Our Research
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The Mi-PACT Project
The Mi-PACT project is a randomised control trial funded by the National Prevention Research Initiative and sponsored by the University of Bath. Its purpose is to examine whether personalised multidimensional physical activity is effective for improving physical activity behaviour, reducing future disease risk and improving general wellbeing in an at risk population.
The Mi-PACT project is using the KiActiv® Health software to enable the use of multidimensional physical activity profiles in delivering positive behaviour change outcomes. This 12-week programme was developed to incorporate proven behaviour change techniques, as well as visualisations designed with users which are shown to:
- make complex information easy to understand
- enhance knowledge of their physical activity
- inspire confidence to change and self-manage
We have seen remarkable results for engagement, adherence and sustained behaviour change, which we will publish in the near future. If you require any further information prior to publication, please contact us.
Papers released to date:
- Thompson, D., Batterham, A.M., Peacock, O.J., Western, M.J., and Booso, R. (2016). Feedback from physical activity monitors is not compatible with current recommendations: A recalibration study. Preventive Medicine, doi: 10.1016/j.ypmed.2016.06.017.
- Thompson, D., Peacock, O.J., Western, M.J., and Batterham, A.M. (2015). Multidimensional physical activity: An opportunity, not a problem. Exercise and Sport Sciences Reviews, 43(2), 67-74.
- Western, M.J., Peacock, O.J., Stathi, A., Thompson, D. (2015). The understanding and interpretation of innovative technology-enabled multidimensional physical activity feedback in patients at risk of future chronic disease. PLoS ONE, 10(5): e0126156. doi:10.1371/journal.pone.0126156.
Cardiac Rehabilitation Pilot with RLBUHT
Physical Activity is a key component of Cardiac Rehabilitation (CR); however, provision is limited to weekly or bi-weekly structured exercise training and general advice on physical activity in a free-living environment. Our unique innovation now provides a way to optimise free-living physical activity, as recommended by the BACPR, in a bespoke and precise fashion.
We undertook a pilot study with the Royal Liverpool and Broadgreen University Hospitals Trust in order to establish the efficacy and feasibility of using on-body monitoring and contextualised feedback with CR patients.
- Patients wore the Ki Monitor for 5-full days in the first and final weeks of their Phase 3 outpatient based CR programmes
- Data was passed through Ki’s proprietary algorithms and reported back to patients in the context of their recovery
- Patients received bespoke feedback on their own ideal intensity range and their free-living activities which were beneficial to them
- Activities performed above their ideal recovery intensity were highlighted to show where they were working too hard
- Following the completion of the pilot, focus groups were conducted and patients reported their desire to understand how to be active, and what the ideal intensity was, for them to benefit.
We were asked to present the results of our study at the British Association of Cardiac Rehabilitation and Prevention (BACPR) Annual Conference, with our poster chosen for its “outstanding quality”.
Patient Demand
>90%
of patients chose to join the pilot.
Adherence
>87%
wear time during the first and final week of CR.
Changes Behaviour
27%
increase in physical activity in the ideal range.CLICK HERE TO SEE OUR POSTER
Real-World Evaluation in the NHS
In 2015, the West of England AHSN launched an m-health challenge call in diabetes, developed jointly with Diabetes UK and the regional health and care community. The purpose of the pre-procurement call was to identify established products and services and implement pilots in the local region to support and promote self-management of type 1 and 2 diabetes. KiActiv® was one of five successful services responding to the call and was selected to be a partner on the regional Diabetes Digital Coach Challenge.
On the Diabetes Digital Coach Challenge, KiActiv® Health implemented a self-management programme with 179 type 1 and type 2 diabetes patients in Gloucestershire.
Over 97% of patients increased their physical activity, with 83.9% improving in 4 or more dimensions, with average improvements of:
- 1hr 29min reduction in sedentary time
- 44min increase in daily moderate activity
- 284kcal increase in calorie burn
- 2hr 36min increase in weekly moderate bouts
- 54min increase in weekly vigorous bouts
As a result of the programme, the group achieved physical activity levels that were shown to reduce HbA1c by 0.9%, which is associated with a risk reduction of 32.9% for microvascular complications.
Furthermore, as a result increased physical activity, patients reported experiencing a number of other quality of life benefits:
- weight loss
- reductions in pain
- reductions in medications
- improvements in mobility
- reductions in fatigue
- improved mood
Health economic evaluation of the programme demonstrated a positive return on investment within a one-year, five-year and 10-year time horizon. For every £1 spent, the model demonstrates a return on investment of £2.53, £15.63 and £43.40 at the respective time horizons. Economic benefit is achieved through the improvement in health outcomes, the reduction in future costs such as medicines, complications and co-morbidities, and productivity gains. The programme also demonstrated the opportunity to evaluate the wider impact on prescribing and healthcare usage for other conditions.