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

Progress in rehabilitation medicine Pub Date : 2023-12-28 eCollection Date: 2023-01-01 DOI:10.2490/prm.20230045

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

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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.

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针对坚持家庭锻炼计划的远程支持应用程序的开发和可行性测试：随机试点研究。

目标：家庭锻炼计划（HEPs）的依从性差是影响护理连续性和最终疗效的一个重要障碍，因此需要创新的缓解方法。本研究旨在开发和测试远程支持应用程序（RSA）的可行性，该应用程序旨在鼓励人们坚持家庭锻炼计划：方法：使用标准的计算机编程，开发了一款带有管理员和用户界面的手机或平板电脑远程支持应用程序。经同意接受物理治疗的肌肉骨骼疾病患者（19 人）被随机分配到实验组（10 人）或对照组（9 人）。实验组通过 RSA 接收定制的 "健康教育计划 "提醒，而对照组则使用传统的纸质 "健康教育计划 "讲义。在 4 周的时间内对 HEP 的坚持情况进行了评估。使用移动应用评分量表和系统可用性量表 (SUS) 问卷对 RSA 的可行性进行了评估。数据采用描述性和推论性统计方法进行总结：结果：实验组患者两周后的依从率明显高于对照组患者[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]，四周后的依从率明显高于对照组患者[中位数差异=-7.0，95% 置信区间（CI）：-8.0 至-5.0；U=0；Z=-3.695；P=0.001；r=0.75]：对于肌肉骨骼疾病患者来说，使用 RSA 来提高 HEPs 的依从性是可行的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Progress in rehabilitation medicine

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