Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis.

Background: Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment.
Methods: Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL. At a 6-month follow-up, 14 participants completed a survey assessing factors related to their experiences using the app and their treatment engagement.
Results: Although most participants did not use the app, they reported performing their exercises a few times per week. The adolescent participants considered the app to be more of a barrier than a supportive measure for promoting exercise adherence. Most participants still reported bothersome back pain.
Conclusions: Although adherence to the 6-month app-based home exercise program was not successful, adolescents still viewed technology support such as text reminders as a potential solution.
Trial Registration: ClinicalTrials.gov Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.
Competing Interests: This study was approved by the Institutional Review Board of the primary investigator’s affiliated institute and registered with ClinicalTrials.gov. Prior to data collection, each adolescent participant’s assent and caregiver’s consent to participate in the study were obtained.The authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.