Western Max J, Thompson Dylan, Peacock Oliver J, Stathi Afroditi
Lecturer in Behavioural Science, Department for Health, University of Bath, Bath, UK.
Professor, Department for Health, University of Bath, Bath, UK.
BJGP Open. 2019 Feb 6;3(1):bjgpopen18X101628. doi: 10.3399/bjgpopen18X101628. eCollection 2019 Apr.
Promotion of physical activity in primary care has had limited success. Wearable technology presents an opportunity to support healthcare practitioners (HCPs) in providing personalised feedback to their patients.
To explore the differing thoughts and feelings of both HCPs and at-risk patients provided with personalised multidimensional physical activity feedback.
DESIGN & SETTING: Qualitative study with HCPs ( = 15) and patients at risk of cardiovascular disease or type 2 diabetes ( = 29), recruited from primary care.
HCPs and patients wore a physical activity monitor for 7 days and were subsequently shown their personalised multidimensional feedback, including sedentary time, calorie burn, short (1-minute) or long (>10-minute) bouts of moderate-to-vigorous activity during semi-structured interviews. Transcripts were analysed thematically with comparisons made between individuals of high ( = 21) and low ( = 23) physical activity levels as to their cognitive-affective responses to their data.
Personalised feedback elicited positive emotional responses for highly active participants and negative emotional responses for those with low activity. However, individuals with low activity demonstrated largely positive coping mechanisms. Some low active participants were in denial over feedback, but the majority valued it as an opportunity to think of ways to improve physical activity (cognitive reappraisal) and started forming action plans (problem-focused coping). Around half of all participants also sought to validate their feedback against peers.
Personalised, visual feedback elicits immediate emotional and coping responses in participants of high and low physical activity levels. Further studies should explore whether multidimensional feedback could help practitioners explore diverse ways for lifestyle change with patients.
在初级保健中推广身体活动成效有限。可穿戴技术为医疗保健从业者（HCPs）向患者提供个性化反馈提供了契机。
探讨接受个性化多维度身体活动反馈的医疗保健从业者和高危患者的不同想法和感受。
对从初级保健机构招募的15名医疗保健从业者和29名有心血管疾病或2型糖尿病风险的患者进行定性研究。
医疗保健从业者和患者佩戴身体活动监测器7天，随后在半结构化访谈中向他们展示个性化多维度反馈，包括久坐时间、卡路里消耗、短时间（1分钟）或长时间（>10分钟）的中等到剧烈活动。对转录本进行主题分析，并比较身体活动水平高（21人）和低（23人）的个体对其数据的认知情感反应。
个性化反馈对高活动水平参与者引发了积极的情绪反应，对低活动水平参与者引发了消极的情绪反应。然而，低活动水平个体表现出很大程度上积极的应对机制。一些低活动水平参与者对反馈予以否认，但大多数人将其视为思考改善身体活动方法的机会（认知重新评价），并开始制定行动计划（以问题为中心的应对）。所有参与者中约有一半还寻求与同龄人核实他们的反馈。
个性化的视觉反馈在高活动水平和低活动水平参与者中引发了即时的情绪和应对反应。进一步的研究应探讨多维度反馈是否有助于从业者与患者探索生活方式改变的多种途径。
