Beekman Emmylou, Braun Susy M, Ummels Darcy, van Vijven Kim, Moser Albine, Beurskens Anna J
Research Centre for Autonomy and Participation of Persons with a Chronic Illness, Zuyd University of Applied Sciences, P.O. Box 550, 6400 AN Heerlen, Netherlands.
Physical therapy section in multidisciplinary centre, ParaMedisch Centrum Zuid, Veestraat 28, 6134 VJ Sittard, Netherlands.
Pilot Feasibility Stud. 2017 Nov 23;3:64. doi: 10.1186/s40814-017-0200-5. eCollection 2017.
For older people and people with a chronic disease, physical activity provides health benefits. Patients and healthcare professionals can use commercially available activity trackers to objectively monitor (alterations in) activity levels and patterns and to support physical activity. However, insight in the validity, reliability, and feasibility of these trackers in people with a chronic disease is needed. In this article, a study protocol is described in which the validity, reliability (part A), and feasibility from a patient and therapist's point of view (part B) of commercially available activity trackers in daily life and health care is investigated.
In part A, a quantitative cross-sectional study, an activity protocol that simulates everyday life activities will be used to determine the validity and reliability of nine commercially available activity trackers. Video recordings will act as the gold standard. In part B, a qualitative participatory action research study will be performed to gain insight in the use of activity trackers in peoples' daily life and therapy settings. Objective feasibility of the activity trackers will be measured with questionnaires, and subjective feasibility (experiences) will be explored in a community of practice. Physical therapists ( = 8) will regularly meet during 6 months to learn from each other regarding the actual use of activity trackers in therapy. Therapists and patients ( = 48) will decide together which tracker will be used in therapy and for which purpose (e.g., monitoring, goal setting). Data from the therapist' and patients' experiences will be collected by interviews (individual and focus groups) and analyzed by a directed content analysis. At the time of submission, selection of activity trackers, development of the activity protocol, and the ethical approval process are finished. Data collection and data processing are ongoing.
The relevance of the study as well as the advantages and disadvantages of several aspects of the chosen design are discussed. The results acquired from both study parts can be used to create decision aids that may assist therapists and people with a chronic disease in choosing a suitable activity tracker, and to facilitate use of these activity trackers in health care settings.
Ethical approval has been obtained from two medical-ethical committees (nr. 15-N-109, 15-N-48 and MEC-15-07).
对于老年人和患有慢性病的人来说，体育活动对健康有益。患者和医疗保健专业人员可以使用市面上的活动追踪器来客观监测活动水平和模式的（变化），并支持体育活动。然而，需要了解这些追踪器在慢性病患者中的有效性、可靠性和可行性。在本文中，描述了一项研究方案，该方案调查了市面上的活动追踪器在日常生活和医疗保健中的有效性、可靠性（A部分）以及从患者和治疗师角度的可行性（B部分）。
在A部分，即一项定量横断面研究中，将使用模拟日常生活活动的活动方案来确定九种市面上的活动追踪器的有效性和可靠性。视频记录将作为金标准。在B部分，将进行一项定性参与式行动研究，以了解活动追踪器在人们日常生活和治疗环境中的使用情况。活动追踪器的客观可行性将通过问卷调查来衡量，主观可行性（体验）将在实践社区中进行探索。物理治疗师（n = 8）将在6个月内定期会面，就活动追踪器在治疗中的实际使用情况相互学习。治疗师和患者（n = 48）将共同决定在治疗中使用哪种追踪器以及用于何种目的（例如，监测、设定目标）。治疗师和患者的经验数据将通过访谈（个人访谈和焦点小组访谈）收集，并通过定向内容分析进行分析。在提交本文时，活动追踪器的选择、活动方案的制定以及伦理审批过程均已完成。数据收集和数据处理正在进行中。
讨论了该研究的相关性以及所选设计几个方面的优缺点。从两个研究部分获得的结果可用于创建决策辅助工具，帮助治疗师和慢性病患者选择合适的活动追踪器，并促进这些活动追踪器在医疗保健环境中的使用。
已获得两个医学伦理委员会的伦理批准（编号15 - N - 109、15 - N - 48和MEC - 15 - 07）。
