Abstract
The system informs the nurse about levels of physical activity in the daily living of patients who are using the It's LiFe! tool. The tool consists of an accelerometer that transfers data to a smartphone, which is subsequently connected to a server. Nurses can monitor patients' physical activity via a secured website. Physical activity levels are measured in minutes per day compared with pre-set activity goals, which are set in dialogue with the patient. To examine user requirements and to evaluate the usability of the secured website, in order to increase the probability of effective use by nurses. The needs and preferences of nurses towards the system were determined through qualitative research. The usability of the system was evaluated in a laboratory situation and during a three-month pilot study. A monitoring and feedback system to support patients in their intention to be more active was developed in a systematic way. Automatically generated feedback messages were defined based on the requirements of nurses. The results from the usability tests gave insights into how to improve the structure and quality of the information provided. Nurses were positive about the features and ease of use of the system, but made critical remarks about the time that its use entails. The system supports nurses when performing physical activity counselling in a structured and profound way. The opportunity to support self-management of patients in between regular consultations needs further investigation, and adaptation into the clinical workflow of the nurses.
Highlights
According to guidelines and care standards, stimulating physical activity (PA) should be an important element in the treatment of people with a chronic disease such as chronic obstructive pulmonary disease (COPD) or type II diabetes (DM).[1,2] In the Netherlands, the majority of chronically ill patients are treated in primary care
A web-based coaching system to stimulate the physical activity of chronically ill patients 291 system and the Self-management Support Programme (SSP), the behaviour change counselling protocol for nurses
We interviewed 16 primary care providers (11 nurses, 3 GPs and 2 physiotherapists), of which 4 were male and 12 female
Summary
According to guidelines and care standards, stimulating physical activity (PA) should be an important element in the treatment of people with a chronic disease such as chronic obstructive pulmonary disease (COPD) or type II diabetes (DM).[1,2] In the Netherlands, the majority of chronically ill patients are treated in primary care They visit the family practice regularly to monitor their condition and it is the task of the practice nurse to provide lifestyle counselling during these consultations.[3,4] The use of technology for long-term monitoring and feedback could support patients in achieving a more active lifestyle and could help nurses to coach patients in establishing this behavioural change. Physical activity levels are measured in minutes per day compared with pre-set activity goals, which are set in dialogue with the patient
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