Accepted for/Published in: JMIR Biomedical Engineering
Date Submitted: Aug 23, 2024
Date Accepted: Dec 6, 2024
Date Submitted to PubMed: Dec 10, 2024
Home Automated Telemanagement System for Individualized Exercise Programs: Design and Usability Evaluation
ABSTRACT
Background:
Exercise is essential to geriatric rehabilitation and can effectively improve physical performance and health parameters for various conditions. Telemedicine can improve healthcare delivery for chronic diseases and enhance patient outcomes.
Objective:
To support patients' personalized exercise plans, a wireless communication version of the interactive bike (iBikE) system was adopted for our Home Automated Telemanagement (HAT) System, which provides users with exercise records without structural constraints.
Methods:
The HAT system supports the education of patients on their disease and instructs and monitors an exercise regimen tailored to the patient's specific needs. The system questions the patient on their condition, gives detailed step-by-step exercise instructions, records their daily exercise log, and informs and quizzes the patient on their knowledge of their disease. The exercise log is transmitted to the remote HAT server. The patient's physical therapist determines the patient's exercise regimen. It can be updated online, keeping a personalized approach to disease management while taking advantage of the convenience the technology supplies.
Results:
The system's fidelity and usability have been evaluated using a quasi-experimental design. The study subjects performed two tests after a one-week hiatus without further training and use of the iBikE system. Each test included an assessment of two major tasks by the study participants. The completion times of Task 1 and Task 2 were changed from 8.6±4.7 seconds to 1.8±0.8 seconds and from 315.0±6.9 seconds to 303.4±1.1 seconds, respectively. The 3-item post-task survey scores increased between pre-and post-tests, and the system usability scale (SUS) scores increased from 92.0±8.6 to 97.0±3.3. Compliance with the prescribed exercise trajectory (SD of (current speed−guideline speed)) improved from 6.26±1.00 RPM to 4.02±0.82 RPM (t=3.305, p=0.030).
Conclusions:
Our results demonstrated that the iBikE users successfully retained their ability to use the system independently after initial introduction without additional retraining and improved their performance. Clinical Trial: NA
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