Darcy Ummels

Using an activity tracker in daily clinical practice | 119 6 accepting coping mechanism perform activities that are too burdensome for their capacity. Patients from all three groups were eligible to participate in this study. Activity tracker Since important barriers in implementing eHealth as a measurement tool into daily practice are the complexity, technical problems, and concerns about validity, 36,37,39 it was decided to use the Measure It Super Simple activity tracker 53 (in short, MISS Activity; developed by Maastricht Instruments, Maastricht, NL). The unique features of this tracker are that it measures activities of daily living more validly than other commercially available activity trackers 19 and that it is user ‐ friendly for an elderly population. 27 The MISS Activity measures step count and active minutes. Active minutes are defined as time spent in dynamic behavior, with the possibility to include standing behavior as well. The data are presented as the number of steps and active minutes, including graphs showing progress to goal and the distribution of activity throughout the day (Figure 6.3). The activity tracker is clipped onto the trouser pocket. Figure 6.3 Overview of data presentation with (a) activity distribution throughout the day and (b) progress to goal. The figure shows the active minutes and number of steps per day (left) and the distribution of active minutes (or steps) over the day (right).

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