Acceptability of a mobile health exercise-based cardiac rehabilitation intervention: a randomized trial

Pfaeffli Dale, Leila, Whittaker, Robyn, Dixon, Robyn, Stewart, Ralph, Jiang, Yannan, Carter, Karen and Maddison, Ralph 2015, Acceptability of a mobile health exercise-based cardiac rehabilitation intervention: a randomized trial, Journal of cardiopulmonary rehabilitation and prevention, vol. 35, no. 5, pp. 312-319, doi: 10.1097/HCR.0000000000000125.

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Title Acceptability of a mobile health exercise-based cardiac rehabilitation intervention: a randomized trial
Author(s) Pfaeffli Dale, Leila
Whittaker, Robyn
Dixon, Robyn
Stewart, Ralph
Jiang, Yannan
Carter, Karen
Maddison, RalphORCID iD for Maddison, Ralph
Journal name Journal of cardiopulmonary rehabilitation and prevention
Volume number 35
Issue number 5
Start page 312
End page 319
Total pages 8
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2015-09
ISSN 1932-751X
Keyword(s) exercise therapy
health care surveys
middle aged
myocardial ischemia
patient acceptance of health care
program evaluation
Summary BACKGROUND: Mobile technologies (mHealth) have recently been used to deliver behavior change interventions; however, few have investigated the application of mHealth for treatment of ischemic heart disease (IHD). The Heart Exercise And Remote Technologies trial examined the effectiveness of an mHealth intervention to increase exercise behavior in adults with IHD. As a part of this trial, a process evaluation was conducted. METHODS: One hundred seventy-one adults with IHD were randomized to receive a 6-month mHealth intervention (n = 85) plus usual care or usual care alone (n = 86). The intervention delivered a theory-based, automated package of exercise prescription and behavior change text messages and a supporting Web site. Three sources of data were triangulated to assess intervention participant perceptions: (1) Web site usage statistics; (2) feedback surveys; and (3) semistructured exit interviews. Descriptive information from survey and Web data were merged with qualitative data and analyzed using a semantic thematic approach. RESULTS: At 24 weeks, all intervention participants provided Web usage statistics, 75 completed the feedback survey, and 17 were interviewed. Participants reported reading the text messages (70/75; 93%) and liked the content (55/75; 73%). The program motivated participants to exercise. Several suggestions to improve the program included further tailoring of the content (7/75; 7%) and increased personal contact (10/75; 13%). CONCLUSIONS: Adults with IHD were able to use an mHealth program and reported that text messaging is a good way to deliver exercise information. While mHealth is designed to be automated, programs might be improved if content and delivery were tailored to individual needs.
Language eng
DOI 10.1097/HCR.0000000000000125
Field of Research 110299 Cardiorespiratory Medicine and Haematology not elsewhere classified
1102 Cardiovascular Medicine And Haematology
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wolters Kluwer Health
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Document type: Journal Article
Collections: Faculty of Health
School of Exercise and Nutrition Sciences
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