title: Technology combined with a counseling protocol to stimulate physical activity of chronically ill patients in primary care.
abstract: An iterative user-centered design method was used to develop and test mobile technology (the It's LiFe! tool/monitor) embedded in primary care, followed by a three months feasibility study with 20 patients and three nurses. The tool consists of an accelerometer that transfers data to an app on a Smartphone, which is subsequently connected to a server. Physical activity levels are measured in minutes per day compared to pre-set activity goals, which are set by patients in dialogue with nurses. Nurses can monitor patients' physical activity via a secured website. The counseling protocol is based on the Five A's model and consists of a limited number of behavior change consultations intertwined with interaction with and responses from the tool. The technology supports nurses when performing physical activity counseling. Provided that no connectivity problems occur, the It's LiFe! intervention is feasible, and its longitudinal effects will be tested in a cluster RCT.
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: Verwey
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: van der Weegen
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Spreeuwenberg
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: H
authors.initials: H
authors.lastname: Tange
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: T
authors.initials: T
authors.lastname: van der Weijden
authors.affiliation: School for Public Health and Primary Care (CAPHRI), Maastricht University, Maastricht, the Netherlands.
authors.forename: L
authors.initials: L
authors.lastname: de Witte
mesh_terms: D002908:Chronic Disease / Q000451:nursing* / Q000534:rehabilitation*; D037001:Directive Counseling / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D009043:Motor Activity; D059017:Primary Care Nursing / Q000295:instrumentation / Q000379:methods*; D017216:Telemedicine / Q000379:methods*; D016896:Treatment Outcome; D014584:User-Computer Interface