Determinants of Adherence to the Online Component of a Blended Intervention for Patients with Hip and/or Knee Osteoarthritis: A Mixed Methods Study Embedded in the e-Exercise Trial

Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association
Herman J de VriesCindy Veenhof

Abstract

Embedding Web-based interventions within physiotherapy has potential, but knowledge on patient adherence to these interventions is limited. This study explores which patient-, intervention-, and environment-related factors are determinants of adherence to the online component of e-Exercise, a 12-week blended intervention for patients with hip and/or knee osteoarthritis. A convergent mixed methods study was performed, embedded within an ongoing trial. Quantitative data of 109 participants that received e-Exercise were used for negative binomial regression analysis. Adherence was defined as the number of online evaluated weeks. Next, semistructured interviews on factors related to adherence to the online component were analyzed. Nineteen participants with missing outcome data because their program was not started were excluded. Of the 90 analyzed participants, 81.1% were evaluated for at least 8 weeks. Adherence was highest for participants with middle education, 1-5-year osteoarthritis duration, and participants who were physiotherapist recruited. The 10 analyzed interviews revealed that sufficient Internet skills, self-discipline, execution of the exercise plan, the intervention's usability, flexibility, persuasive design, adde...Continue Reading

References

Feb 1, 1991·Journal of the American Geriatrics Society·D Podsiadlo, S Richardson
Dec 1, 1996·Journal of Clinical Epidemiology·P PeduzziA R Feinstein
Jun 1, 1997·Seminars in Arthritis and Rheumatism·E TaalO Wiegman
May 20, 1998·Medicine and Science in Sports and Exercise·P S FreedsonJ Sirard
Feb 24, 2001·Psychological Methods·S E Maxwell
Nov 14, 2003·Health and Quality of Life Outcomes·Ewa M Roos, L Stefan Lohmander
Apr 15, 2005·Journal of Medical Internet Research·Gunther Eysenbach
Aug 8, 2006·Osteoarthritis and Cartilage·I B de GrootJ A N Verhaar
Feb 28, 2008·Health and Quality of Life Outcomes·Ingrid B de GrootCaroline B Terwee
May 19, 2009·The Journal of Rheumatology·Marlene Fransen, Sara McConnell
Aug 12, 2010·Clinics in Geriatric Medicine·Yuqing Zhang, Joanne M Jordan
Aug 28, 2010·Journal of Telemedicine and Telecare·Rianne M H A Huis in 't VeldMiriam M R Vollenbroek-Hutten
Sep 4, 2010·Journal of Medical Internet Research·Jonathan Van 't RietHein De Vries
Feb 23, 2011·Journal of the Royal Statistical Society. Series B, Statistical Methodology·Yanyuan MaRaymond J Carroll
Nov 16, 2012·Journal of Medical Internet Research·Saskia M KeldersJulia E W C Van Gemert-Pijnen
Jul 16, 2013·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Paul WicksSara Ahmed
Sep 6, 2013·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Eva PietrzakPeter Nasveld
Aug 28, 2014·Oncology Nursing Forum·Nancy CarterAlan J Neville
Dec 5, 2014·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Isabel de la Torre-DíezCarlos de Castro
Feb 11, 2016·JMIR Mental Health·Jobke WentzelJulia E W C van Gemert-Pijnen

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Citations

Jun 29, 2018·Physiotherapy Theory and Practice·Corelien J J KloekJoost Dekker
Jun 20, 2020·Journal of Medical Internet Research·Merel A TimmerMartijn F Pisters
Dec 6, 2019·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Corelien J J KloekCindy Veenhof
Nov 30, 2019·JMIR Formative Research·Aniek A O M ClaassenCornelia H M van den Ende
Jul 6, 2019·Journal of Medical Internet Research·Janni StrømClaus Vinther Nielsen
May 28, 2021·Archives of Physiotherapy·Pierrette Baschung PfisterEling D de Bruin

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