Preferences for telehealth physical activity participation among a cohort of children and youth with chronic conditions: rapid survey study (Preprint)

BACKGROUND Children and youth with chronic conditions encounter numerous challenges in participating in physical activity within their community. Telehealth has emerged as an ideal method for promoting physical health and wellness, but there is a need to identify optimal implementation strategies. OBJECTIVE Describe telehealth physical activity preferences for active children and youth with chronic conditions, to rapidly inform the development of a pilot telehealth program that could be delivered nationally. METHODS A 3-month survey study was conducted among a convenient sample of pediatric participants who were members of an in-person community program that offered wellness classes. Questions probed preferences for the following areas: delivery method (in-person or virtual), programming frequency, intensity, time, and type, desired outcomes, technology proficiency and resources, and additional needed supports. Outcomes were descriptively analyzed. RESULTS A total of 56 responses were gathered from 392 members (15% response rate). The mean age of respondents was 13 ± 8 years. Respondents generally reported an ideal exercise dose of 1-2 times per week of 30-45 minutes of exercise, with novice or beginner level difficulty classes. The Winter season was the ideal period for participation. The two most commons modes of delivery were live video coaching and pre-recorded videos. Programming should aim to improve strength, physical and mental health, seeking new hobbies or fun activities, and fostering social relationships with others. Additional interests were identified that could inform implementation. CONCLUSIONS Study findings demonstrate that optimal telehealth programs should be brief in duration, set at a low difficulty, and offered seasonally to enhance virtual engagement among children and youth with chronic conditions. Nevertheless, these findings will only apply to active children and youth who are already engaged in onsite physical activity programs. Further research is necessary to obtain more generalizable telehealth preferences among both active and non-active young people with chronic conditions.