Quantification Of Adherence In A Mobile Health Exercise Intervention For Cardiometabolic Health

Abstract

RESULTS:Study was conducted from April 4 -24, 2020 under "shelter in place" orders. Participants both scored low stress from the stress instruments, while the news sentiment varied, with definite negative scores. While trends in diastolic BP, heart rate and cortisol levels were inconsistent between the interventions of physical activity or yoga compared to sedentary activity, a definite trend was seen between systolic BP and the news sentiment daily measure. As the daily news sentiment score changed from -0.42 to -0.47, SBP increased from -10 to +35 mmHg change between mornings to afternoon. Correlation coefficient was 0.19 for N=11. CONCLUSIONS: The lack of correlation in diastolic BP, heart rate and cortisol levels with intervention was probably due to small participant numbers and short study span. The correlation of systolic BP with news sentiment analysis was surprising, and indicated such measures should be included in human subject's research concerning stress measures as a possible confounder.

Adherence to eHealth-Delivered Exercise in Adults with no Specific Health Conditions: A Scoping Review on a Conceptual Challenge

“…Table 1 summarizes the key characteristics in the selected studies. Issuing countries included Australia [ 30 , 31 ], Greece [ 32 ], Spain [ 33 , 34 ], The Netherlands [ 35 ], Germany [ 36 ], United States of America [ 37 , 38 ], United Kingdom [ 28 , 39 ], China [ 40 ] and Taiwan [ 41 ]. A noticeable increase in the number of publications could be seen for 2021 and 2022.…”

“…In general, this review comprised a range of technologies and measures applied to the evaluation of adherence ( Table 1 ). The technologies used included computers [ 32 ], internet or websites [ 31 , 36 , 37 ], Amazon Alexa and internet [ 30 ], video platforms [ 33 , 38 , 39 ], and mobile applications [ 28 , 34 , 35 , 40 , 41 ]. See Figure 2 .…”

“…As is customary in scoping reviews, the nature of the studies reviewed was heterogeneous, not only due to the different technologies used but also in regard to the choice of intervention, delivery, and registry mode, among other things. Most (8 out of 13) of the reviewed articles assessed adherence to exercise programs, protocols or interventions [ 30 , 32 , 33 , 35 , 37 , 38 , 39 , 41 ]; one focused on adherence to changes in PA levels [ 36 ], one focused on adherence to app-delivered prompts [ 28 ], one assessed adherence to a single exercise [ 40 ], one measured adherence to a PA intervention [ 31 ], and one focused on establishing a prediction of adherence based on a previously published pilot study [ 34 ]. In addition to measuring adherence to the exercise program, one of the studies also aimed to assess adherence to exercise volume [ 35 ] and yet another aimed to assess adherence to the exercise training dose [ 38 ].…”

“…Most (8 out of 13) of the reviewed articles assessed adherence to exercise programs, protocols or interventions [ 30 , 32 , 33 , 35 , 37 , 38 , 39 , 41 ]; one focused on adherence to changes in PA levels [ 36 ], one focused on adherence to app-delivered prompts [ 28 ], one assessed adherence to a single exercise [ 40 ], one measured adherence to a PA intervention [ 31 ], and one focused on establishing a prediction of adherence based on a previously published pilot study [ 34 ]. In addition to measuring adherence to the exercise program, one of the studies also aimed to assess adherence to exercise volume [ 35 ] and yet another aimed to assess adherence to the exercise training dose [ 38 ]. Other than that, still related to the concept of adherence, one of the reviewed papers additionally measured engagement on a website, as the number of visits and minutes spent on it [ 31 ].…”

“…The majority of the reviewed papers that focused on assessing adherence to exercise programs did so by operationalizing the term as a percentage of actual practice over the recommended or planned amount of practice [ 30 , 32 , 35 , 37 , 38 , 39 , 41 ]. Of those, one of the studies specified that calculations had only been done for those participants who had completed the intervention [ 37 ].…”