Department of Physical Therapy, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, MA, USA.
Center for Behavioral Science Research, Henry M. Goldman School of Dental Medicine, Boston University, Boston, MA, USA.
Disabil Rehabil Assist Technol. 2024 Aug;19(6):2221-2228. doi: 10.1080/17483107.2023.2272854. Epub 2023 Oct 24.
Smartphone-based interventions offer a promising approach to address inactivity in people with knee osteoarthritis (OA). We explored perceptions towards smartphone-based interventions to improve physical activity, pain, and depressed mood in inactive people with knee pain.
This qualitative study included six focus groups at Boston University with inactive people with knee pain ( = 35). A smartphone app, developed by our team, using constructs of Social Cognitive Theory, was used to obtain participant feedback.
Participants discussed wanting to use smartphone-based interventions for personalized exercise advice, for motivation (e.g., customized voice messages, virtual incentives), and to make exercise "less boring" (e.g., music, virtual gaming). Preferred app features included video tutorials on how to use the app, the ability to select information that can be viewed on the home screen, and the ability to interact with clinicians. Features that received mixed responses included daily pain tracking, daily exercise reminders, peer-interaction for accountability, and peer-competition for motivation. All participants discussed privacy and health data security concerns while using the app.
Using a co-design approach, we report preferences and concerns related to using smartphone-based physical activity interventions in inactive people with knee pain. This information may help improve acceptability of such interventions in this population.
基于智能手机的干预措施为解决膝骨关节炎（OA）患者的不活动问题提供了一种有前景的方法。我们探讨了人们对基于智能手机的干预措施的看法，这些措施旨在提高身体活动水平、减轻疼痛和改善情绪低落，以改善膝痛不活动人群的状况。
本研究为定性研究，在波士顿大学进行了 6 次焦点小组讨论，参与者为 35 名膝痛不活动的人群。我们团队开发的一个使用社会认知理论构建的智能手机应用程序，用于获取参与者的反馈。
参与者讨论了希望使用基于智能手机的干预措施来获得个性化的运动建议、获得动力（例如，定制语音消息、虚拟奖励），以及使运动“不那么无聊”（例如，音乐、虚拟游戏）。参与者偏好的应用程序功能包括有关如何使用应用程序的视频教程、能够选择可在主屏幕上查看的信息，以及与临床医生互动的能力。对某些功能的反馈喜忧参半，包括日常疼痛跟踪、日常运动提醒、用于问责制的同行互动，以及用于激励的同行竞争。所有参与者在使用应用程序时都讨论了隐私和健康数据安全问题。
通过采用共同设计的方法，我们报告了在膝痛不活动人群中使用基于智能手机的身体活动干预措施的偏好和关注点。这些信息可能有助于提高此类干预措施在该人群中的可接受性。
