Patient Preferences for Receiving Remote Communication Support for Lifestyle Physical Activity Behaviour Change: The Perspective of Patients with Musculoskeletal Disorders from Three Hospital Services

This study examined patients' preference ratings for receiving support via remote communication to increase their lifestyle physical activity. Methods. People with musculoskeletal disorders (n = 221 of 296 eligible) accessing one of three clinics provided preference ratings for "how much" they wanted to receive physical activity support via five potential communication modalities. The five ratings were generated on a horizontal analogue rating scale (0 represented "not at all"; 10 represented "very much"). Results. Most (n = 155, 70%) desired referral to a physical activity promoting intervention. "Print and post" communications had the highest median preference rating (7/10), followed by email and telephone (both 5/10), text messaging (1/10), and private Internet-based social network messages (0/10). Desire to be referred was associated with higher preference for printed materials (coefficient = 2.739, p < 0.001), telephone calls (coefficient = 3.000, p < 0.001), and email (coefficient = 2.059, p = 0.02). Older age was associated with lower preference for email (coefficient = -0.100, p < 0.001), texting (coefficient = -0.096, p < 0.001), and social network messages (coefficient = -0.065, p < 0.001). Conclusion. Patients desiring support to be physically active indicated preferences for interventions with communication via print, email, or telephone calls.