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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

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Home Automated Telemanagement System for Individualized Exercise Programs: Design and Usability Evaluation.

Aref Smiley¹, Joseph Finkelstein¹

¹Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, United States.

JMIR Biomedical Engineering

|December 10, 2024

Summary

The interactive bike (iBikE) system effectively supports home-based telerehabilitation, improving exercise adherence and task performance. This user-friendly system enhances patient engagement in personalized rehabilitation programs.

Keywords:

exercise therapy home-based exercise physical rehabilitation remote cycling telemedicine telerehabilitation usability

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Area of Science:

Biomedical Engineering
Rehabilitation Technology
Digital Health

Background:

Exercise is crucial for physical rehabilitation and managing chronic conditions.
Telerehabilitation delivers personalized exercise programs remotely, improving adherence and outcomes.
The Home Automated Telemanagement (HAT) System with the interactive bike (iBikE) supports home-based rehabilitation and remote monitoring.

Purpose of the Study:

Evaluate the design, usability, and efficacy of the iBikE system within the HAT platform.
Assess the system's impact on patient adherence to exercise regimens.
Minimize patient and clinician burden in home-based rehabilitation.

Main Methods:

Quasi-experimental study with a pre- and posttest design (n=5).
Usability testing involved 2 primary tasks, measuring completion times and user satisfaction (System Usability Scale - SUS).
Assessed adherence to exercise protocols and skill retention after a 1-week break.

Main Results:

Task completion times significantly improved (Task 1: 8.6s to 1.8s; Task 2: 31.5s to 30.3s).
Adherence to prescribed cycling speed improved (deviations reduced from 6.26 rpm to 4.02 rpm, P=.03).
High user satisfaction reported (SUS scores increased from 92 to 97), with successful independent task completion.

Conclusions:

The iBikE system effectively supports home-based telerehabilitation with minimal training.
Significant improvements in task performance and adherence indicate suitability for home-based programs.
Further studies with larger samples are recommended to validate long-term benefits.