The impact of multidimensional physical activity feedback on healthcare practitioners and patients.
The impact of multidimensional physical activity feedback on healthcare practitioners and patients.
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DOI：
10.3399/bjgpopen18x101628
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发表时间：
2019-04-01
期刊：
影响因子：
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通讯作者：
Stathi, Afroditi
中科院分区：
文献类型：
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作者：
Western, Max J;Thompson, Dylan;Stathi, Afroditi
背景：在初级保健中促进身体活动的成功有限。可穿戴技术提供了一个机会，以支持医疗从业人员（HCP）在提供个性化的反馈给他们的patient.AIM：探讨不同的想法和感受的HCP和高危患者提供个性化的多维身体活动反馈.设计与设置：对HCP（n = 15）和有心血管疾病或2型糖尿病风险的患者（n = 29）进行定性研究，从初级保健招募。HCP和患者佩戴身体活动监测器7天，随后在半结构化访谈期间向他们显示个性化的多维反馈，包括久坐时间、卡路里燃烧、短（1分钟）或长（>10分钟）的中度至剧烈活动。成绩单进行了主题分析与个人之间的比较高（n = 21）和低（n = 23）的身体活动水平，以他们的认知情感反应，他们的data.Results：个性化的反馈引起积极的情绪反应，高度活跃的参与者和消极的情绪反应，为那些低活动。然而，活动量低的人表现出很大程度上积极的应对机制。一些低活跃度的参与者否认反馈，但大多数人认为这是一个机会，可以思考如何改善身体活动（认知重新评估），并开始制定行动计划（以问题为中心的应对）。大约一半的参与者还试图验证他们的反馈对peer.CONCLUSION：个性化，视觉反馈eltered立即的情绪和应对反应的参与者的高和低的体力活动水平。进一步的研究应该探讨多维反馈是否可以帮助从业者探索不同的方式改变患者的生活方式。
BACKGROUND: Promotion of physical activity in primary care has had limited success. Wearable technology presents an opportunity to support healthcare practitioners (HCPs) in providing personalised feedback to their patients.AIM: To explore the differing thoughts and feelings of both HCPs and at-risk patients provided with personalised multidimensional physical activity feedback.DESIGN & SETTING: Qualitative study with HCPs (n = 15) and patients at risk of cardiovascular disease or type 2 diabetes (n = 29), recruited from primary care.METHOD: HCPs and patients wore a physical activity monitor for 7 days and were subsequently shown their personalised multidimensional feedback, including sedentary time, calorie burn, short (1-minute) or long (>10-minute) bouts of moderate-to-vigorous activity during semi-structured interviews. Transcripts were analysed thematically with comparisons made between individuals of high (n = 21) and low (n = 23) physical activity levels as to their cognitive-affective responses to their data.RESULTS: Personalised feedback elicited positive emotional responses for highly active participants and negative emotional responses for those with low activity. However, individuals with low activity demonstrated largely positive coping mechanisms. Some low active participants were in denial over feedback, but the majority valued it as an opportunity to think of ways to improve physical activity (cognitive reappraisal) and started forming action plans (problem-focused coping). Around half of all participants also sought to validate their feedback against peers.CONCLUSION: Personalised, visual feedback elicits immediate emotional and coping responses in participants of high and low physical activity levels. Further studies should explore whether multidimensional feedback could help practitioners explore diverse ways for lifestyle change with patients.