Evidence map›Paper›PMID 39658220›Full record

ArticleJMIR biomedical engineering2024

Home Automated Telemanagement System for Individualized Exercise Programs: Design and Usability Evaluation.

Aref Smiley, Joseph Finkelstein

Abstract read
In one paragraph

Article in JMIR biomedical engineering, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Aref Smiley *Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID https://orcid.org/0000-0002-1077-2229
Joseph Finkelstein *Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United States.ORCID https://orcid.org/0000-0002-8084-7441

Funding

Comprehensive Health Informatics Engagement Framework for Pulmonary RehabR33HL143317 · NHLBI · UNIVERSITY OF UTAH · PI FINKELSTEIN, JOSEPH E, STEIN, JOEL · 2020 to 2022
$2.4M
NHLBI NIH HHS R33 HL143317
6 · The paper itself

Abstract

backgroundExercise is essential for physical rehabilitation, helping to improve functional performance and manage chronic conditions. Telerehabilitation offers an innovative way to deliver personalized exercise programs remotely, enhancing patient adherence and clinical outcomes. The Home Automated Telemanagement (HAT) System, integrated with the interactive bike (iBikE) system, was designed to support home-based rehabilitation by providing patients with individualized exercise programs that can be monitored remotely by a clinical rehabilitation team.

objectiveThis study aims to evaluate the design, usability, and efficacy of the iBikE system within the HAT platform. We assessed the system's ability to enhance patient adherence to prescribed exercise regimens while minimizing patient and clinician burden in carrying out the rehabilitation program.

methodsWe conducted a quasi-experimental study with 5 participants using a pre- and posttest design. Usability testing included 2 primary tasks that participants performed with the iBikE system. Task completion times, adherence to exercise protocols, and user satisfaction were measured. A System Usability Scale (SUS) was also used to evaluate participants' overall experience. After an initial introduction, users performed the tasks independently following a 1-week break to assess retention of the system's operation skills and its functionality.

resultsTask completion times improved substantially from the pretest to the posttest: execution time for task 1 reduced from a mean of 8.6 (SD 4.7) seconds to a mean of 1.8 (SD 0.8) seconds, and the time for task 2 decreased from a mean of 315 (SD 6.9) seconds to a mean of 303.4 (SD 1.1) seconds. Adherence to the prescribed cycling speed also improved, with deviations from the prescribed speed reduced from a mean of 6.26 (SD 1.00) rpm (revolutions per minute) to a mean of 4.02 (SD 0.82) rpm (t=3.305, n=5, P=.03). SUS scores increased from a mean of 92 (SD 8.6) to a mean of 97 (SD 3.3), indicating high user satisfaction and confidence in system usability. All participants successfully completed both tasks without any additional assistance during the posttest phase, demonstrating the system's ease of use and effectiveness in supporting independent exercise.

conclusionsThe iBikE system, integrated into the HAT platform, effectively supports home-based telerehabilitation by enabling patients to follow personalized exercise prescriptions with minimal need for further training or supervision. The significant improvements in task performance and exercise adherence suggest that the system is well-suited for use in home-based rehabilitation programs, promoting sustained patient engagement and adherence to exercise regimens. Further studies with larger sample sizes are recommended to validate these findings and explore the long-term benefits of the system in broader patient populations.

Indexed as

exercise therapyhome-based exercisephysical rehabilitationremote cyclingtelemedicinetelerehabilitationusability

Identifiers

PMID39658220
PMCPMC11724215

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.