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      The development of a mobile monitoring and feedback tool to stimulate physical activity of people with a chronic disease in primary care: a user-centered design.

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          Abstract

          Physical activity is an important aspect in the treatment of patients with chronic obstructive pulmonary disease or type-2 diabetes. A monitoring and feedback tool combined with guidance by a primary care provider might be a successful method to enhance the level of physical activity in these patients. As a prerequisite for useful technology, it is important to involve the end-users in the design process from an early stage.

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          Stages and processes of self-change of smoking: toward an integrative model of change.

          J Prochaska, C C DiClemente (1983)
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            Worldwide variability in physical inactivity a 51-country survey.

            Regina Guthold, Tomoko Ono, Kathleen Strong … (2008)
            Physical inactivity is an important risk factor for chronic diseases, but for many (mainly developing) countries, no prevalence data have ever been published. To present data on the prevalence of physical inactivity for 51 countries and for different age groups and settings across these countries. Data analysis (conducted in 2007) included data from 212,021 adult participants whose questionnaires were culled from 259,526 adult observations from 51 countries participating in the World Health Survey (2002-2003). The validated International Physical Activity Questionnaire (IPAQ) was used to assess days and duration of vigorous, moderate, and walking activities during the last 7 days. Country prevalence of physical inactivity ranged from 1.6% (Comoros) to 51.7% (Mauritania) for men and from 3.8% (Comoros) to 71.2% (Mauritania) for women. Physical inactivity was generally high for older age groups and lower in rural as compared to urban areas. Overall, about 15% of men and 20% of women from the 51 countries analyzed here (most of which are developing countries) are at risk for chronic diseases due to physical inactivity. There were substantial variations across countries and settings. The baseline information on the magnitude of the problem of physical inactivity provided by this study can help countries and health policymakers to set up interventions addressing the global chronic disease epidemic.
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              Daily physical activity assessment with accelerometers: new insights and validation studies.

              G Plasqui, A G Bonomi, K Westerterp (2013)
              The field of application of accelerometry is diverse and ever expanding. Because by definition all physical activities lead to energy expenditure, the doubly labelled water (DLW) method as gold standard to assess total energy expenditure over longer periods of time is the method of choice to validate accelerometers in their ability to assess daily physical activities. The aim of this paper was to provide a systematic overview of all recent (2007-2011) accelerometer validation studies using DLW as the reference. The PubMed Central database was searched using the following keywords: doubly or double labelled or labeled water in combination with accelerometer, accelerometry, motion sensor, or activity monitor. Limits were set to include articles from 2007 to 2011, as earlier publications were covered in a previous review. In total, 38 articles were identified, of which 25 were selected to contain sufficient new data. Eighteen different accelerometers were validated. There was a large variability in accelerometer output and their validity to assess daily physical activity. Activity type recognition has great potential to improve the assessment of physical activity-related health outcomes. So far, there is little evidence that adding other physiological measures such as heart rate significantly improves the estimation of energy expenditure. © 2013 The Authors. obesity reviews © 2013 International Association for the Study of Obesity.
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                Author and article information

                Journal
                Journal ID (iso-abbrev): JMIR Mhealth Uhealth
                Title: JMIR mHealth and uHealth
                Publisher: JMIR Publications Inc.
                ISSN: 2291-5222
                ISSN (Print): 2291-5222
                Publication date (Electronic): Jul 02 2013
                Volume: 1
                Issue: 2
                Affiliations
                [1 ] CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht University, Maastricht, Netherlands. s.vanderweegen@maastrichtuniversity.nl.
                Article
                Publisher Item ID: v1i2e8
                DOI: 10.2196/mhealth.2526
                PMC ID: 4114510
                PubMed ID: 25099556
                SO-VID: d1bf91d1-945f-49be-bd07-45a70118968d
                History

                Keywords: accelerometry,physical activity,primary health care,remote sensing technology,self-management,user-centered design
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                Keywords: accelerometry, physical activity, primary health care, remote sensing technology, self-management, user-centered design

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