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Accepted for/Published in: JMIR mHealth and uHealth

Date Submitted: Mar 12, 2018
Open Peer Review Period: Mar 12, 2018 - Aug 5, 2018
Date Accepted: Oct 11, 2018
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty

Hoogland J, Wijnen A, Munsterman T, Gerritsma CL, Dijkstra B, Zijlstra WP, Annegarn J, Ibarra F, Zijlstra W, Stevens M

Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty

JMIR Mhealth Uhealth 2019;7(1):e10342

DOI: 10.2196/10342

PMID: 30702438

PMCID: 6374724

Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty

  • Jildou Hoogland; 
  • Annet Wijnen; 
  • Tjerk Munsterman; 
  • Carina LE Gerritsma; 
  • Baukje Dijkstra; 
  • Wierd P Zijlstra; 
  • Janneke Annegarn; 
  • Francisco Ibarra; 
  • Wiebren Zijlstra; 
  • Martin Stevens

ABSTRACT

Background:

Recent developments in technology are promising for providing home-based exercise programs.

Objective:

The objective of this study is to evaluate the feasibility and patient experience of a home-based rehabilitation program after Total Hip Arthroplasty (THA) delivered by means of videos on a tablet PC and a necklace-worn motion sensor to continuously monitor mobility-related activities.

Methods:

Thirty independently living patients aged 18-75 who received a THA as treatment for primary or secondary osteoarthritis (OA) were included between December 2015 and February 2017. Patients followed a 12-week exercise program with video instructions on a tablet PC and daily physical activity registration through a motion sensor. Patients were asked to do strengthening and walking exercises at least five days a week. There was weekly phone contact with a physiotherapist. Adherence and technical problems were recorded during the intervention. User evaluation was done in week 4 (T1) and at the end of the program (T2).

Results:

Twenty-six patients completed the program. Average adherence for exercising five times a week was 92%. Reasons mentioned most often for non-adherence were vacation or a day/weekend off (25%) and work (15%). The total number of technical issues was eight. The average score on the user evaluation questionnaire (range 0-5) was 4.6 at T1 and 4.5 at T2. The highest score was for the subscale “coaching” and the lowest for the subscale “sensor”.

Conclusions:

A home-based rehabilitation program driven by a tablet application and mobility monitoring seems feasible for THA patients. Adherence was good and patient experience was positive. The novel technology was well accepted. A home-based program could be an alternative for formal physiotherapy.


 Citation

Please cite as:

Hoogland J, Wijnen A, Munsterman T, Gerritsma CL, Dijkstra B, Zijlstra WP, Annegarn J, Ibarra F, Zijlstra W, Stevens M

Feasibility and Patient Experience of a Home-Based Rehabilitation Program Driven by a Tablet App and Mobility Monitoring for Patients After a Total Hip Arthroplasty

JMIR Mhealth Uhealth 2019;7(1):e10342

DOI: 10.2196/10342

PMID: 30702438

PMCID: 6374724

Per the author's request the PDF is not available.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.