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To study the compliance with a physical activity monitoring and feedback intervention, as implemented for balancing daily physical activity in patients with the chronic fatigue syndrome. The intervention was implemented into an existing rehabilitation program for treatment of chronic fatigue syndrome. Feedback was provided at home with a personal digital assistant during four consecutive feedback periods. Compliance with the feedback system was around 90% during each of the four feedback periods. Fifteen patients (50%) complied with all four feedback periods. The fifteen compliers changed their physical activity level significantly into the direction of the goal, especially in the morning and afternoon. Changes in physical activity were seen instantaneously from the first feedback day on. Patients were able to change their daily physical activity into the direction of the goal. The compliance with all four feedback periods was low and might be related to the instantaneous effect of the feedback.
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