Coronary Artery Disease
Patient Care
Randomized Controlled Trials
Technology
Safety
Education
Control Groups
Health

Keywords

  • m-Health
  • cardiac rehabilitation
  • coronary artery diseases
  • education and motivation

Cite this

Salvi, Dario ; Ottaviano, Manuel ; Muuraiskangas, Salla ; Martínez-Romero, Alvaro ; Vera-Muñoz, Cecilia ; Triantafyllidis, Andreas ; Cabrera Umpiérrez, Maria Fernanda ; Arredondo Waldmeyer, Maria Teresa ; Skobel, Erik ; Knackstedt, Christian ; Liedes, Hilkka ; Honka, Anita ; Luprano, Jean ; Cleland, John GF ; Stut, Wim ; Deighan, Carolyn. / An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise. In: Journal of Telemedicine and Telecare. 2018 ; Vol. 24, No. 4.
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abstract = "Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping {"}desired behaviours{"} into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.",
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Salvi, D, Ottaviano, M, Muuraiskangas, S, Martínez-Romero, A, Vera-Muñoz, C, Triantafyllidis, A, Cabrera Umpiérrez, MF, Arredondo Waldmeyer, MT, Skobel, E, Knackstedt, C, Liedes, H, Honka, A, Luprano, J, Cleland, JGF, Stut, W & Deighan, C 2018, 'An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise', Journal of Telemedicine and Telecare, vol. 24, no. 4, 303316. https://doi.org/10.1177/1357633X17697501

An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise. / Salvi, Dario (Corresponding Author); Ottaviano, Manuel; Muuraiskangas, Salla; Martínez-Romero, Alvaro; Vera-Muñoz, Cecilia; Triantafyllidis, Andreas; Cabrera Umpiérrez, Maria Fernanda; Arredondo Waldmeyer, Maria Teresa; Skobel, Erik; Knackstedt, Christian; Liedes, Hilkka; Honka, Anita; Luprano, Jean; Cleland, John GF; Stut, Wim; Deighan, Carolyn.

In: Journal of Telemedicine and Telecare, Vol. 24, No. 4, 303316, 2018.

Research output: Contribution to journalArticleScientificpeer-review

TY - JOUR

T1 - An m-Health system for education and motivation in cardiac rehabilitation: the experience of HeartCycle guided exercise

AU - Salvi, Dario

AU - Ottaviano, Manuel

AU - Muuraiskangas, Salla

AU - Martínez-Romero, Alvaro

AU - Vera-Muñoz, Cecilia

AU - Triantafyllidis, Andreas

AU - Cabrera Umpiérrez, Maria Fernanda

AU - Arredondo Waldmeyer, Maria Teresa

AU - Skobel, Erik

AU - Knackstedt, Christian

AU - Liedes, Hilkka

AU - Honka, Anita

AU - Luprano, Jean

AU - Cleland, John GF

AU - Stut, Wim

AU - Deighan, Carolyn

PY - 2018

Y1 - 2018

N2 - Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.

AB - Introduction: Home-based programmes for cardiac rehabilitation play a key role in the recovery of patients with coronary artery disease. However, their necessary educational and motivational components have been rarely implemented with the help of modern mobile technologies. We developed a mobile health system designed for motivating patients to adhere to their rehabilitation programme by providing exercise monitoring, guidance, motivational feedback, and educational content. Methods: Our multi-disciplinary approach is based on mapping "desired behaviours" into specific system's specifications, borrowing concepts from Fogg's Persuasive Systems Design principles. A randomised controlled trial was conducted to compare mobile-based rehabilitation (55 patients) versus standard care (63 patients). Results: Some technical issues related to connectivity, usability and exercise sessions interrupted by safety algorithms affected the trial. For those who completed the rehabilitation (19 of 55), results show high levels of both user acceptance and perceived usefulness. Adherence in terms of started exercise sessions was high, but not in terms of total time of performed exercise or drop-outs. Educational level about heart-related health improved more in the intervention group than the control. Exercise habits at 6 months follow-up also improved, although without statistical significance. Discussion: Results indicate that the adopted design methodology is promising for creating applications that help improve education and foster better exercise habits, but further studies would be needed to confirm these indications.

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KW - cardiac rehabilitation

KW - coronary artery diseases

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