Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-386
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dc.contributor.authorPfirrmann, Daniel-
dc.contributor.authorHaller, Nils-
dc.contributor.authorHuber, Yvonne-
dc.contributor.authorJung, Patrick-
dc.contributor.authorLieb, Klaus-
dc.contributor.authorGockel, Ines-
dc.contributor.authorPoplawska, Krystyna-
dc.contributor.authorSchattenberg, Jörn-
dc.contributor.authorSimon, Perikles-
dc.date.accessioned2018-07-23T10:39:57Z-
dc.date.available2018-07-23T12:39:57Z-
dc.date.issued2018-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/388-
dc.description.abstractBackground: In the primary and secondary prevention of civilization diseases, regular physical activity is recommended in international guidelines to improve disease-related symptoms, delay the progression of the disease, or to enhance postoperative outcomes. In the preoperative context, there has been a paradigm shift in favor of using preconditioning concepts before surgery. Web-based interventions seem an innovative and effective tool for delivering general information, individualized exercise recommendations, and peer support. Objective: Our first objective was to assess feasibility of our Web-based interventional concept and analyze similarities and differences in a sustained exercise implementation in different diseases. The second objective was to investigate the overall participants? satisfaction with our Web-based concept. Methods: A total of 4 clinical trials are still being carried out, including patients with esophageal carcinoma scheduled for oncologic esophagectomy (internet-based perioperative exercise program, iPEP, study), nonalcoholic fatty liver disease (hepatic inflammation and physical performance in patients with nonalcoholic steatohepatitis, HELP, study), depression (exercise for depression, EXDEP, study), and cystic fibrosis (cystic fibrosis online mentoring for microbiome, exercise, and diet, COMMED, study). During the intervention period, the study population had access to the website with disease-specific content and a disease-specific discussion forum. All participants received weekly, individual tailored exercise recommendations from the sports therapist. The main outcome was the using behavior, which was obtained by investigating the log-in rate and duration. Results: A total of 20 participants (5 from each trial) were analyzed. During the intervention period, a regular contact and a consequent implementation of exercise prescription were easily achieved in all substudies. Across the 4 substudies, there was a significant decrease in log-in rates (P<.001) and log-in durations (P<.001) over time. A detailed view of the different studies shows a significant decrease in log-in rates and log-in durations in the HELP study (P=.004; P=.002) and iPEP study (P=.02; P=.001), whereas the EXDEP study (P=.58; P=.38) and COMMED study (P=.87; P=.56) showed no significant change over the 8-week intervention period. There was no significant change in physical activity within all studies (P=.31). Only in the HELP study, the physical activity level increased steadily over the period analyzed (P=.045). Overall, 17 participants (85%, 17/20) felt secure and were not scared of injury, with no major differences in the subtrials. Conclusions: The universal use of the Web-based intervention appears to be applicable across the heterogonous collectives of our study patients with regard to age and disease. Although the development of physical activity shows only moderate improvements, flexible communication and tailored support could be easily integrated into patients? daily routine.en_GB
dc.description.sponsorshipDFG, Open Access-Publizieren Universität Mainz / Universitätsmedizin-
dc.language.isoeng-
dc.rightsCC BYde_DE
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/-
dc.subject.ddc796 Sportde_DE
dc.subject.ddc796 Athletic and outdoor sports and gamesen_GB
dc.titleApplicability of a web-based, individualized exercise intervention in patients with liver disease, cystic fibrosis, esophageal cancer, and psychiatric disorders : process evaluation of 4 ongoing clinical trialsen_GB
dc.typeZeitschriftenaufsatzde_DE
dc.identifier.doihttp://doi.org/10.25358/openscience-386-
jgu.type.dinitypearticle-
jgu.type.versionPublished versionen_GB
jgu.type.resourceText-
jgu.organisation.departmentFB 02 Sozialwiss., Medien u. Sport-
jgu.organisation.departmentFB 04 Medizin-
jgu.organisation.number7910-
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleJournal of medical internet research : Research Protocols-
jgu.journal.volume7-
jgu.journal.issue5-
jgu.pages.alternativee106-
jgu.publisher.year2018-
jgu.publisher.names.n.-
jgu.publisher.placeToronto-
jgu.publisher.urihttp://dx.doi.org/10.2196/resprot.8607-
jgu.publisher.issn1929-0748-
jgu.organisation.placeMainz-
jgu.subject.ddccode796-
opus.date.accessioned2018-07-23T10:39:57Z-
opus.date.modified2019-11-15T09:55:52Z-
opus.date.available2018-07-23T12:39:57-
opus.subject.dfgcode00-000-
opus.organisation.stringFB 02: Sozialwissenschaften, Medien und Sport: Institut für Sportwissenschaftde_DE
opus.organisation.stringFB 04: Medizin: I. Medizinische Klinik und Poliklinikde_DE
opus.organisation.stringFB 04: Medizin: Psychiatrische Klinik und Poliklinikde_DE
opus.organisation.stringFB 04: Medizin: Zentrum für Kinder- und Jugendmedizinde_DE
opus.identifier.opusid58369-
opus.institute.number0208-
opus.institute.number0425-
opus.institute.number0432-
opus.institute.number0462-
opus.metadataonlyfalse-
opus.type.contenttypeKeinede_DE
opus.type.contenttypeNoneen_GB
opus.affiliatedPfirrmann, Daniel-
opus.affiliatedHaller, Nils-
opus.affiliatedHuber, Yvonne-
opus.affiliatedJung, Patrick-
opus.affiliatedLieb, Klaus-
opus.affiliatedPoplawska, Krystyna-
opus.affiliatedSchattenberg, Jörn-
opus.affiliatedSimon, Perikles-
jgu.publisher.doi10.2196/resprot.8607
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:JGU-Publikationen

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