1,720,980 research outputs found
Design and application of an mHealth-based gamification intervention to improve physical activity in patients with coronary heart disease
No full textNot availabl
Design and application of an mHealth-based gamification intervention to improve physical activity in patients with coronary heart disease
No full textNot availabl
Smartphone-based gamification intervention to increase physical activity participation among patients with coronary heart disease: intermediate results of a randomized controlled trial
No full textType of funding sources: Public grant(s) – National budget only. Main funding source(s): This work is financially supported by a Construction Programme of Independent Innovation Ability of Community Health Nursing Engineering Laboratory in Jilin Province (Study code: 2020C038-8) awarded to FL
A smartphone-based intervention to support cardiovascular patients adhere to a healthy diet: a usability and feasibility study
No full textFunding Acknowledgements: Type of funding sources: Public grant(s)-EU funding. Main funding source(s): H2020 CoroPrevention. Background: Dietary management is a vital component of lifestyle optimization in cardiac rehabilitation and secondary prevention, and face-to-face dietary consultation is the standard care in many clinical settings. The Mediterranean diet pattern is highly recommended to patients with cardiovascular disease. However, patients often have poor adherence to a healthy diet because of lack of motivation or knowledge about healthy diet, inaccurate dietary records, delayed response from a dietician and lack of follow up. Therefore, it is important for a patient to have access to clear information about the diet, and innovative interventions are needed to improve their motivation. Digital health solutions may have great potential for application in the field of nutrition and improve the adherence
Do we need to rethink the determination of exercise-related energy expenditure in cardiac telerehabilitation interventions?
No full textThe American College of Sports Medicine determined the energy consumption of daily activities and sports. Cardiac tele-rehabilitation (CTR) requires knowing how much energy people consume in daily life outside of cardiac rehabilitation activities. Therefore, we have investigated if the estimated values are valid in CTR. Data from two studies were incorporated. The first study measured ventilatory threshold (VT)1, VT2, and peak exercise on cardiopulmonary exercise testing (CPET) collected from 272 cardiac (risk) patients and compared them to the estimated oxygen consumption (VO 2) at low-to-moderate-intense exercise (3-6 metabolic equivalents [METs]). Next, a patient-tailored application was developed to support CTR using these estimated values, and the intervention (the second study) was conducted with 24 coronary artery disease patients using this application during a CTR intervention. In the first study, VO 2 at VT1, VT2 and peak exercise corresponded to 3.2 [2.8, 3.8], 4.3 [3.8, 5.3], and 5.4 [4.5, 6.2] METs, which are significantly different from the estimated VO 2 at low-to-moderate-intense exercise, especially lower in older, obese, female, and post-myocardial infarction/heart failure patients. These VO 2 varied considerably between patients. The telerehabilitation study did not show significant progress in peak VO 2 , but using the application's estimated target, 97.2% of the patients achieved their weekly target, which is a significant overestimate. The estimated and observed exercise-related energy expenditures by CPET were significantly different, resulting in an overestimation of the exercise done by the patients at home. The results can have a significant impact on the quantification of exercise dose during (tele)rehabilitation programs.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research is partially funded by the FWO-ICA project EXPERT network (G0F4220N)
A Gamified Smartphone Application to Improve the Adherence to the Mediterranean Diet in Cardiac Patients: A Usability and Feasibility Study
No full textBackground. The Mediterranean diet is highly recommended for most patients in cardiac rehabilitation and secondary prevention, but compliance is often poor. This study aimed to evaluate the usability and feasibility of NutriQuest, a gamified smartphone application aimed at supporting patients' adherence to the Mediterranean diet. Methods. The study used mixed-methods: consisting of a usability study and a six-week, single group intervention with patients (n = 21) following a programme for cardiac rehabilitation. Patients were requested to utilize the smartphone application and complete questionnaires to evaluate its usability and acceptance, as well as its impact on modified MedDietScore, knowledge, and self-efficacy. Results. 15 out of 21 patients completed the full six-week trajectory. Patients were accepting the application and general impressions were positive. They mostly made use of the logbook-component and reacted positively towards the dietitian's feedback. The study did not find any significant improvement in the patients' modified MedDietScore, knowledge and self-efficacy after the intervention. Conclusion. The study reveals patients' acceptance of the NutriQuest application and usability improvements. The accuracy of measuring MedDietScore using a daily and digital approach versus weekly questionnaires remains inconclusive. The study provides insights in user preferences for and engagement with different components of the NutriQuest application, which could inform design of dietary management applications.Funding.
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The research presented in this paper was supported by grants from the CoroPrevention project, which has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 848056.
Acknowledgements.
The authors want to acknowledge the contributions of the following people in different stages of the research. Dietitians Anne Gijbels and Inge Gielen guided the patients during the intervention. Maarten Falter contributed to
the ethical committee submission. Sebastiaan Weytjens was involved in part of the software development
Digital health readiness, health literacy, and patients' awareness in cardiac (tele)rehabilitation participation.
No full textCardiac telerehabilitation is proven to be equally safe and effective as center-based cardiac rehabilitation. Nevertheless, some real-world barriers significantly impact the adoption and successful implementation of cardiac rehabilitation as well as cardiac telerehabilitationType of funding sources: Public grant(s)– EU funding. Main funding source(s): Horizons 2020 CoroPrevention project
Identification of ICD-code misclassifications in cardiac disease using natural language processing
No full textPsychosocial predictors for cardiac rehabilitation participation for patients with coronary artery disease
No full textCardiac rehabilitation (CR) is a class Ia recommendation by international guidelines. However, the participation remains disappointingly low. Multiple barriers were already identified. Nevertheless, the relationship with psychosocial factors remains unsettled. The aim of this study is to analyse the role of psychosocial factors in CR participation
The impact of dietary education and counselling with a smartphone application on secondary prevention of coronary artery disease: A randomised controlled study (the TeleDiet study)
No full textObjective: In a secondary prevention of coronary artery disease (CAD), nutritional management is an integral part of lifestyle optimisation. However, few studies have investigated the potential of remote nutritional follow-up using digital solutions. This study investigates the effectiveness of a smartphone application for nutrition education and feedback with pictures of meals by a dietitian for patients with CAD. Methods: Sixty participants with CAD were randomised to either a TeleDiet group or a control group. Participants in the TeleDiet group participated in dietary education using a messaging application. The primary outcome was the change of the Mediterranean diet score (MedDietScore). The Nutrition-Score, a modification of the MedDietScore, blood tests (blood lipids, blood glucose and kidney function), body mass index, self-efficacy, medication adherence and health-related quality of life during the observation period were analysed as secondary outcomes. Results: Sixty participants participated in the study. The difference in the MedDietScore in the TeleDiet group was greater than in the control group, but not significant (2.0 [-1.0, 4.0] vs. 0.0 [-3.0, 1.5], p = 0.066). The difference in the Nutrition-Score in the TeleDiet group was significantly greater than in the control group (3.0 [1.0, 3.5] vs. 0.0 [-3.0, 2.0], p = 0.029). Nutrition knowledge of the TeleDiet group improved significantly compared to the control group (1.9 +/- 1.7 vs. 0.8 +/- 2.1, p = 0.048). Conclusions: A feedback system using a simple messaging application that allows patients with CAD to simply send a picture of their food has a positive effect on nutrition knowledge. It could be a hint for the implementation of the Mediterranean diet.The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study received funding by Daiichi-Sankyo, Inc. PD received funding through the Horizons 2020 CoroPrevention
project, project number 848056. MF received funding through the Flanders Research Foundation FWO, file number 1SE1222
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