@Article{info:doi/10.2196/10342,
author="Hoogland, Jildou
and Wijnen, Annet
and Munsterman, Tjerk
and Gerritsma, Carina LE
and Dijkstra, Baukje
and Zijlstra, Wierd P
and Annegarn, Janneke
and Ibarra, Francisco
and Zijlstra, Wiebren
and Stevens, Martin",
title="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",
journal="JMIR Mhealth Uhealth",
year="2019",
month="Jan",
day="31",
volume="7",
number="1",
pages="e10342",
keywords="home-based rehabilitation; mobile phone; osteoarthritis; physiotherapy; total hip arthroplasty",
abstract="Background: Recent developments in technology are promising for providing home-based exercise programs. Objective: The objective of this study was to evaluate the feasibility and patient experience of a home-based rehabilitation program after total hip arthroplasty (THA) delivered using videos on a tablet personal computer (PC) and a necklace-worn motion sensor to continuously monitor mobility-related activities. Methods: We enrolled 30 independently living patients aged 18-75 years who had undergone THA as a treatment for primary or secondary osteoarthritis (OA) 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 5 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: Overall, 26 patients completed the program. Average adherence for exercising 5 times a week was 92{\%}. Reasons mentioned most often for nonadherence were vacation or a day or weekend off 25{\%} (33/134) and work 15{\%} (20/134). The total number of technical issues was 8. 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 app and mobility monitoring seems feasible for THA patients. Adherence was good and patient experience was positive. The novel technology was well accepted. When the home-based rehabilitation program proves to be effective, it could be used as an alternative to formal physiotherapy. However, further research on its effectiveness is needed. ",
issn="2291-5222",
doi="10.2196/10342",
url="http://mhealth.jmir.org/2019/1/e10342/",
url="https://doi.org/10.2196/10342",
url="http://www.ncbi.nlm.nih.gov/pubmed/30702438"
}