My thesis investigated the feasibility, effectiveness and utilisation of digital health physical activity/exercise interventions in chronic disease cohorts. Contemporary literature was reviewed for applicable digital health interventions,1 a feasibility randomised controlled trial was undertaken to evaluate the feasibility of a patient-centred digital health exercise and diet intervention for people living with kidney and liver disease in tertiary care,2 3 and the utilisation of telehealth exercise physiology (EP) services in Australia was examined.4 Only 25% of all Australian adults aged 18–64 years meet physical activity and muscle strengthening guidelines.5 This observation is compounded for people living with complex multimorbid chronic conditions, such as kidney or liver disease, where clinical state has a profound effect on physical activity level. Novel approaches to exercise delivery are warranted in these patient groups. Digital health physical activity/exercise interventions are uniquely situated to improve access for patients in need of specialist exercise services. I conducted a feasibility randomised controlled trial assessing a patient-centred digital health diet and exercise intervention for people with complex chronic disease2 3 (U-DECIDE trial; n=67; (figure 1)). Participants in the intervention group chose their preferred level of engagement …

中文翻译：

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运动、数字健康和慢性病：可行性、有效性和利用（奥斯卡博士奖）

我的论文研究了数字健康身体活动/运动干预措施在慢性病人群中的可行性、有效性和利用。回顾了适用的数字健康干预措施的当代文献，1 进行了一项可行性随机对照试验，以评估在三级护理中对肾病和肝病患者进行以患者为中心的数字健康锻炼和饮食干预的可行性，2 3 以及利用对澳大利亚远程医疗运动生理学 (EP) 服务的情况进行了检查。4 在所有 18-64 岁的澳大利亚成年人中，只有 25% 符合体力活动和肌肉强化指南。5 对于患有复杂的多病慢性疾病的人来说，这一观察结果更为复杂，例如肾脏或肝脏疾病，其临床状态对体力活动水平有深远影响。在这些患者群体中需要采用新的运动方法。数字健康身体活动/运动干预措施具有独特的优势，可以改善需要专业运动服务的患者的获取机会。我进行了一项可行性随机对照试验，评估以患者为中心的数字健康饮食和运动干预对复杂慢性病患者的影响2 3（U-DECIDE 试验；n=67；（图 1））。干预组的参与者选择了他们喜欢的参与程度……