用于坚持家庭锻炼计划的远程支持应用程序的开发与可行性测试：一项随机试点研究。

Development and Feasibility Testing of a Remote Support Application for Adherence to Home Exercise Programs: A Randomized Pilot Study.

作者信息

Adedoyin Rufus A, Makinde John O, Ademoyegun Adekola B, Fatoye Francis, Mbada Chidozie E

机构信息

Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria.

Department of Physiotherapy, Osun State University Teaching Hospital, Osogbo, Nigeria.

出版信息

Prog Rehabil Med. 2023 Dec 28;8:20230045. doi: 10.2490/prm.20230045. eCollection 2023.

DOI:10.2490/prm.20230045

PMID:38155669

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10751247/

Abstract

OBJECTIVES

Poor adherence to home exercise programs (HEPs) is a significant barrier to continuity of care and eventual outcomes, thus requiring innovative mitigating approaches. This study aimed to develop and test the feasibility of a remote support application (RSA) designed to encourage adherence to HEPs.

METHODS

Using standard computer programing, an RSA with administrator and user interfaces was developed for mobile phone or tablet. Consenting patients receiving physiotherapy for musculoskeletal conditions (n=19) were randomly assigned into the experimental group (n=10) or the control group (n=9). The experimental group received their customized HEP reminders via the RSA, whereas the control group used conventional paper handouts for HEPs. Adherence to HEPs was assessed over 4 weeks. The feasibility of the RSA was assessed using the Mobile Application Rating Scale and System Usability Scale (SUS) questionnaires. Data were summarized using descriptive and inferential statistics.

RESULTS

The adherence rate of patients in experimental group was significantly higher than that of patients in the control group after 2 weeks [median diff.=-6.0, 95% confidence interval (CI): -8.0 to -5.0; U=5.00; Z=-3.304; P=0.001; r=0.75] and 4 weeks (median diff.=-7.0, 95% CI: -8.0 to -5.0; U=0; Z=-3.695; P<0.001; r=0.84) of intervention. The RSA had a mean SUS score of 82.53±9.04 (out of 100) and a mean app quality rating score of 75.95±4.98 (out of 95).

CONCLUSIONS

The use of an RSA to improve adherence to HEPs is feasible for patients with musculoskeletal conditions.

摘要

目的

对家庭锻炼计划（HEP）依从性差是护理连续性和最终结果的重大障碍，因此需要创新的缓解方法。本研究旨在开发并测试一种旨在鼓励对HEP依从性的远程支持应用程序（RSA）的可行性。

方法

使用标准计算机编程，为手机或平板电脑开发了具有管理员和用户界面的RSA。接受肌肉骨骼疾病物理治疗的同意患者（n = 19）被随机分为实验组（n = 10）或对照组（n = 9）。实验组通过RSA接收定制的HEP提醒，而对照组使用HEP的传统纸质手册。在4周内评估对HEP的依从性。使用移动应用评分量表和系统可用性量表（SUS）问卷评估RSA的可行性。数据使用描述性和推断性统计进行总结。

结果

干预2周（中位数差异=-6.0，95%置信区间（CI）：-8.0至-5.0；U = 5.00；Z = -3.304；P = 0.001；r = 0.75）和4周（中位数差异=-7.0，95%CI：-8.0至-5.0；U = 0；Z = -3.695；P < 0.001；r = 0.84）后，实验组患者的依从率显著高于对照组。RSA的平均SUS评分为82.53±9.04（满分100），平均应用质量评级评分为75.95±4.98（满分95）。