Darcy Ummels

Using an activity tracker in daily clinical practice | 123 6 Table 6.2 Patients characteristics. Characteristics Participants (n=11) Gender, n male (%) 2 (18%) Age in years, (median, range) 44 (19 ‐ 64) Number of weeks in therapy, median (range) 9 (2 ‐ 16) Both the use of and the experiences with the MISS Activity during the iterations are described below. Two new categories were added: skills and beliefs (only regarding research question experiences) and goal of the activity tracker (both question use and experiences) and several subcategories were added to the category, use of the activity tracker. The results are described following the categories of the coding framework (Appendix 6.1): instruction, characteristics of the activity tracker, correct functioning, skills and beliefs, goal of the activity tracker, and use of the activity tracker. Since the categories goal of the activity tracker and use of the activity tracker were non ‐ distinctive categories, they are described together. Following inductive analyses, the subcategory length of use was added. No third researcher was needed during the analyses. In the use section, we reported the actual use of the activity tracker. During the course of this study, changes were made in how the activity tracker was used. The rationale behind these changes is described in the experiences section since these changes were based on the experiences of the therapists and the patients. Use of the MISS activity by healthcare professionals and patients In the first cycle, the therapist started using the activity tracker with the draft manual, including the summarizing flowchart (Figure 6.2). After three iterations, based on their use and experiences, several steps were added, and the flowchart was more structured according to their theoretical framework (the pain functioning model), clinical reasoning, and context (Figure 6.4). To achieve enough reflection and depth during the reflection sessions and to create this flowchart and final manual, therapists needed guidance from the research team.