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de Leeuwerk ME, Botjes M, van Vliet V, Geleijn E, de Groot V, van Wegen EEH, van der Schaaf M, Tuynman JB, Dickhoff C, van der Leeden M
Self-monitoring of Physical Activity After Hospital Discharge in Patients Who Have Undergone Gastrointestinal or Lung Cancer Surgery: Mixed Methods Feasibility Study
Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: a mixed methods feasibility study
Marijke Elizabeth de Leeuwerk;
Martine Botjes;
Vincent van Vliet;
Edwin Geleijn;
Vincent de Groot;
Erwin E H van Wegen;
Marike van der Schaaf;
Jurriaan B Tuynman;
Chris Dickhoff;
Marike van der Leeden
ABSTRACT
Background:
Self-monitoring of physical activity (PA) using an accelerometer seems to be a promising intervention to stimulate PA after hospital discharge.
Objective:
The aim of the present study was to evaluate the feasibility of PA self-monitoring after discharge in patients who have undergone gastrointestinal or lung cancer surgery.
Methods:
A mixed methods study was conducted, in which 41 patients with cancer scheduled for lobectomy, oesophageal resection or Hypertherme Intraperitoneal Chemotherapy (HIPEC) were included. Preoperatively, patients received an ankle-worn accelerometer and corresponding mHealth application to familiarize themselves with its use. Up to six weeks after surgery, use was continued. Feasibility criteria related to study procedures, the System Usability Scale (SUS) and user experiences were established. In addition, six patients were selected to participate in a semi-structured interview.
Results:
The percentage of patients who were willing to participate in the study (76%) and the final participation rate (63%) were considered good. The retention rate was acceptable (72%), while the missing accelerometer data rate was relatively high (31%). The mean SUS (77.3) was good. Interviewed patients mentioned that the accelerometer and app were easy to use, had motivated them to be more physically active and provided post-discharge support. Technical shortcomings and the comfort of the ankle strap should be improved.
Conclusions:
Self-monitoring of PA after discharge appears to be feasible, based on good system usability and predominantly positive user experiences in patients with cancer after lobectomy, oesophageal resection or HIPEC. Solving technical problems and improving the comfort of the ankle strap may reduce the number of dropouts and missing data in clinical use and follow-up studies. Clinical Trial: N/A
Citation
Please cite as:
de Leeuwerk ME, Botjes M, van Vliet V, Geleijn E, de Groot V, van Wegen EEH, van der Schaaf M, Tuynman JB, Dickhoff C, van der Leeden M
Self-monitoring of Physical Activity After Hospital Discharge in Patients Who Have Undergone Gastrointestinal or Lung Cancer Surgery: Mixed Methods Feasibility Study