Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis.

Q1 Medicine

Scoliosis and Spinal Disorders Pub Date : 2018-07-18 DOI:10.1186/s13013-018-0159-x

Karina A Zapata, Sharon S Wang-Price, Tina S Fletcher, Charles E Johnston

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引用次数: 6

Abstract

Background: Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment.

Methods: Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL. At a 6-month follow-up, 14 participants completed a survey assessing factors related to their experiences using the app and their treatment engagement.

Results: Although most participants did not use the app, they reported performing their exercises a few times per week. The adolescent participants considered the app to be more of a barrier than a supportive measure for promoting exercise adherence. Most participants still reported bothersome back pain.

Conclusions: Although adherence to the 6-month app-based home exercise program was not successful, adolescents still viewed technology support such as text reminders as a potential solution.

Trial registration: ClinicalTrials.gov Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.

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影响患有疼痛性后凸畸形的青少年坚持基于应用程序的锻炼计划的因素。

背景：软件应用程序（app）有可能促进运动依从性。然而，目前尚不清楚患有疼痛性后凸的青少年是否会使用专为家庭锻炼项目设计的应用程序。本研究的目的是评估接受一次性运动治疗的患有高后凸和背痛的青少年坚持基于应用程序的家庭锻炼计划的因素。方法：21名参与者接受一次性锻炼治疗，并被要求使用一款名为PT PAL的应用程序每周完成3次家庭锻炼计划，为期6个月。在6个月的随访中，14名参与者完成了一项调查，评估了与他们使用该应用程序的经历和他们的治疗参与度相关的因素。结果：尽管大多数参与者没有使用该应用程序，但他们报告每周进行几次锻炼。青少年参与者认为，该应用程序更多的是一种障碍，而不是促进锻炼依从性的支持措施。大多数参与者仍然报告了令人烦恼的背痛。结论：尽管坚持基于应用程序的6个月家庭锻炼计划并不成功，但青少年仍然认为文本提醒等技术支持是一种潜在的解决方案。试验注册：ClinicalTrials.gov标识符：NCT03212664。2017年7月11日注册。追溯登记。

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来源期刊

Scoliosis and Spinal Disorders Medicine-Orthopedics and Sports Medicine

CiteScore

5.60

自引率

0.00%

发文量

期刊介绍： Cessation.Scoliosis and Spinal Disorders is an open access, multidisciplinary journal that encompasses all aspects of research on prevention, diagnosis, treatment, outcomes and cost-analyses of conservative and surgical management of all spinal deformities and disorders. Both clinical and basic science reports form the cornerstone of the journal in its endeavour to provide original, primary studies as well as narrative/systematic reviews and meta-analyses to the academic community and beyond. Scoliosis and Spinal Disorders aims to provide an integrated and balanced view of cutting-edge spine research to further enhance effective collaboration among clinical spine specialists and scientists, and to ultimately improve patient outcomes based on an evidence-based spine care approach.