Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study

Marijke Elizabeth de Leeuwerk; Martine Botjes; Vincent van Vliet; Edwin Geleijn; Vincent de Groot; Erwin van Wegen; Marike van der Schaaf; Jurriaan Tuynman; Chris Dickhoff; Marike van der Leeden

doi:10.2196/35694

Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study

Marijke Elizabeth de Leeuwerk, Martine Botjes, Vincent van Vliet, Edwin Geleijn, Vincent de Groot, Erwin van Wegen, Marike van der Schaaf, Jurriaan Tuynman, Chris Dickhoff, Marike van der Leeden

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

BACKGROUND: Self-monitoring of physical activity (PA) using an accelerometer is a promising intervention to stimulate PA after hospital discharge.

OBJECTIVE: This study aimed to evaluate the feasibility of PA self-monitoring after discharge in patients who have undergone gastrointestinal or lung cancer surgery.

METHODS: A mixed methods study was conducted in which 41 patients with cancer scheduled for lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy were included. Preoperatively, patients received an ankle-worn accelerometer and the corresponding mobile health app to familiarize themselves with its use. The use was continued for up to 6 weeks after surgery. Feasibility criteria related to the study procedures, the System Usability Scale, and user experiences were established. In addition, 6 patients were selected to participate in semistructured interviews.

RESULTS: The percentage of patients willing to participate in the study (68/90, 76%) and the final participation rate (57/90, 63%) were considered good. The retention rate was acceptable (41/57, 72%), whereas the rate of missing accelerometer data was relatively high (31%). The mean System Usability Scale score was good (77.3). Interviewed patients mentioned that the accelerometer and app were easy to use, motivated them to be more physically active, and provided postdischarge support. The technical shortcomings and comfort of the ankle straps should be improved.

CONCLUSIONS: Self-monitoring of PA after discharge appears to be feasible based on good system usability and predominantly positive user experiences in patients with cancer after lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy. Solving technical problems and improving the comfort of the ankle strap may reduce the number of dropouts and missing data in clinical use and follow-up studies.

Original language	English
Article number	e35694
Number of pages	15
Journal	JMIR Cancer
Volume	8
Issue number	2
DOIs	https://doi.org/10.2196/35694
Publication status	Published - 24 Jun 2022

Funding

This research received a specific grant of Amsterdam Movement Sciences in November 2017 to purchase the Atris app license and the Physial Activity Monitors. This research did not receive a specific grant from funding agencies in the commercial or not-for-profit sectors.

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de Leeuwerk, M. E., Botjes, M., van Vliet, V., Geleijn, E., de Groot, V., van Wegen, E., van der Schaaf, M., Tuynman, J., Dickhoff, C., & van der Leeden, M. (2022). Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study. JMIR Cancer, 8(2), Article e35694. https://doi.org/10.2196/35694

@article{9002377299cd4510b7f0411c27bbe0b9,

title = "Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study",

abstract = "BACKGROUND: Self-monitoring of physical activity (PA) using an accelerometer is a promising intervention to stimulate PA after hospital discharge.OBJECTIVE: This study aimed to evaluate the feasibility of PA self-monitoring after discharge in patients who have undergone gastrointestinal or lung cancer surgery.METHODS: A mixed methods study was conducted in which 41 patients with cancer scheduled for lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy were included. Preoperatively, patients received an ankle-worn accelerometer and the corresponding mobile health app to familiarize themselves with its use. The use was continued for up to 6 weeks after surgery. Feasibility criteria related to the study procedures, the System Usability Scale, and user experiences were established. In addition, 6 patients were selected to participate in semistructured interviews.RESULTS: The percentage of patients willing to participate in the study (68/90, 76%) and the final participation rate (57/90, 63%) were considered good. The retention rate was acceptable (41/57, 72%), whereas the rate of missing accelerometer data was relatively high (31%). The mean System Usability Scale score was good (77.3). Interviewed patients mentioned that the accelerometer and app were easy to use, motivated them to be more physically active, and provided postdischarge support. The technical shortcomings and comfort of the ankle straps should be improved.CONCLUSIONS: Self-monitoring of PA after discharge appears to be feasible based on good system usability and predominantly positive user experiences in patients with cancer after lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy. Solving technical problems and improving the comfort of the ankle strap may reduce the number of dropouts and missing data in clinical use and follow-up studies.",

author = "{de Leeuwerk}, {Marijke Elizabeth} and Martine Botjes and {van Vliet}, Vincent and Edwin Geleijn and {de Groot}, Vincent and {van Wegen}, Erwin and {van der Schaaf}, Marike and Jurriaan Tuynman and Chris Dickhoff and {van der Leeden}, Marike",

note = "{\textcopyright}Marijke Elizabeth de Leeuwerk, Martine Botjes, Vincent van Vliet, Edwin Geleijn, Vincent de Groot, Erwin van Wegen, Marike van der Schaaf, Jurriaan Tuynman, Chris Dickhoff, Marike van der Leeden. Originally published in JMIR Cancer (https://cancer.jmir.org), 24.06.2022.",

year = "2022",

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day = "24",

doi = "10.2196/35694",

language = "English",

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de Leeuwerk, ME, Botjes, M, van Vliet, V, Geleijn, E, de Groot, V, van Wegen, E, van der Schaaf, M, Tuynman, J, Dickhoff, C & van der Leeden, M 2022, 'Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study', JMIR Cancer, vol. 8, no. 2, e35694. https://doi.org/10.2196/35694

Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study. / de Leeuwerk, Marijke Elizabeth; Botjes, Martine; van Vliet, Vincent et al.
In: JMIR Cancer, Vol. 8, No. 2, e35694, 24.06.2022.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery

T2 - mixed methods feasibility study

AU - de Leeuwerk, Marijke Elizabeth

AU - Botjes, Martine

AU - van Vliet, Vincent

AU - Geleijn, Edwin

AU - de Groot, Vincent

AU - van Wegen, Erwin

AU - van der Schaaf, Marike

AU - Tuynman, Jurriaan

AU - Dickhoff, Chris

AU - van der Leeden, Marike

N1 - ©Marijke Elizabeth de Leeuwerk, Martine Botjes, Vincent van Vliet, Edwin Geleijn, Vincent de Groot, Erwin van Wegen, Marike van der Schaaf, Jurriaan Tuynman, Chris Dickhoff, Marike van der Leeden. Originally published in JMIR Cancer (https://cancer.jmir.org), 24.06.2022.

PY - 2022/6/24

Y1 - 2022/6/24

N2 - BACKGROUND: Self-monitoring of physical activity (PA) using an accelerometer is a promising intervention to stimulate PA after hospital discharge.OBJECTIVE: This study aimed to evaluate the feasibility of PA self-monitoring after discharge in patients who have undergone gastrointestinal or lung cancer surgery.METHODS: A mixed methods study was conducted in which 41 patients with cancer scheduled for lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy were included. Preoperatively, patients received an ankle-worn accelerometer and the corresponding mobile health app to familiarize themselves with its use. The use was continued for up to 6 weeks after surgery. Feasibility criteria related to the study procedures, the System Usability Scale, and user experiences were established. In addition, 6 patients were selected to participate in semistructured interviews.RESULTS: The percentage of patients willing to participate in the study (68/90, 76%) and the final participation rate (57/90, 63%) were considered good. The retention rate was acceptable (41/57, 72%), whereas the rate of missing accelerometer data was relatively high (31%). The mean System Usability Scale score was good (77.3). Interviewed patients mentioned that the accelerometer and app were easy to use, motivated them to be more physically active, and provided postdischarge support. The technical shortcomings and comfort of the ankle straps should be improved.CONCLUSIONS: Self-monitoring of PA after discharge appears to be feasible based on good system usability and predominantly positive user experiences in patients with cancer after lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy. Solving technical problems and improving the comfort of the ankle strap may reduce the number of dropouts and missing data in clinical use and follow-up studies.

AB - BACKGROUND: Self-monitoring of physical activity (PA) using an accelerometer is a promising intervention to stimulate PA after hospital discharge.OBJECTIVE: This study aimed to evaluate the feasibility of PA self-monitoring after discharge in patients who have undergone gastrointestinal or lung cancer surgery.METHODS: A mixed methods study was conducted in which 41 patients with cancer scheduled for lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy were included. Preoperatively, patients received an ankle-worn accelerometer and the corresponding mobile health app to familiarize themselves with its use. The use was continued for up to 6 weeks after surgery. Feasibility criteria related to the study procedures, the System Usability Scale, and user experiences were established. In addition, 6 patients were selected to participate in semistructured interviews.RESULTS: The percentage of patients willing to participate in the study (68/90, 76%) and the final participation rate (57/90, 63%) were considered good. The retention rate was acceptable (41/57, 72%), whereas the rate of missing accelerometer data was relatively high (31%). The mean System Usability Scale score was good (77.3). Interviewed patients mentioned that the accelerometer and app were easy to use, motivated them to be more physically active, and provided postdischarge support. The technical shortcomings and comfort of the ankle straps should be improved.CONCLUSIONS: Self-monitoring of PA after discharge appears to be feasible based on good system usability and predominantly positive user experiences in patients with cancer after lobectomy, esophageal resection, or hyperthermic intraperitoneal chemotherapy. Solving technical problems and improving the comfort of the ankle strap may reduce the number of dropouts and missing data in clinical use and follow-up studies.

U2 - 10.2196/35694

DO - 10.2196/35694

M3 - Article

C2 - 35749165

SN - 2369-1999

VL - 8

JO - JMIR Cancer

JF - JMIR Cancer

IS - 2

M1 - e35694

ER -

Self-monitoring of physical activity after hospital discharge in patients who have undergone gastrointestinal or lung cancer surgery: mixed methods feasibility study

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