治疗期间长期身体活动追踪的可行性、障碍和促进因素:儿童癌症患者访谈研究。

IF 2.3 Q2 PEDIATRICS
Emma den Hartog, Wim J E Tissing, Sebastian B B Bon, Patrick van der Torre, Emma J Verwaaijen
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引用次数: 0

摘要

背景:患有癌症的儿童存在体力活动减少的风险。使用智能手表了解身体活动可以提高对治疗期间个人潜力的了解,支持早期识别异常的身体活动,并提供量身定制的支持。目的:本研究旨在探讨在儿童癌症治疗期间使用智能手表进行长期身体活动跟踪的可行性、障碍、促进因素和考虑因素。方法:在这项前瞻性研究中,30名接受积极癌症治疗的儿童(8-18岁)分为2期。在第一阶段,15名儿童连续12周每天佩戴智能手表,并进行深度访谈,以确定优化可穿戴性的主要考虑因素和第二阶段的方法。在第二阶段,另外15名儿童佩戴智能手表,并在第1、3、6和12周进行半结构化访谈。对这些访谈进行主题分析,以确定障碍和促进因素。数据收集和分析交替进行的迭代过程允许在研究期间不断改进方法和深化专题分析。结果:在第一阶段确定的关键改进因素导致了第二阶段的改进,包括增强参与度,定期提示,定制计划,个性化设置以及改进的美观和舒适性。在第二阶段进行的访谈确定了障碍和促进因素。4个最突出的主题是负担和弹性,动机驱动和感知,洞察力和评估,以及用户体验和功能。可行性受儿童身体状况和感知负担的影响。动机、感知价值和期望在维持依从性中起着至关重要的作用,而积极强化和潜在对抗之间的平衡也影响着长期使用。用户体验,包括吸引力、舒适度和可用性,都会影响接受度。结论:在我们的队列中,在癌症治疗期间使用智能手表对儿童进行实时和长期的身体活动跟踪是不可行的。结合个人偏好和身体状况的个性化方法对于支持坚持治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility, Barriers, and Facilitators of Long-Term Physical Activity Tracking During Treatment: Interview Study Among Childhood Cancer Patients.

Background: Children with cancer are at risk of reduced physical activity. Gaining insight into physical activity using smartwatches could improve understanding of individual potential during treatment, support early recognition of aberrant physical activity, and enable tailored support.

Objective: This study aimed to explore the feasibility, barriers, facilitators, and considerations of long-term physical activity tracking using a smartwatch during childhood cancer treatment.

Methods: In this prospective study, 30 children (age 8-18 years) under active cancer treatment were included in 2 phases. During phase 1, 15 children wore a smartwatch daily for 12 consecutive weeks, and in-depth interviews were conducted to identify principal considerations used to optimize wearability and the methods for phase 2. In phase 2, another 15 children wore the smartwatch, and semistructured interviews were conducted at weeks 1, 3, 6, and 12. These interviews were thematically analyzed to identify barriers and facilitators. An iterative process of alternating data collection and analysis allowed for ongoing method refinement and deepening thematic analysis during the study period.

Results: Key considerations for improvement identified in phase 1 led to refinements in phase 2, including enhanced engagement, regular prompts, customized plans, personalized setup, and improved aesthetics and comfort. The interviews conducted during phase 2 identified barriers and facilitators. The 4 most prominent themes were burden and resilience, motivational drivers and perception, insight and evaluation, and user experience and functionality. Feasibility was influenced by the child's physical state and perceived burden. Motivation, perceived value, and expectations played crucial roles in sustaining adherence, while also the balance between positive reinforcement and potential confrontation affected long-term use. User experience, including attractiveness, comfort, and usability, impacted acceptance.

Conclusions: Real-time and long-term physical activity tracking using a smartwatch in children during cancer treatment was not feasible in our cohort. A personalized approach, incorporating individual preferences and physical condition, is essential to support adherence.

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来源期刊
JMIR Pediatrics and Parenting
JMIR Pediatrics and Parenting Medicine-Pediatrics, Perinatology and Child Health
CiteScore
5.00
自引率
5.40%
发文量
62
审稿时长
12 weeks
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