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EP19: Promote physical activity with the smart health connected bracelet
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Today, smart health connected objects can change our daily lives. Indeed, the data collected by them will be useful, not only for the users, but also for different professionals, in order to transmit adapted recommendations and to carry out a follow-up. In this new episode, we will discover, thanks to Lidia and Baptiste, the interest of using a smart health connected bracelet for a person with breast cancer to achieve regular physical activity, with defined goals and independently.
1- To start this new episode, can you describe who you are and what is your background?
Lidia:
PhD student in physical activity at the Interuniversity Laboratory of Motricity Biology of the University Claude Bernard of Lyon 1 and the Department of Cancer and Environment of center Léon Bérard Funded by the Cancer League to study the physical, biological, clinical and psychological effects of physical activity on patients with metastatic breast cancer. (ABLE)
Teacher in APA training and training in statistics thereafter.
Interest in smart health connected objects since we equipped the patients of the study during 6 months thanks to a donation of the Nokia foundation and that I conducted a validation study on another smart health connected bracelet.
Baptiste:
I am a postdoctoral researcher in physical activity also adapted to the Cancer and Environment Department of the Léon-Bérard Center.
I am currently working on the DISCO study which is a large-scale clinical study that uses smart health connected bracelets to promote physical activity in patients with localized breast cancer.
Also APA teacher training and I have a thesis in Physical Activity Sciences from the University of Montreal.
Lidia:
We know that patients have a decrease in their level of physical activity from the beginning of treatments
Only between 16 and 88% reach the recommendations in physical activity (Wong issue and depends on the types of cancers).
Wong: 31 studies have shown that walking is the preferred activity of patients and 20 studies have shown that patients prefer to practice at health home but that practice is supervised.
Robertson: study 60% very interested in mobile technologies and 73% would agree to try these objects.
smart health connected Health is now present everywhere in our day-to-day lives and provides large amounts of data.
Baptiste:
1st program in France in physical activity during the treatments, program of physical activity since 2010, financed by the league against cancer and Run for Elles.
The Léon Bérard center is a regional center: many patients come from far away and can not come to practice at the center of physical activity.
For practical questions we can not supervise all the practices: the smart health connected objects with the measurement of the number of steps is a good compromise since they make it possible to count objectively the number of steps. These are therefore useful for each patient to follow his daily physical activity and motivate himself to achieve a number of steps and goal for the professional, who also has a visual on it and can follow patients from a distance. What pleases most in the DISCO study.
3- What are the activities proposed by this device?
Lidia:
Tracking the number of steps, heart rate, sensor of different activities, integrated GPS, sleep analysis.
Baptiste:
In the DISCO study:
Also a smart health connected bracelet which allows to follow the number of steps, the distance covered, the FC and the caloric expenditure.
Phone application that allows to go up and consult the number of steps and walk sessions with audio instructions.
Website that allows you to perform muscle building sessions through videos.
4- Is it possible to have a tailor-made program?
Lidia:
Either we propose an objective to be achieved as ABLE, or the watch itself can adjust the objective according to the level of physical activity.
Baptiste:
Structured sessions: they will be defined and personalized in three groups of levels (beginner, intermediate or high) according to the results of the patients in fitness tests.). The frequency, duration and intensity of the exercises will evolve according to the abilities of the patients who will be reassessed by feedback on the level of fatigue, shortness of breath, muscle pain and nausea before and after each scheduled session.
5- What do you think are the benefits of it?
Lidia:
Remote monitoring
Real time feedback
Challenge
Makes the patient actor's support
Helps to sensitize the patient to physical activity
New relationship between the patient and the professional: patients feel followed and accompanied
Baptiste:
Simplicity whatever the age
Accessibility (price), smartphone …
6- Do patients find the idea of wearing a smart health connected bracelet interesting?
Lidia:
ABLE: 77.3% found it nice to wear the bracelet
ABLE: 98% think it's a good way to measure their physical activity a day and 93.2% would be interested to use a smart health connected bracelet again as part of the research
Baptiste:
Pre-DISCO survey of 102 women with breast cancer:– 75% agreed to wear a smart health connected bracelet– 2/3 of the patients agreed that the bracelet could motivate to increase their physical activity
7- Do they mostly use the smart health connected bracelet in everyday life? If so, how often on average?
Lidia:
ABLE: 80% wore the bracelet every day for 6 months.
New bracelets that are very pretty and discreet and that are worn every day without major constraints. Almost everyone is now equipped with a smart health connected watch or follows their step count on their phone.
So waterproof even in the shower no need to remove, the night also for those who kept the watch: analysis of sleep time.
Baptiste:
Since the beginning of the study, DISCO patients have been using it all day and every day.
8- Following the adoption of smart health connected bracelets, do patients feel they are walking more and changing their physical activity?
Lidia:
ABLE: 93.2% found that the smart health connected bracelet was a good idea to increase the level of physical activity and the number of steps.
Hold between M1 and M6 the number of steps in ABLE.
Baptiste:
No results for DISCO.
9- Can they check their progress from the smart health connected bracelet?
Lidia:
Yes, thanks to a small screen directly displaying the number of steps or a percentage of the goal achieved.
ABLE: 75% were influenced during the day by their number of steps and 86.4% regularly consulted their number of steps.
Baptiste:
In DISCO, also through graphics in the application and on the website, patients can view their number of steps taken every day, every week, every month and every year.
10- What is the interest for you to advise its use?
Baptiste:
A strategy for the promotion of physical activity whose scientific evidence outside cancer is important.
11- What is your analysis time?
Lidia:
In practice, one could obtain data on an unlimited time with data collected by minutes / day.
In the case of ABLE, 6 months.
Baptiste:
The procedure lasts 6 months and the patients will be able to keep the bracelet at the end of the procedure.
12- Is the recovered data reliable?
Lidia:
Always the limit of the validation of the smart health connected objects.
To validate: Gold standard accelerometer that is expensive, without feedback for patients, not practical to wear.
Here data in real life without bias that the patient temporarily increases his physical activity.
Baptiste:
Comparison also with the accelerometer.
13- What is missing from the smart health connected bracelet in your sector of activity for a better exploitation?
Lidia:
Optimization of a professional portal to follow each patient
Connect data to the patient record.
Baptiste:
14- What are your development prospects through the use of the smart health connected bracelet?
Lidia:
Project in the Seintinelles, a collaborative platform funded by the ARC Foundation: Equipping 200 patients thanks to a donation from the Nokia Foundation, suffering from breast cancer and treated for less than a year by hormone therapy and evaluating the impact of physical activity through a smart health connected watch on side effects and compliance, on patient sleep and ultimately to establish a predictive model of an alteration in the level of physical activity and quality of life that could be related to treatment compliance and an alert system.
Baptiste:
A research project with elderly people treated at the CLB is under construction as more and more people use smartphones: 54% of 60-69 year olds and 30% of 70 year olds and over.
15- Do you have other projects around smart health connected objects to implement in the future?
Lidia:
ABLE II.
Baptiste:
EVAADE: Feasibility study evaluating smart health connected bicycles as a means of adapted physical activity in children and adolescents requiring an allograft of hematopoietic stem cells (program during the phase isolation in a protected room).
Here are the email addresses of Lidia and Baptiste if you want to contact them for more information:
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