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Beitrag (Sammelband oder Tagungsband)
Thomas Spittler, D. Polterauer, P. Friedrich, B. Wolf
Rehabilitation´s Aftercare by COMES®
Proceedings of the 1st European Congress on e-Cardiology & e-Health, Selected Abstracts (October 29-31, 2014; Bern, Switzerland)
, no. 2_suppl, pp. 38-44
Purpose: In Germany the demand of medical rehabilitation increases steadily. Nevertheless, the duration of rehabilitation is limited to three weeks, making an efficient and successful post-rehabilitative aftercare essential. Therefore, a telematic system called COMES® was developed at the Heinz Nixdorf Lehrstuhl der Technischen Universität München.
One of the strength of COMES® is the possibility of therapy support, for example when suffering from cardiovascular disease. The physician sets a therapy goal and COMES® supports the patient by motivation feedback reaching that goal.
Methods: For evaluating COMES® motivation feedback a field tests was designed and conducted. Therefore, ten study participants from the age of 40 to 66 were equipped with the COMES®-System. While the first week represents the baseline, the second week serves as getting familiarized and the third week shows participants’ activity with motivation messages.
For statistical analysis nonparametric statistics, the Wilcoxon-Mann-Whitney test, were used, inter alia due to the small sample size.
Results: All the participants significantly increased their physical activity, with a p value of p = 0.008. During baseline week the mean steps per day were about 4,690 with a standard deviation of 1,625 steps per day. After third week the mean daily number of steps increased by 2,240 with a standard deviation of 1,970 steps per day.
Conclusion: COMES® enables both physicians and patients to maintain and individually adjust therapy guidelines for hypertonia. Thus, it leads to a consequent accomplishment of the after-care targets and prevents a creeping demotivation. First studies show, that there is a significant increase of participants’ physical activity due to the COMES® motivation messages.