Primary-tertiary care and rehabilitation centers

• patients are asked at the end of a week - if they meet their goals, whether they wanted to increase it
• if not met after 2 weeks - they get a friendly phone call to check in

Can technology make it happen?

• Physical activity was successfully increased
• This increase is clinically relevant
• Coaching happened semi-automated
  • some patients needed almost no support and were more suitable
• Contact time 50 mins per patient in 3 months - reduction in costs
  
• worked better with patients with higher capacity, less symptoms
• comorbidity and severity of disease was less significant

How 'light' can these interventions be

• Failure of the intervention or failure to intervene?
  • Feedback on the smartphone
  • Little contact with HCP
  • App too Complex (?)

The patient experience

• what patients liked most from the study
  
• A word of caution! - especially when working with a population that does not work well with technology
  • Problems with software updates
  • Compatibility with the mobile phone
  • Discontinuation of a product (consumer devices)
  • Inaccuracy of some step counters
  • Technical problems with all components (software & hardware)
  • GDPR and MDR regulation complicate the use - specifically for EU
    • difficulty for implementing in a healthcare system - patients can use it personally