Trial Registration: NCT02659280 Īpproximately 200 million Americans have at least one chronic disease, and 80 million have multiple chronic diseases. App-related adverse events were not observed.Ĭonclusions: The Hudl app/telehealth platform is feasible for delivering HEPs and maintaining HEP adherence in participants with chronic diseases who are experiencing financial distress. The average score for PT care satisfaction was maintained at 87% in the experimental group ( P=.99), whereas it decreased from 89% at 8 weeks to 74% at 24 weeks ( P=.008) in the control group. They sent 68% (16/24) of the requested number of videos on average. Of the total participants, 68% (15/22) sent videos. The experimental group had an HEP adherence frequency of 4 (SD 2) to 5 (SD 2) times per week at 8 and 24 weeks ( P=.14), whereas HEP adherence decreased in the control group from 4 (SD 2) to 3 (SD 2) times per week ( P=.07), with a significant difference ( P=.01) between groups at 24 weeks. Results: Overall, 45 adults with chronic diseases who were experiencing financial distress were randomized into experimental (23/45, 51%) and control (22/45, 49%) groups, with 74% (17/23) and 86% (19/22) participants completing the 24-week HEP, respectively. Descriptive and nonparametric statistics were used for within-group and between-group comparisons and analyzed with JMP, version 13. Both groups completed surveys at 8 and 24 weeks on their satisfaction with PT care, and the experimental group also completed a survey on their satisfaction with the app with telehealth use. Demographic, clinical, and health coverage information was collected for screening and baseline measurements. The control group received HEPs on paper without feedback, as is customary in PT practice. We performed a randomized controlled trial in which the experimental group received weekly HEP demonstrations through app videos on a tablet with feedback on their self-recorded HEP video performance from the telehealth physical therapist.
Methods: We recruited patients scheduled for outpatient PT. Objective: To address HEP adherence in participants with chronic diseases who are experiencing financial distress, we aim to evaluate the feasibility of and satisfaction with the Hudl Technique app and telehealth and satisfaction with PT care and to monitor HEP adherence and compliance (ie, percentage of participant-recorded videos sent) in participants using the app with telehealth compared with those using standard HEPs on paper. However, because apps for rehabilitation are an emerging field, the feasibility of the app needs to be evaluated. Using an app through telehealth may help adults with chronic diseases to achieve long-term HEP adherence. To mitigate this, apps that motivate people to exercise could be a viable option.
In addition, a lower socioeconomic status negatively impacts exercise adherence. Limited adherence to long-term exercise given during physical therapy (PT) visits reduces the capacity of exercise to manage or improve symptoms related to chronic disease. JMIR Perioperative Medicine 50 articlesĭivision of Physical Therapy, Division of Rehabilitation Scienceĭepartment of Rehabilitation Medicine, Medical SchoolĮmail: Patients with chronic diseases often need to adhere to long-term individualized home exercise programs (HEPs).JMIR Biomedical Engineering 52 articles.Journal of Participatory Medicine 62 articles.JMIR Rehabilitation and Assistive Technologies 143 articles.JMIR Pediatrics and Parenting 166 articles.Interactive Journal of Medical Research 218 articles.JMIR Public Health and Surveillance 819 articles.Journal of Medical Internet Research 6261 articles.