scholarly journals Efficacy of a computer-tailored web-based physical activity intervention using Fitbits for older adults: a randomised controlled trial protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033305 ◽  
Author(s):  
Stephanie Alley ◽  
Jannique GZ van Uffelen ◽  
Stephanie Schoeppe ◽  
Lynne Parkinson ◽  
Susan Hunt ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Activity Intervention ◽  
Sitting Time ◽  
Intervention Fidelity ◽  
Web Based ◽  
Participant Satisfaction ◽  
Website Usability ◽  
Secondary Outcomes ◽  
Tailored Advice

IntroductionPhysical activity is an integral part of healthy ageing, yet the majority of older adults 65+ years are not sufficiently active. Web-based physical activity interventions hold much promise to reach older adults. Preliminary evidence suggests that web-based interventions with tailored advice and Fitbits may be well suited for older adults.Methods and analysisThis study aims to test the effectiveness of ‘Active for Life’, a 12-week computer-tailored web-based physical activity intervention using Fitbits for older adults. We will recruit 300 participants who will be randomly assigned to one of three trial arms: (1) web-based physical activity intervention with tailored advice only, (2) web-based physical activity intervention with tailored advice and Fitbit or (3) a wait-list control. The primary outcome, objective moderate to vigorous physical activity (MVPA) and secondary outcomes of objective sedentary behaviour, objective sleep, quality of life, social support, physical function and satisfaction with life will be assessed at baseline and week 12. The secondary outcomes of self-reported physical activity, sitting time and sleep will be assessed at baseline, week 6, 12 and 24. Website usability and participant satisfaction will be assessed at week 12 and website usage and intervention fidelity will be assessed from week 1 to 24. Intention-to-treat linear mixed model analyses will be used to test for group (tailoring only, tailoring +Fitbit, control) differences on changes in the main outcome, MVPA and secondary outcomes. Generalised linear models will be used to compare intervention groups (tailoring only, tailoring +Fitbit) on website usability, participant satisfaction, website usage and intervention fidelity.Ethics and disseminationThe study has received ethics approval from the Central Queensland University Human Research Ethics Committee (H16/12-321). Study outcomes will be disseminated through peer-reviewed publications and academic conferences and used to inform improvements and dissemination of a tailored, web-based physical activity intervention for adults 65+ years.Trial registration numberAustralian and New Zealand Clinical Trials Registry Number: ACTRN12618000646246

Health-related lifestyle and dropout from a web-based physical activity intervention trial in older adults: A latent profile analysis.

2021 ◽  
Vol 40 (8) ◽  
pp. 481-490
Author(s):  
Tiara Ratz ◽  
Claudia Voelcker-Rehage ◽  
Claudia R. Pischke ◽  
Saskia Muellmann ◽  
Manuela Peters ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Latent Profile Analysis ◽  
Physical Activity Intervention ◽  
Profile Analysis ◽  
Intervention Trial ◽  
Web Based ◽  
Health Related ◽  
Latent Profile

A Web-based versus a Print-based Physical Activity Intervention for Community-dwelling Older Adults: Randomized Trial With a Cross-over Design (Preprint)

2021 ◽  
Author(s):  
Claudia Pischke ◽  
Claudia Voelcker-Rehage ◽  
Tiara Ratz ◽  
Manuela Peters ◽  
Christoph Buck ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Randomized Trial ◽  
Physical Activity Intervention ◽  
Intervention Group ◽  
Community Dwelling ◽  
Significant Group ◽  
Web Based ◽  
Group Sessions ◽  
Community Dwelling Older Adults

BACKGROUND Despite the crucial role of regular physical activity (PA) for preventing chronic non-communicable diseases, fewer than half of older adults in Germany engage in the recommended levels of endurance training. OBJECTIVE The aim of this study was to compare acceptance and effectiveness of two interventions (web- vs. print-based) for PA promotion among initially inactive community-dwelling older adults aged 60 years and above in a nine-month randomized trial with a cross-over design. METHODS Participants were recruited offline and randomized to one of the following interventions for self-monitoring PA: (a) a print-based intervention (PRINT n=113), (b) a web-based intervention (WEB, n=129). Thirty percent (n=38) of those in group (b) received a PA tracker in addition to WEB (WEB+, (c)). After randomization, participants and researchers were not blinded. Participants’ intervention preferences at baseline were assessed retrospectively. All intervention groups were offered ten weekly face-to-face group sessions led by trained assistants. Afterwards, participants could choose to stay in their group or cross over to one of the other groups and group sessions were continued monthly for another six months. Three-dimensional accelerometers to assess PA and sedentary behavior (SB) at baseline (T0), three-month (T1) and nine-month follow-ups (T2) were employed. Adherence to PA recommendations, attendance of group sessions, and acceptance of the interventions were assessed via self-administered paper-based questionnaires. Linear mixed models were used to calculate differences in moderate-to-vigorous PA (MVPA) and SB between time points and intervention groups. RESULTS One-hundred and ninety-five participants completed T1. Only n=1 changed from WEB to PRINT and n=15 moved from PRINT to WEB (WEB-WEB: n=103, PRINT-PRINT: n=76) when offered to cross over at T1. One-hundred and sixty participants completed T2. MVPA in min per day increased between baseline and T1, but these within-group changes in time disappeared after adjusting for covariates. MVPA decreased by 9 min per day between baseline and T2 (βtime = -9.37, 95% CI: [-18.58; -0.16]), regardless of intervention group (WEB vs. PRINT: βgroup*time = -3.76, 95% CI: [-13.33; 5.82], WEB+ vs. PRINT: βgroup*time = 1.40, 95% CI: [-11.04; 13.83]). Nineteen percent of the participants met PA recommendations at T0, 20% at T1, and 20% at T2. For SB, there were no significant group differences and group-by-time interactions, neither at T1 nor at T2. Intervention acceptance was generally high. Use of intervention material was high to moderate at T1 (e.g., the PA diary was used by over 65% at least once a week) and decreased by T2 (40-50% in PRINT and in WEB used the PA diary at least once a week, and 58% in WEB+). CONCLUSIONS Despite high levels of acceptance of web- and print-based interventions for PA promotion and little movement between groups at T1, when given the choice, participation was not associated with increases in PA or decreases in SB over time. CLINICALTRIAL German Clinical Trials Register DRKS00016073 (Date of registration 10–01-2019).

scholarly journals Long-term efficacy of a printed or a Web-based tailored physical activity intervention among older adults

2013 ◽  
Vol 10 (1) ◽  
pp. 104 ◽  
Author(s):  
Denise Peels ◽  
Catherine Bolman ◽  
Rianne Henrica Johanna Golsteijn ◽  
Hein de Vries ◽  
Aart Mudde ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Activity Intervention ◽  
Web Based ◽  
Term Efficacy

scholarly journals The Effectiveness of a Web-Based Computer-Tailored Physical Activity Intervention Using Fitbit Activity Trackers: Randomized Trial (Preprint)

2018 ◽  
Author(s):  
Corneel Vandelanotte ◽  
Mitch J Duncan ◽  
Carol A Maher ◽  
Stephanie Schoeppe ◽  
Amanda L Rebar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Linear Mixed Model ◽  
Vigorous Physical Activity ◽  
Sitting Time ◽  
Tailored Intervention ◽  
Significant Group ◽  
Web Based ◽  
Website Usability ◽  
Activity Trackers ◽  
Physical Activity Advice

BACKGROUND Web-based interventions that provide personalized physical activity advice have demonstrated good effectiveness but rely on self-reported measures of physical activity, which are prone to overreporting, potentially reducing the accuracy and effectiveness of the advice provided. OBJECTIVE This study aimed to examine whether the effectiveness of a Web-based computer-tailored intervention could be improved by integrating Fitbit activity trackers. METHODS Participants received the 3-month TaylorActive intervention, which included 8 modules of theory-based, personally tailored physical activity advice and action planning. Participants were randomized to receive the same intervention either with or without Fitbit tracker integration. All intervention materials were delivered on the Web, and there was no face-to-face contact at any time point. Changes in physical activity (Active Australia Survey), sitting time (Workforce Sitting Questionnaire), and body mass index (BMI) were assessed 1 and 3 months post baseline. Advice acceptability, website usability, and module completion were also assessed. RESULTS A total of 243 Australian adults participated. Linear mixed model analyses showed a significant increase in total weekly physical activity (adjusted mean increase=163.2; 95% CI 52.0-274.5; P=.004) and moderate-to-vigorous physical activity (adjusted mean increase=78.6; 95% CI 24.4-131.9; P=.004) in the Fitbit group compared with the non-Fitbit group at the 3-month follow-up. The sitting time and BMI decreased more in the Fitbit group, but no significant group × time interaction effects were found. The physical activity advice acceptability and the website usability were consistently rated higher by participants in the Fitbit group. Non-Fitbit group participants completed 2.9 (SD 2.5) modules, and Fitbit group participants completed 4.4 (SD 3.1) modules. CONCLUSIONS Integrating physical activity trackers into a Web-based computer-tailored intervention significantly increased intervention effectiveness. CLINICALTRIAL Australian New Zealand Clinical Trials Registry ACTRN12616001555448; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=371793 (Archived by WebCite at http://www.webcitation.org/73ioTxQX2)

scholarly journals A Qualitative Exploration of Perceptions of a Digital Intervention to Promote Physical Activity in Older Adults

2020 ◽  
pp. 1-13
Author(s):  
Sebastien Pollet ◽  
James Denison-Day ◽  
Katherine Bradbury ◽  
Rosie Essery ◽  
Elisabeth Grey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Qualitative Analysis ◽  
Intrinsic Motivation ◽  
Cognitive Load ◽  
Physical Activity Intervention ◽  
Qualitative Interviews ◽  
Intervention Development ◽  
Web Based ◽  
Qualitative Exploration

Purpose: This study explored participant views of a web-based physical activity intervention for older adults and examined how they resonate with the key principles that guided intervention development. Methods: Qualitative interviews were carried out with 52 older adults. A deductive qualitative analysis approach was taken, based around the intervention’s key principles. Results: Participants expressed mostly positive views of the intervention features, broadly confirming the appropriateness of the key principles, which were to: (a) encourage intrinsic motivation for physical activity, (b) minimize the risk of users receiving activity suggestions that are inappropriate or unsafe, (c) offer users choice regarding the activities they engage with and build confidence to undertake more activity, and (d) minimize the cognitive load and need to engage with the intervention website. The findings also identified ways in which content could be improved to further increase acceptability. Conclusion: This study illustrates how using the person-based approach has enabled the identification and implementation of features that older adults appreciate.

scholarly journals WEB-BASED PHYSICAL ACTIVITY INTERVENTION IN MIDDLE-AGED AND OLDER ADULT VETERANS WITH COPD

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S430-S430
Author(s):  
Stephanie A Robinson ◽  
Stephanie A Robinson ◽  
Deanna L Mori ◽  
Caroline R Richardson ◽  
Marilyn L Moy
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Older Adult ◽  
Physical Activity Intervention ◽  
Chronic Obstructive ◽  
Middle Aged ◽  
Behavior Change Techniques ◽  
Obstructive Pulmonary Disease ◽  
Web Based ◽  
Significant Difference

Abstract Physical activity (PA) is recommended in all patients with chronic obstructive pulmonary disease (COPD). Technology-based interventions can deliver effective, scalable behavior-change techniques; though feasibility and acceptability among older adults is not established. Veterans with COPD (N=112, aged 49-89 years, median=68) were randomized to a 12-week web-based and pedometer intervention or a pedometer alone (control). Across groups, there was no significant difference between middle-aged (<68 years) and older (≥68 years) adults in percentage of pedometer wear-days over the study period (83.6% vs. 89.9%). In the intervention, there were no significant differences between middle-aged and older adults in total number of website logons (15.04 vs. 16.31), or proportion who reported they recommended the intervention (96.4% vs. 96.7%), found it easy to use (93.1% vs. 90.0%), and would continue to walk (93.1% vs. 89.7%). We conclude that a web-based PA intervention with a pedometer is feasible and acceptable in an older COPD population.

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