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Views and experiences of healthcare practitioners supporting people with COPD who have used activity monitors: “More than just steps” - 31/10/23

Doi : 10.1016/j.rmed.2023.107395 
L.J. Wilde a, , C. Percy a, C. Clark a, G. Ward b, P.A. Wark a, L. Sewell a, c
a Research Institute for Health and Wellbeing, Coventry University, Coventry, UK 
b Royal College of Occupational Therapists, London, UK 
c School of Health, Faculty of Health and Life Sciences, Coventry University, Coventry, UK 

Corresponding author. Centre for Intelligent Healthcare, Research Institute for Health and Wellbeing, Richard Crossman Building 4th Floor, Jordan Well, Coventry University, Coventry, CV1 5RW, UK.Centre for Intelligent HealthcareResearch Institute for Health and WellbeingCoventry UniversityRichard Crossman Building 4th FloorJordan WellCoventryCV1 5RWUK

Abstract

Introduction

Activity monitors (apps and wearables) are increasingly used by the general population, including people with Chronic Obstructive Pulmonary Disease (COPD). There is potential for activity monitors to support increases in physical activity for people with COPD and healthcare practitioners (HCPs) are likely to be key in supporting their use, but little is currently known about HCPs' views or experiences. This qualitative research aimed to explore HCPs’ views and experiences of supporting people with COPD who have used activity monitors.

Methods

Seventeen semi-structured telephone or online interviews were conducted with HCPs between September 2020 and May 2021. HCPs included two nurses, an occupational therapist, a physician, and 13 physiotherapists. Participants were recruited via social media advertisements. They all had experience of supporting people with COPD who had used activity monitors. Interviews were analysed using reflexive thematic analysis.

Findings

Four themes were developed highlighting the challenges and benefits of HCPs supporting patients with using activity monitors and utilising patient-collected activity data; 1) Skills and experience are needed to increase accessibility and engagement, 2) Objectively monitored physical activity can support exercise prescription, 3) Applications of activity monitors vary across different settings, and 4) Support is needed for future use of activity monitors.

Discussion

HCPs recognised the potential for activity monitors to impact patients’ ability to self-manage their COPD. However, there is a lack of guidance and information to support integration within practice. Future research is needed to co-develop information and guidelines for people with COPD and HCPs.

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Highlights

Healthcare practitioners believe activity monitors are beneficial to patients with COPD.
Healthcare practitioners feel there is a lack of guidance and information on supporting patients with activity monitors.
Healthcare practitioners should be aware of potentially contributing to the widening of the ‘digital divide’ when supporting patients.

Le texte complet de cet article est disponible en PDF.

Keywords : Activity tracker, Healthcare professional, Physical activity, Pulmonary rehabilitation, Respiratory disease, Self-management


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© 2023  The Author(s). Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 218

Article 107395- novembre 2023 Retour au numéro
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