Barriers and facilitators to smartwatch-based prehabilitation participation among frail surgery patients: a qualitative study.
Barriers and facilitators to smartwatch-based prehabilitation participation among frail surgery patients: a qualitative study.
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DOI：
10.1186/s12877-024-04743-6
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发表时间：
2024-02-02
期刊：
影响因子：
4.1
通讯作者：
Madariaga, Maria Lucia L.
中科院分区：
文献类型：
--
作者：
Kerstiens, Savanna;Gleason, Lauren J.;Huisingh-Scheetz, Megan;Landi, A. Justine;Rubin, Daniel;Ferguson, Mark K.;Quinn, Michael T.;Holl, Jane L.;Madariaga, Maria Lucia L.
对于年老体弱的成年人，术前通过康复训练(Prehab)进行锻炼可能会加速恢复并减少术后并发症。我们为老年人开发了一个基于智能手表的预习计划(BeFitMe)，鼓励和跟踪在家锻炼。这项研究的目的是评估患者对康复前培训的一般促进剂和障碍的看法，并在老年胸科手术患者中使用智能手表预康复培训计划，以优化未来计划的实施。我们招募了年龄为≥50 的患者，他们已经或正在接受手术，并在一家学术机构的胸外科诊所进行了脆弱(Fry‘s Frailty表型)的筛查。在获得知情同意后，通过电话进行半结构化访谈。参与者被提供了对BeFitMe计划的描述。访谈问题由临床决策框架的五个“权利”(信息、人员、时间、渠道和形式)提供信息，并试图确定被认为影响智能手表预修计划参与的因素。访谈记录被转录并独立编码，以确定五个“权利”领域中每一个领域的主题。总共进行了29次访谈。参与者包括52%的男性(n = 15)，48%的黑人(n = 14)，59%的衰弱前期(n = 11)或虚弱(n = 6)，平均年龄68 ± 9 。总共出现了11个主题。促进者的主题包括：提供者(正确的人)的重要性；在术前访问(正确的时间)期间明确解释预习(正确的信息)的重要性；提供书面说明和锻炼处方；以及提供预先编程和设置(正确的格式)Apple Watch(正确的频道)。障碍主题包括先前存在的疾病以及对锻炼和/或技术不感兴趣。与会者提出了克服技术障碍的建议，其中包括个性化培训以及关于使用和责任的支助。这项研究报告了基于智能手表的预康复计划的推动者和障碍，该计划适用于虚弱的前期和虚弱的胸部手术患者。未来的BeFitMe实施协议必须确保外科提供者强调在手术前参与预康复的有益影响，并提供书面的预康复处方；必须包括关于智能手表使用的全面指南以及预编程设备才能成功。这一发现与其他基于智能手表的老年人干预措施相关。网上版载有补充材料，可在10.1186/s12877-024-04743-6查阅。
For older, frail adults, exercise before surgery through prehabilitation (prehab) may hasten return recovery and reduce postoperative complications. We developed a smartwatch-based prehab program (BeFitMe) for older adults that encourages and tracks at-home exercise. The objective of this study was to assess patient perceptions about facilitators and barriers to prehab generally and to using a smartwatch prehab program among older adult thoracic surgery patients to optimize future program implementation. We recruited patients, aged ≥50 years who had or were having surgery and were screened for frailty (Fried’s Frailty Phenotype) at a thoracic surgery clinic at a single academic institution. Semi-structured interviews were conducted by telephone after obtaining informed consent. Participants were given a description of the BeFitMe program. The interview questions were informed by The Five “Rights” of Clinical Decision-Making framework (Information, Person, Time, Channel, and Format) and sought to identify the factors perceived to influence smartwatch prehab program participation. Interview transcripts were transcribed and independently coded to identify themes in for each of the Five “Rights” domains. A total of 29 interviews were conducted. Participants were 52% men (n = 15), 48% Black (n = 14), and 59% pre-frail (n = 11) or frail (n = 6) with a mean age of 68 ± 9 years. Eleven total themes emerged. Facilitator themes included the importance of providers (right person) clearly explaining the significance of prehab (right information) during the preoperative visit (right time); providing written instructions and exercise prescriptions; and providing a preprogrammed and set-up (right format) Apple Watch (right channel). Barrier themes included pre-existing conditions and disinterest in exercise and/or technology. Participants provided suggestions to overcome the technology barrier, which included individualized training and support on usage and responsibilities. This study reports the perceived facilitators and barriers to a smartwatch-based prehab program for pre-frail and frail thoracic surgery patients. The future BeFitMe implementation protocol must ensure surgical providers emphasize the beneficial impact of participating in prehab before surgery and provide a written prehab prescription; must include a thorough guide on smartwatch use along with the preprogrammed device to be successful. The findings are relevant to other smartwatch-based interventions for older adults. The online version contains supplementary material available at 10.1186/s12877-024-04743-6.
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影响因子：
4.1
作者：
Barnes, Keely;Hladkowicz, Emily;Dorrance, Kristin;Bryson, Gregory L.;Forster, Alan J.;Gagne, Sylvain;Huang, Allen;Lalu, Manoj M.;Lavallee, Luke T.;Saunders, Chelsey;Moloo, Hussein;Nantel, Julie;Power, Barbara;Scheede-Bergdahl, Celena;Taljaard, Monica;van Walraven, Carl;McCartney, Colin J. L.;McIsaac, Daniel I.
通讯作者：
McIsaac, Daniel I.
影响因子：
3.9
作者：
Kerstiens, Savanna;Bender, Edward M.;Rizzo Jr, Michael G.;Landi, Andrea;Gleason, Lauren J.;Huisingh-Scheetz, Megan;Rubin, Daniel;Ferguson, Mark;Madariaga, Maria Lucia L.
通讯作者：
Madariaga, Maria Lucia L.
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
2.1
作者：
Finley DJ;Fay KA;Batsis JA;Stevens CJ;Sacks OA;Darabos C;Cook SB;Lyons KD
通讯作者：
Lyons KD
影响因子：
5
作者：
Lyons, Elizabeth J.;Swartz, Maria C.;Jennings, Kristofer
通讯作者：
Jennings, Kristofer