J. Med. Internet Res. - Adherence to a web-based physical activity intervention for patients with knee and/or hip osteoarthritis: a mixed method study.

Tópicos

{ intervent(3218) particip(2042) group(1664) }
{ age(1611) year(1155) adult(843) }
{ design(1359) user(1324) use(1319) }
{ activ(1138) subject(705) human(624) }
{ treatment(1704) effect(941) patient(846) }
{ data(3963) clinic(1234) research(1004) }
{ activ(1452) weight(1219) physic(1104) }
{ studi(1119) effect(1106) posit(819) }
{ patient(2837) hospit(1953) medic(668) }
{ data(1737) use(1416) pattern(1282) }
{ patient(2315) diseas(1263) diabet(1191) }
{ care(1570) inform(1187) nurs(1089) }
{ use(976) code(926) identifi(902) }
{ concept(1167) ontolog(924) domain(897) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ estim(2440) model(1874) function(577) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ system(1976) rule(880) can(841) }
{ result(1111) use(1088) new(759) }
{ method(1219) similar(1157) match(930) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ howev(809) still(633) remain(590) }
{ risk(3053) factor(974) diseas(938) }
{ model(2341) predict(2261) use(1141) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ bind(1733) structur(1185) ligand(1036) }
{ imag(2675) segment(2577) method(1081) }
{ assess(1506) score(1403) qualiti(1306) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ algorithm(1844) comput(1787) effici(935) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ research(1218) medic(880) student(794) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ drug(1928) target(777) effect(648) }
{ detect(2391) sensit(1101) algorithm(908) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ signal(2180) analysi(812) frequenc(800) }
{ group(2977) signific(1463) compar(1072) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ process(1125) use(805) approach(778) }
{ method(2212) result(1239) propos(1039) }

Resumo

CKGROUND: Web-based interventions show promise in promoting a healthy lifestyle, but their effectiveness is hampered by high rates of nonusage. Predictors and reasons for (non)usage are not well known. Identifying which factors are related to usage contributes to the recognition of subgroups who benefit most from Web-based interventions and to the development of new strategies to increase usage.OBJECTIVE: The aim of this mixed methods study was to explore patient, intervention, and study characteristics that facilitate or impede usage of a Web-based physical activity intervention for patients with knee and/or hip osteoarthritis.METHODS: This study is part of a randomized controlled trial that investigated the effects of Web-based physical activity intervention. A total of 199 participants between 50-75 years of age with knee and/or hip osteoarthritis were randomly assigned to a Web-based intervention (n=100) or a waiting list (n=99). This mixed methods study used only data from the individuals allocated to the intervention group. Patients were defined as users if they completed at least 6 out of 9 modules. Logistic regression analyses with a stepwise backward selection procedure were executed to build a multivariate prediction usage model. For the qualitative part, semistructured interviews were conducted. Both inductive and deductive analyses were used to identify patterns in reported reasons for nonusage.RESULTS: Of the 100 participants who received a password and username, 46 completed 6 modules or more. Multivariate regression analyses revealed that higher age (OR 0.94, P=.08) and the presence of a comorbidity (OR 0.33, P=.02) predicted nonusage. The sensitivity analysis indicated that the model was robust to changes in the usage parameter. Results from the interviews showed that a lack of personal guidance, insufficient motivation, presence of physical problems, and low mood were reasons for nonusage. In addition, the absence of human involvement was viewed as a disadvantage and it negatively impacted program usage. Factors that influenced usage positively were trust in the program, its reliability, functionality of the intervention, social support from family or friends, and commitment to the research team.CONCLUSIONS: In this mixed methods study, we found patient, intervention, and study factors that were important in the usage and nonusage of a Web-based PA intervention for patients with knee and/or hip osteoarthritis. Although the self-guided components offer several advantages, particularly in relation to costs, reach, and access, we found that older patients and participants with a comorbid condition need a more personal approach. For these groups the integration of Web-based interventions in a health care environment seems to be promising.

Resumo Limpo

ckground webbas intervent show promis promot healthi lifestyl effect hamper high rate nonusag predictor reason nonusag well known identifi factor relat usag contribut recognit subgroup benefit webbas intervent develop new strategi increas usageobject aim mix method studi explor patient intervent studi characterist facilit imped usag webbas physic activ intervent patient knee andor hip osteoarthritismethod studi part random control trial investig effect webbas physic activ intervent total particip year age knee andor hip osteoarthr random assign webbas intervent n wait list n mix method studi use data individu alloc intervent group patient defin user complet least modul logist regress analys stepwis backward select procedur execut build multivari predict usag model qualit part semistructur interview conduct induct deduct analys use identifi pattern report reason nonusageresult particip receiv password usernam complet modul multivari regress analys reveal higher age p presenc comorbid p predict nonusag sensit analysi indic model robust chang usag paramet result interview show lack person guidanc insuffici motiv presenc physic problem low mood reason nonusag addit absenc human involv view disadvantag negat impact program usag factor influenc usag posit trust program reliabl function intervent social support famili friend commit research teamconclus mix method studi found patient intervent studi factor import usag nonusag webbas pa intervent patient knee andor hip osteoarthr although selfguid compon offer sever advantag particular relat cost reach access found older patient particip comorbid condit need person approach group integr webbas intervent health care environ seem promis

Resumos Similares

J. Med. Internet Res. - Do email and mobile phone prompts stimulate primary school children to reuse an Internet-delivered smoking prevention intervention? ( 0,856022264608132 )
J. Med. Internet Res. - Effectiveness of a Web-based intervention aimed at healthy dietary and physical activity behavior: a randomized controlled trial about users and usage. ( 0,850015973666661 )
J. Med. Internet Res. - The influence of user characteristics and a periodic email prompt on exposure to an internet-delivered computer-tailored lifestyle program. ( 0,825736791876349 )
Telemed J E Health - Can an evidence-based book club intervention delivered via a tablet computer improve physical activity in middle-aged women? ( 0,813253587548205 )
J. Med. Internet Res. - Individually tailored internet-based treatment for young adults and adults with panic attacks: randomized controlled trial. ( 0,812992171429833 )
J. Med. Internet Res. - Dropout, nonusage attrition, and pretreatment predictors of nonusage attrition in a commercial Web-based weight loss program. ( 0,811989195418281 )
J. Med. Internet Res. - Curbing alcohol use in male adults through computer generated personalized advice: randomized controlled trial. ( 0,808631778947221 )
J. Med. Internet Res. - Effectiveness of a Web-based multiple tailored smoking cessation program: a randomized controlled trial among Dutch adult smokers. ( 0,807401387929427 )
J. Med. Internet Res. - Demographic, behavioral, and psychosocial correlates of using the website component of a worksite physical activity and healthy nutrition promotion program: a longitudinal study. ( 0,80364944300772 )
J. Med. Internet Res. - Effectiveness of a web-based brief alcohol intervention and added value of normative feedback in reducing underage drinking: a randomized controlled trial. ( 0,802933203180912 )
J. Med. Internet Res. - Participants, usage, and use patterns of a web-based intervention for the prevention of depression within a randomized controlled trial. ( 0,802390090662363 )
J. Med. Internet Res. - Effects of internet-based tailored advice on the use of cholesterol-lowering interventions: a randomized controlled trial. ( 0,800053350263532 )
J. Med. Internet Res. - Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition. ( 0,798099407586766 )
J. Med. Internet Res. - Internal versus external motivation in referral of primary care patients with depression to an internet support group: randomized controlled trial. ( 0,7974945293249 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,796949641962254 )
J. Med. Internet Res. - Use of a text message program to raise type 2 diabetes risk awareness and promote health behavior change (part I): assessment of participant reach and adoption. ( 0,794134180189102 )
J. Med. Internet Res. - The effectiveness of loyalty rewards to promote the use of an Internet-based heart health program. ( 0,793726053829003 )
BMC Med Inform Decis Mak - Process evaluation of a web-based intervention aimed at empowerment of disability benefit claimants. ( 0,793597485501422 )
J. Med. Internet Res. - The effects of combining Web-based eHealth with telephone nurse case management for pediatric asthma control: a randomized controlled trial. ( 0,792365745607059 )
J. Med. Internet Res. - The ins and outs of an online bipolar education program: a study of program attrition. ( 0,791555235210707 )
J. Med. Internet Res. - Cardiovascular health effects of internet-based encouragements to do daily workplace stair-walks: randomized controlled trial. ( 0,791122584145143 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist-feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain: randomized controlled trial. ( 0,790804734175313 )
J. Med. Internet Res. - A service-based evaluation of a therapist-supported online cognitive behavioral therapy program for depression. ( 0,790625600399678 )
J. Med. Internet Res. - Internet-based recruitment to a depression prevention intervention: lessons from the Mood Memos study. ( 0,790469876319096 )
J. Med. Internet Res. - Web-based intervention to promote physical activity by sedentary older adults: randomized controlled trial. ( 0,788455859268081 )
J. Med. Internet Res. - Predictors of participant retention in a guided online self-help program for university students: prospective cohort study. ( 0,788147769270703 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,788021697202436 )
J. Med. Internet Res. - Preventing smoking relapse via Web-based computer-tailored feedback: a randomized controlled trial. ( 0,787432749793755 )
Int J Med Inform - Engagement in My Child's Asthma, an interactive web-based pediatric asthma management intervention. ( 0,786990201831726 )
J. Med. Internet Res. - Effectiveness of web-based self-disclosure peer-to-peer support for weight loss: randomized controlled trial. ( 0,785669772439718 )
J. Med. Internet Res. - Changes in depressive symptoms, social support, and loneliness over 1 year after a minimum 3-month videoconference program for older nursing home residents. ( 0,785582860360061 )
J. Med. Internet Res. - Efficacy of a Web-based computer-tailored smoking prevention intervention for Dutch adolescents: randomized controlled trial. ( 0,784677774093793 )
J. Med. Internet Res. - Prospective associations between intervention components and website engagement in a publicly available physical activity website: the case of 10,000 Steps Australia. ( 0,78444517400575 )
Int J Med Inform - Evaluation of mobile phone and Internet intervention on waist circumference and blood pressure in post-menopausal women with abdominal obesity. ( 0,78426472709419 )
J. Med. Internet Res. - Impact of seasonality on recruitment, retention, adherence, and outcomes in a web-based smoking cessation intervention: randomized controlled trial. ( 0,783911618355475 )
J. Med. Internet Res. - A text messaging-based smoking cessation program for adult smokers: randomized controlled trial. ( 0,783270166849756 )
J. Med. Internet Res. - Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. ( 0,783048350545124 )
J. Med. Internet Res. - Does brief telephone support improve engagement with a web-based weight management intervention? Randomized controlled trial. ( 0,782060107832858 )
J. Med. Internet Res. - Adherence to self-monitoring via interactive voice response technology in an eHealth intervention targeting weight gain prevention among Black women: randomized controlled trial. ( 0,782025032988168 )
J. Med. Internet Res. - Multilevel growth curve analyses of treatment effects of a Web-based intervention for stress reduction: randomized controlled trial. ( 0,780587276032544 )
J. Med. Internet Res. - Web-enhanced tobacco tactics with telephone support versus 1-800-QUIT-NOW telephone line intervention for operating engineers: randomized controlled trial. ( 0,780275431969786 )
J. Med. Internet Res. - A web-based sexual violence bystander intervention for male college students: randomized controlled trial. ( 0,780256289817651 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,780135011902712 )
BMC Med Inform Decis Mak - The feasibility of collecting information from people with Multiple Sclerosis for the UK MS Register via a web portal: characterising a cohort of people with MS. ( 0,780112611680817 )
J. Med. Internet Res. - Effect of tailoring in an internet-based intervention for smoking cessation: randomized controlled trial. ( 0,779492909667417 )
J. Med. Internet Res. - Comparison of trial participants and open access users of a web-based physical activity intervention regarding adherence, attrition, and repeated participation. ( 0,778506861402048 )
J. Med. Internet Res. - Adherence to a smartphone application for weight loss compared to website and paper diary: pilot randomized controlled trial. ( 0,777467307586816 )
J. Med. Internet Res. - Understanding messaging preferences to inform development of mobile goal-directed behavioral interventions. ( 0,775204144897243 )
J. Med. Internet Res. - Effectiveness of a web-based cognitive-behavioral tool to improve mental well-being in the general population: randomized controlled trial. ( 0,774056257993449 )
J Telemed Telecare - Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka. ( 0,773254347214398 )
J. Med. Internet Res. - Evaluation of a Web-based intervention to promote hand hygiene: exploratory randomized controlled trial. ( 0,773013628113522 )
BMC Med Inform Decis Mak - A cohort study of a tailored web intervention for preconception care. ( 0,772614896458703 )
J. Med. Internet Res. - Engagement in a diabetes self-management website: usage patterns and generalizability of program use. ( 0,771789636504728 )
J. Med. Internet Res. - Daily text messaging for weight control among racial and ethnic minority women: randomized controlled pilot study. ( 0,771383158393492 )
J. Med. Internet Res. - Attrition revisited: adherence and retention in a web-based alcohol trial. ( 0,770537365729808 )
J. Med. Internet Res. - Effectiveness of web-based tailored advice on parents' child safety behaviors: randomized controlled trial. ( 0,769796610116342 )
J. Med. Internet Res. - A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. ( 0,768285588644719 )
J. Med. Internet Res. - Type 1 diabetes eHealth psychoeducation: youth recruitment, participation, and satisfaction. ( 0,766645545657933 )
Telemed J E Health - Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: relationship between program use and outcomes. ( 0,765831903219866 )
J. Med. Internet Res. - Improving adherence to antiretroviral therapy for youth living with HIV/AIDS: a pilot study using personalized, interactive, daily text message reminders. ( 0,76509432055503 )
J Innov Health Inform - Characteristics of electronic patient-provider messaging system utilisation in an urban health care organisation. ( 0,763360122172315 )
J. Med. Internet Res. - Effectiveness of a Web-based tailored intervention (E-health4Uth) and consultation to promote adolescents' health: randomized controlled trial. ( 0,762609250970577 )
J Telemed Telecare - A pilot programme using mobile phones for HIV prevention. ( 0,761904318775161 )
J. Med. Internet Res. - Determinants of follow-up participation in the Internet-based European influenza surveillance platform Influenzanet. ( 0,761776196515754 )
J. Med. Internet Res. - A web-based peer-modeling intervention aimed at lifestyle changes in patients with coronary heart disease and chronic back pain: sequential controlled trial. ( 0,761773062261688 )
J. Med. Internet Res. - Initial outcomes from a 4-week follow-up study of the Text4baby program in the military women's population: randomized controlled trial. ( 0,761153641671056 )
J. Med. Internet Res. - Efficacy of a text message-based smoking cessation intervention for young people: a cluster randomized controlled trial. ( 0,760630809479513 )
J. Med. Internet Res. - Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial. ( 0,76016614806116 )
J. Med. Internet Res. - Comparison of text and video computer-tailored interventions for smoking cessation: randomized controlled trial. ( 0,76016448645983 )
J. Med. Internet Res. - A smartphone-based intervention with diaries and therapist feedback to reduce catastrophizing and increase functioning in women with chronic widespread pain. part 2: 11-month follow-up results of a randomized trial. ( 0,758928470759342 )
J. Med. Internet Res. - Effectiveness of Web-based versus face-to-face delivery of education in prescription of falls-prevention exercise to health professionals: randomized trial. ( 0,758881968088545 )
J. Med. Internet Res. - Effectiveness of a proactive mail-based alcohol Internet intervention for university students: dismantling the assessment and feedback components in a randomized controlled trial. ( 0,758595799640748 )
J. Med. Internet Res. - A web-based program improves physical activity outcomes in a primary care angina population: randomized controlled trial. ( 0,757783331716801 )
J. Med. Internet Res. - Influence of delivery strategy on message-processing mechanisms and future adherence to a Dutch computer-tailored smoking cessation intervention. ( 0,757476022281036 )
Telemed J E Health - Effectiveness of healthy relationships video-group-A videoconferencing group intervention for women living with HIV: preliminary findings from a randomized controlled trial. ( 0,757279653215237 )
J Telemed Telecare - A randomised trial of telemedicine-based treatment versus conventional hospitalisation in patients with severe COPD and exacerbation - effect on self-reported outcome. ( 0,757004108092874 )
J. Med. Internet Res. - Development of web-based computer-tailored advice to promote physical activity among people older than 50 years. ( 0,756945184040459 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,75647636473291 )
J. Med. Internet Res. - How an online intervention to prevent excessive gestational weight gain is used and by whom: a randomized controlled process evaluation. ( 0,756175455571762 )
Telemed J E Health - Effectiveness of home telehealth in comorbid diabetes and hypertension: a randomized, controlled trial. ( 0,755574417485149 )
Int J Med Inform - Results of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect to incoming messages. ( 0,755026532203867 )
J Telemed Telecare - Use of mobile phone text messaging to deliver an individualized smoking behaviour intervention in Chinese adolescents. ( 0,754833380679933 )
J. Med. Internet Res. - MEMO--a mobile phone depression prevention intervention for adolescents: development process and postprogram findings on acceptability from a randomized controlled trial. ( 0,753917232964648 )
J. Med. Internet Res. - Effectiveness of different Web-based interventions to prepare co-smokers of cigarettes and cannabis for double cessation: a three-arm randomized controlled trial. ( 0,753656809794111 )
J. Med. Internet Res. - Prevention of generalized anxiety disorder using a web intervention, iChill: randomized controlled trial. ( 0,753642073679213 )
J. Med. Internet Res. - Providing web-based feedback and social norms information to reduce student alcohol intake: a multisite investigation. ( 0,752393936085905 )
J. Med. Internet Res. - Development and preliminary evaluation of an internet-based healthy eating program: randomized controlled trial. ( 0,751889791802756 )
BMC Med Inform Decis Mak - Effects of and satisfaction with short message service reminders for patient medication adherence: a randomized controlled study. ( 0,751629839584482 )
Appl Clin Inform - Case report: patient portal versus telephone recruitment for a surgical research study. ( 0,750916934609459 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,749909110732546 )
AMIA Annu Symp Proc - Using a resource effect study pre-pilot to inform a large randomized trial: the Decide2Quit.Org Web-assisted tobacco intervention. ( 0,749427583954904 )
J. Med. Internet Res. - Exploratory study of web-based planning and mobile text reminders in an overweight population. ( 0,748421562692142 )
J. Med. Internet Res. - Effects of a Web-based tailored intervention to reduce alcohol consumption in adults: randomized controlled trial. ( 0,747768047567405 )
Telemed J E Health - Randomized trial of a smartphone mobile application compared to text messaging to support smoking cessation. ( 0,747347099313401 )
J. Med. Internet Res. - Use of email and telephone prompts to increase self-monitoring in a Web-based intervention: randomized controlled trial. ( 0,745993202557366 )
J. Med. Internet Res. - An Internet- and mobile-based tailored intervention to enhance maintenance of physical activity after cardiac rehabilitation: short-term results of a randomized controlled trial. ( 0,745820850064533 )
J Telemed Telecare - Attitudes of women in midlife to web-based interventions for promoting physical activity. ( 0,74482737176233 )
J. Med. Internet Res. - Effectiveness of a web-based intervention for problem drinkers and reasons for dropout: randomized controlled trial. ( 0,743705253183697 )
J. Med. Internet Res. - Using ecological momentary assessment to test the effectiveness of a web-based brief alcohol intervention over time among heavy-drinking students: randomized controlled trial. ( 0,74340009162938 )
J. Med. Internet Res. - Engagement and retention: measuring breadth and depth of participant use of an online intervention. ( 0,742920126376021 )