JMIR cardio
Real-Time Physical Activity Self-Monitoring in Patients Hospitalized for Cardiology Care: Interrupted Time Series Analysis
By de Miguel Llorente C, Sieswerda GTJ, Karramass K and 3 others.
Abstract
Background
Hospital admission is associated with increased sedentary behavior and low levels of physical activity. Hospitals have developed several strategies and interventions to address this unwanted inactivity and increase patient movement during admission. Self-monitoring of physical activity is a promising approach to support activity during hospital stays.
Objective
This study investigated whether providing patients with real-time physical activity feedback, compared to a context where only health care practitioners had access to activity data, supported patients in maintaining activity levels in the cardiology ward.
Methods
A Hybrid Type 2 interrupted time series design was applied. In phase 1 (24 wk), patients wore accelerometers (Physical Activity Monitor [PAM] AM400) with data visible only to health care professionals. In phase 2 (24 wk), self-monitoring was introduced using a ward-based screen that provided patients with real-time feedback on daily physical activity. Implementation outcomes were evaluated within the RE-AIM (Reach, Effectiveness, Adoption, and Implementation) framework, with "Maintenance," defined as daily physical activity trends over time, serving as the primary outcome. The other RE-AIM dimensions were assessed as secondary outcomes.