1
|
Ma JK, Ramachandran S, Sandhu A, Tsui K, Hoens AM, Hu D, Li LC. Tailored Interventions for Supporting Physical Activity Participation in People with Arthritis and Related Conditions: a Systematic Review. CURRENT TREATMENT OPTIONS IN RHEUMATOLOGY 2022. [DOI: 10.1007/s40674-022-00194-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
2
|
Leese J, MacDonald G, Backman CL, Townsend A, Nimmon L, Li LC. Experiences of Wearable Technology by Persons with Knee Osteoarthritis Participating in a Physical Activity Counseling Intervention: Qualitative Study Using a Relational Ethics Lens. JMIR Mhealth Uhealth 2021; 9:e30332. [PMID: 34766912 PMCID: PMC8663466 DOI: 10.2196/30332] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 08/27/2021] [Accepted: 09/19/2021] [Indexed: 12/27/2022] Open
Abstract
Background Current evidence indicates physical activity wearables could support persons with knee osteoarthritis (OA) to be more physically active. However, recent evidence also identifies some persons with arthritis experience guilt or worry while using a wearable if they are not as active as they feel they should be. Questions remain around how persons with knee OA experience benefits or downsides using a wearable in their everyday lives. Better understanding is needed if wearables are to be incorporated in arthritis self-management in ethically aware ways. Objective Using an ethics lens, we aimed to describe a range of experiences from persons with knee OA who used a wearable during a physical activity counseling intervention study. Methods This is a secondary analysis of qualitative interviews nested within a randomized controlled trial. Guided by phenomenography, we explored the experiences of persons with knee OA following participation in a physical activity counseling intervention that involved using a Fitbit Flex and biweekly phone calls with a study physiotherapist (PT) in an 8-week period. Benefits or downsides experienced in participants’ relationships with themselves or the study PT when using the wearable were identified using a relational ethics lens. Results Interviews with 21 participants (12 females and 9 males) aged 40 to 82 years were analyzed. Education levels ranged from high school graduates (4/21, 19%) to bachelor’s degrees or above (11/21, 52%). We identified 3 categories of description: (1) participants experienced their wearable as a motivating or nagging influence to be more active, depending on how freely they were able to make autonomous choices about physical activity in their everyday lives; (2) some participants felt a sense of accomplishment from seeing progress in their wearable data, which fueled their motivation; (3) for some participants, sharing wearable data helped to build mutual trust in their relationship with the study PT. However, they also expressed there was potential for sharing wearable data to undermine this trust, particularly if this data was inaccurate. Conclusions Findings provide an early glimpse into positive and negative emotional impacts of using a wearable that can be experienced by participants with knee OA when participating in a randomized controlled trial to support physical activity. To our knowledge, this is the first qualitative study that uses a relational ethics lens to explore how persons with arthritis experienced changes in their relationship with a health professional when using a wearable during research participation.
Collapse
Affiliation(s)
- Jenny Leese
- Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.,Arthritis Research Canada, Vancouver, BC, Canada.,Ottawa Hospital Research Institute, Ottawa, ON, Canada.,Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada
| | - Graham MacDonald
- Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada
| | - Catherine L Backman
- Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.,Arthritis Research Canada, Vancouver, BC, Canada
| | - Anne Townsend
- Arthritis Research Canada, Vancouver, BC, Canada.,Faculty of Health and Medicine, Lancaster University, Lancaster, United Kingdom
| | - Laura Nimmon
- Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada
| | - Linda C Li
- Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada.,Arthritis Research Canada, Vancouver, BC, Canada
| |
Collapse
|
3
|
Crouthamel M, Mather RJ, Ramachandran S, Bode K, Chatterjee G, Garcia-Gancedo L, Kim J, Alaj R, Wipperman MF, Leyens L, Sillen H, Murphy T, Benecky M, Maggio B, Switzer T. Developing a Novel Measurement of Sleep in Rheumatoid Arthritis: Study Proposal for Approach and Considerations. Digit Biomark 2021; 5:191-205. [PMID: 34703974 DOI: 10.1159/000518024] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 06/17/2021] [Indexed: 11/19/2022] Open
Abstract
The development of novel digital endpoints (NDEs) using digital health technologies (DHTs) may provide opportunities to transform drug development. It requires a multidisciplinary, multi-study approach with strategic planning and a regulatory-guided pathway to achieve regulatory and clinical acceptance. Many NDEs have been explored; however, success has been limited. To advance industry use of NDEs to support drug development, we outline a theoretical, methodological study as a use-case proposal to describe the process and considerations when developing and obtaining regulatory acceptance for an NDE to assess sleep in patients with rheumatoid arthritis (RA). RA patients often suffer joint pain, fatigue, and sleep disturbances (SDs). Although many researchers have investigated the mobility of joint functions using wearable technologies, the research of SD in RA has been limited due to the availability of suitable technologies. We proposed measuring the improvement of sleep as the novel endpoint for an anti-TNF therapy and described the meaningfulness of the measure, considerations of tool selection, and the design of clinical validation. The recommendations from the FDA patient-focused drug development guidance, the Clinical Trials Transformation Initiative (CTTI) pathway for developing novel endpoints from DHTs, and the V3 framework developed by the Digital Medicine Society (DiMe) have been incorporated in the proposal. Regulatory strategy and engagement pathways are also discussed.
Collapse
Affiliation(s)
- Michelle Crouthamel
- Digital Health & Innovation, Global Clinical Development, AbbVie Inc., North Chicago, Illinois, USA
| | - Robert J Mather
- Early Clinical Development, Pfizer Inc., Cambridge, Massachusetts, USA
| | - Suraj Ramachandran
- Global Regulatory Affairs and Clinical Safety (SR), MRL (KB), Merck & Co, Inc., Kenilworth, New Jersey, USA
| | - Kai Bode
- Global Regulatory Affairs and Clinical Safety (SR), MRL (KB), Merck & Co, Inc., Kenilworth, New Jersey, USA
| | - Godhuli Chatterjee
- Clinical Study Unit (India-South East Asia Cluster), Sanofi Healthcare India Private Limited, Mumbai, India
| | | | - Joseph Kim
- Translational Technology and Innovation, Office of Digital Health, Eli Lilly and Company, Indianapolis, Indiana, USA
| | - Rinol Alaj
- Clinical Outcomes Assessment and Patient Innovation, Global Study Strategy & Optimization (RA), Precision Medicine, Early Clinical Development & Experimental Sciences (MFW), Regeneron Pharmaceuticals Inc., Tarrytown, New York, USA
| | - Matthew F Wipperman
- Clinical Outcomes Assessment and Patient Innovation, Global Study Strategy & Optimization (RA), Precision Medicine, Early Clinical Development & Experimental Sciences (MFW), Regeneron Pharmaceuticals Inc., Tarrytown, New York, USA
| | - Lada Leyens
- Product Development Regulatory, F. Hoffmann-La Roche Ltd, Basel, Switzerland
| | | | - Tina Murphy
- Regulatory Affairs Innovation, Novartis Pharmaceuticals, East Hanover, New Jersey, USA
| | - Michael Benecky
- Global Regulatory Affairs, UCB Biosciences, Inc., Raleigh, North Carolina, USA
| | - Brandon Maggio
- Digital Trials - Global Clinical Operations, Boehringer-Ingelheim, Ridgefield, Connecticut, USA
| | - Thomas Switzer
- Early Clinical Development Informatics, Genentech, South San Francisco, California, USA
| |
Collapse
|
4
|
Li LC, Feehan LM, Hoens AM. Rethinking Physical Activity Promotion During the COVID-19 Pandemic: Focus on a 24-hour Day. J Rheumatol 2021; 48:1205-1207. [PMID: 33589559 DOI: 10.3899/jrheum.201595] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Affiliation(s)
- Linda C Li
- L.C. Li, PT, PhD, A.M. Hoens, PT, MSc, Patient Partner, Department of Physical Therapy, University of British Columbia, and Arthritis Research Canada;
| | - Lynne M Feehan
- L.M. Feehan, PT, PhD, Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada
| | - Alison M Hoens
- L.C. Li, PT, PhD, A.M. Hoens, PT, MSc, Patient Partner, Department of Physical Therapy, University of British Columbia, and Arthritis Research Canada
| |
Collapse
|