Weekly Telephone Call Impacts Outcomes of an Individualized Home Exercise Program in People Recovering From Cancer

Mayer, Jill E.; Plumeau, Kayleigh

doi:10.1097/01.reo.0000000000000301

Cited by 2 publications

(2 citation statements)

References 36 publications

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“…Satisfaction with instructions in home-based therapy is crucial because users must feel confident managing the technology independently given the limited support clinicians can offer due to current healthcare reimbursement constraints. Understanding the efficacy of support offered to participants both indirectly through the training material and directly through phone calls will be of particular importance as it has been shown that frequent check-ins from therapists in other home-based exercise programs can effectively improve outcomes [ 67 ].…”

Section: Discussionmentioning

confidence: 99%

Utility and usability of a wearable system and progressive-challenge cued exercise program for encouraging use of the more involved arm at-home after stroke—a feasibility study with case reports

Horder,

Mrotek,

Casadio

et al. 2024

J NeuroEngineering Rehabil

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Background Understanding the role of adherence to home exercise programs for survivors of stroke is critical to ensure patients perform prescribed exercises and maximize effectiveness of recovery. Methods Survivors of hemiparetic stroke with impaired motor function were recruited into a 7-day study designed to test the utility and usability of a low-cost wearable system and progressive-challenge cued exercise program for encouraging graded-challenge exercise at-home. The wearable system comprised two wrist-worn MetaMotionR+ activity monitors and a custom smartphone app. The progressive-challenge cued exercise program included high-intensity activities (one repetition every 30 s) dosed at 1.5 h per day, embedded within 8 h of passive activity monitoring per day. Utility was assessed using measures of system uptime and cue response rate. Usability and user experience were assessed using well-validated quantitative surveys of system usability and user experience. Self-efficacy was assessed at the end of each day on a visual analog scale that ranged from 0 to 100. Results The system and exercise program had objective utility: system uptime was 92 ± 6.9% of intended hours and the rate of successful cue delivery was 99 ± 2.7%. The system and program also were effective in motivating cued exercise: activity was detected within 5-s of the cue 98 ± 3.1% of the time. As shown via two case studies, accelerometry data can accurately reflect graded-challenge exercise instructions and reveal differentiable activity levels across exercise stages. User experience surveys indicated positive overall usability in the home settings, strong levels of personal motivation to use the system, and high degrees of satisfaction with the devices and provided training. Self-efficacy assessments indicated a strong perception of proficiency across participants (95 ± 5.0). Conclusions This study demonstrates that a low-cost wearable system providing frequent haptic cues to encourage graded-challenge exercise after stroke can have utility and can provide an overall positive user experience in home settings. The study also demonstrates how combining a graded exercise program with all-day activity monitoring can provide insight into the potential for wearable systems to assess adherence to—and effectiveness of—home-based exercise programs on an individualized basis.

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Section: Discussionmentioning

confidence: 99%

Utility and usability of a wearable system and progressive-challenge cued exercise program for encouraging use of the more involved arm at-home after stroke—a feasibility study with case reports

Horder,

Mrotek,

Casadio

et al. 2024

J NeuroEngineering Rehabil

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“…One possible intervention to reduce the proportion of ‘poor-quality’ ECGs is the use of telephone calls to provide training in ECG recording technique. Telephone calls to provide training have been shown to improve adherence to a variety of interventions including exercise for cancer recovery (13) and Continuous Positive Air Pressure therapy (14). However, to our knowledge there is currently no published evidence exploring telephone calls as a possible intervention to improve self-recorded ECG quality.…”

Section: Introductionmentioning

confidence: 99%

Telephone training to improve ECG quality in remote screening for atrial fibrillation

Bhayankaram,

Mant,

Brimicombe

et al. 2024

Preprint

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Background and Aims: Self-recorded, single-lead ECGs are increasingly used to diagnose arrhythmias. However, they can be of variable quality, which can affect the reliability of interpretation. In this analysis of ECGs collected in atrial fibrillation screening studies, our aims were to: (i) determine the quality of ECGs when recorded unsupervised (at home); and (ii) investigate whether telephone training improved ECG quality. Methods: Data was obtained from the Screening for Atrial Fibrillation to Reduce stroke (SAFER) programme, where participants recorded single-lead ECGs four times per day for three weeks using a handheld device. ECG quality was assessed using an automated algorithm, and participants who recorded >25% poor quality ECGs from days 4-10 of screening were identified for training. Telephone training to improve ECG recording technique was delivered when research team capacity permitted. Results: 14,727 participants recorded 1,206,972 ECGs, of which 43,513 (3.6%) were poor quality. Most participants (51.9%) did not record any poor-quality ECGs. 1,105 (7.5%) participants met the threshold for training. Of these, 165 participants received training and 896 did not. Comparing these groups, the mean (95% confidence interval) reduction in the proportion of poor-quality ECGs per participant from before training (days 1-3) to after training (days 11-21) was 21.1 (17.5-23.5) % with training and 15.7 (14.5-16.8) % without training (p<0.05). Conclusion: Most participants achieved adequate quality ECGs. For those that did not, ECG quality improved over time regardless, and training further improved ECG quality. Therefore, telephone training could be considered in atrial fibrillation screening programmes using single-lead ECG devices.

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Weekly Telephone Call Impacts Outcomes of an Individualized Home Exercise Program in People Recovering From Cancer

Cited by 2 publications

References 36 publications

Utility and usability of a wearable system and progressive-challenge cued exercise program for encouraging use of the more involved arm at-home after stroke—a feasibility study with case reports

Utility and usability of a wearable system and progressive-challenge cued exercise program for encouraging use of the more involved arm at-home after stroke—a feasibility study with case reports

Telephone training to improve ECG quality in remote screening for atrial fibrillation

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