A personalized behavioral intervention implementing mHealth technologies for older adults: A pilot feasibility study.

Sedentary behavior has been associated with adverse health outcomes such as disturbed sleep in older adults. We conducted a single-group pretest and posttest study to evaluate the feasibility of a personalized behavioral intervention program using mobile health technology in improving physical activity and sleep in older adults. The four-week intervention included: personalized physical activity training, real-time physical activity self-monitoring, interactive prompts and feedback with a smartwatch, phone consultation with an exercise trainer and research team members, and weekly financial incentives for achieving weekly physical activity goals. Eight cognitively intact older adults were recruited and completed the study. Findings suggested that the intervention was feasible in this sample of older adults and provided favorable changes in levels of physical activity during the intervention and at post-intervention. Future studies will include a fully powered trial to evaluate the efficacy of this intervention in sedentary older adults.

[1]  Junxin Li,et al.  Sleep in Normal Aging , 2022 .

[2]  A. Jette,et al.  The Physical Activity Scale for the Elderly (PASE): development and evaluation. , 1993, Journal of clinical epidemiology.

[3]  Yu-Ping Chang,et al.  Person-Centered Dementia Care and Sleep in Assisted Living Residents With Dementia: A Pilot Study , 2017, Behavioral sleep medicine.

[4]  A. Bandura,et al.  Analysis of self-efficacy theory of behavioral change , 1977, Cognitive Therapy and Research.

[5]  L. John,et al.  Financial incentives for exercise adherence in adults: systematic review and meta-analysis. , 2013, American journal of preventive medicine.

[6]  D. Bowen,et al.  Pilot and Feasibility Test of a Mobile Health-Supported Behavioral Counseling Intervention for Weight Management Among Breast Cancer Survivors , 2016, JMIR cancer.

[7]  R. Hinman,et al.  Interventions to increase adherence to therapeutic exercise in older adults with low back pain and/or hip/knee osteoarthritis: a systematic review and meta-analysis , 2017, British Journal of Sports Medicine.

[8]  Catherine Sherrington,et al.  Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review. , 2014, Journal of physiotherapy.

[9]  Wiebren Zijlstra,et al.  Adherence to and effectiveness of an individually tailored home-based exercise program for frail older adults, driven by mobility monitoring: design of a prospective cohort study , 2014, BMC Public Health.

[10]  K. Fox,et al.  Effects of Aquatic Exercise on Sleep in Older Adults with Mild Sleep Impairment: a Randomized Controlled Trial , 2016, International Journal of Behavioral Medicine.

[11]  James O Prochaska,et al.  Stages of change. , 2011, Journal of clinical psychology.

[12]  Andrew D. McGavigan,et al.  International Mobile-Health Intervention on Physical Activity, Sitting, and Weight: The Stepathlon Cardiovascular Health Study. , 2016, Journal of the American College of Cardiology.

[13]  G. Wendel-Vos,et al.  A Systematic Review of Financial Incentives for Physical Activity: The Effects on Physical Activity and Related Outcomes , 2017, Behavioral medicine.

[14]  Y. Mavros,et al.  The effect of resistance exercise on sleep: A systematic review of randomized controlled trials. , 2017, Sleep medicine reviews.

[15]  Y. Park,et al.  Impact of a Wearable Device-Based Walking Programs in Rural Older Adults on Physical Activity and Health Outcomes: Cohort Study , 2018, JMIR mHealth and uHealth.

[16]  J. Schrack,et al.  The Benefits of Physical Activity for Older People , 2018 .

[17]  Zakkoyya H. Lewis,et al.  TITLE AND ABSTRACT 1 a ) TITLE : Identi � cation as a randomized trial in the title 1 a ) , 2016 .

[18]  Hsiu-Fang Hsieh,et al.  Three Approaches to Qualitative Content Analysis , 2005, Qualitative health research.

[19]  S. Zimmerman,et al.  Factors that influence exercise activity among women post hip fracture participating in the Exercise Plus Program , 2007, Clinical interventions in aging.

[20]  J. Rey-Lopez,et al.  Sedentary behavior and health outcomes among older adults: a systematic review , 2014, BMC Public Health.

[21]  Dawn A Skelton,et al.  How Sedentary are Older People? A Systematic Review of the Amount of Sedentary Behavior. , 2015, Journal of aging and physical activity.

[22]  George A Kelley,et al.  Exercise and sleep: a systematic review of previous meta‐analyses , 2017, Journal of evidence-based medicine.

[23]  B. Resnick,et al.  Testing the Senior Exercise Self-efficacy Project (SESEP) for use with urban dwelling minority older adults. , 2008, Public health nursing.

[24]  C. Morin,et al.  Validation of the Insomnia Severity Index as an outcome measure for insomnia research. , 2001, Sleep medicine.

[25]  L. Cadmus-Bertram,et al.  Randomized Trial of a Fitbit-Based Physical Activity Intervention for Women. , 2015, American journal of preventive medicine.

[26]  J. Cummings,et al.  The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool For Mild Cognitive Impairment , 2005, Journal of the American Geriatrics Society.

[27]  R. Mermelstein,et al.  Association Between Daily Time Spent in Sedentary Behavior and Duration of Hyperglycemia in Type 2 Diabetes , 2016, Biological research for nursing.

[28]  M. Johns,et al.  A new method for measuring daytime sleepiness: the Epworth sleepiness scale. , 1991, Sleep.

[29]  O. Al-Jiffri,et al.  Aerobic exercise modulates cytokine profile and sleep quality in elderly , 2019, African health sciences.

[30]  T. Liu-Ambrose,et al.  What is the association between sedentary behaviour and cognitive function? A systematic review , 2016, British Journal of Sports Medicine.

[31]  Hsi-Chung Chen,et al.  Exercise training improves sleep quality in middle-aged and older adults with sleep problems: a systematic review. , 2012, Journal of physiotherapy.

[32]  Ryan J. Halter,et al.  GeriActive: Wearable app for monitoring and encouraging physical activity among older adults , 2018, 2018 IEEE 15th International Conference on Wearable and Implantable Body Sensor Networks (BSN).

[33]  M. A. Kredlow,et al.  The effects of physical activity on sleep: a meta-analytic review , 2015, Journal of Behavioral Medicine.

[34]  Elizabeth J Lyons,et al.  Behavior Change Techniques Implemented in Electronic Lifestyle Activity Monitors: A Systematic Content Analysis , 2014, Journal of medical Internet research.