scholarly journals Increasing physical activity in older adults using STARFISH, an interactive smartphone application (app); a pilot study

2017 ◽  
Vol 4 ◽  
pp. 205566831769623 ◽  
Author(s):  
Lorna Paul ◽  
Stephen Brewster ◽  
Sally Wyke ◽  
Angus K McFadyen ◽  
Naveed Sattar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Pilot Study ◽  
Controlled Trial ◽  
Objective Measure ◽  
Smartphone Application ◽  
Behaviour Change Techniques ◽  
Self Monitoring ◽  
Steps Per Day ◽  
Randomised Controlled

Background Increasing physical activity in older adults has preventative and therapeutic health benefits. We have developed STARFISH, a smartphone application, to increase physical activity. This paper describes the features of STARFISH, presents the views of older users on the acceptability and usability of the app and reports the results of a six week pilot study of the STARFISH app in older adults. Methods The operationalisation of the behaviour change techniques (BCTs) within the STARFISH app was mapped against the BCT Taxonomy of Michie et al. Sixteen healthy older adults (eight women and eight men; age 71.1 ± 5.2 years) used the app, in groups of four, for six weeks. Focus groups explored the user experience and objective measure of steps per day recorded. Results Participants were very positive about using the STARFISH app, in particular the embedded BCTs of self-monitoring, feedback and social support (in the form of group rewards). Objective step data, available for eight participants, showed that step counts increased by an average of 14% ( p = 0.077, d = 0.56). Conclusion The STARFISH app was acceptable and straightforward to use for older adults. STARFISH has potential to increase physical activity in older adults; however, a fully powered randomised controlled trial is required.

scholarly journals Effectiveness of an individually tailored home-based exercise rogramme for pre-frail older adults, driven by a tablet application and mobility monitoring: a pilot study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Hilde A. E. Geraedts ◽  
Hidde Dijkstra ◽  
Wei Zhang ◽  
Francisco Ibarra ◽  
Iman Khaghani Far ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Pilot Study ◽  
Functional Performance ◽  
Controlled Trial ◽  
Exercise Programme ◽  
Daily Physical Activity ◽  
Frail Older Adults ◽  
Home Based ◽  
Positive Results

Abstract Objectives To gain first insight into the effectiveness of a home-based exercise programme for pre-frail older adults with independent use of novel ICT technology. Methods A pilot study. Forty pre-frail older adults joined a six-month home-based exercise programme using a tablet PC for exercise administration and feedback, and a necklace-worn motion sensor for daily physical activity registration. Participants received weekly telephone supervision during the first 3 months and exercised independently without supervision from a coach during the last 3 months. Functional performance and daily physical activity were assessed at baseline, after three and 6 months. Results Twenty-one participants completed the programme. Overall, functional performance showed positive results varying from (very) small to large effects (Cohen’s d 0.04–0.81), mainly during the supervised part of the intervention. Regarding daily physical activity, a slight improvement with (very) small effects (Cohen’s d 0.07–0.38), was observed for both self-reported and objectively measured physical activity during the supervised period. However, during the unsupervised period this pattern only continued for self-reported physical activity. Conclusion This pilot study showed positive results varying from (very) small to large effects in levels and maintenance of functional performance and daily physical activity, especially during the supervised first 3 months. Remote supervision seems to importantly affect effectiveness of a home-based exercise programme. Effectiveness of the programme and the exact contribution of its components should be further quantified in a randomized controlled trial. Practice implications Home-based exercising using novel technology may be promising for functional performance and physical activity improvement in (pre-frail) older adults. Trial registration Netherlands Trial Register (NTR); trial number NL4049. The study was prospectively registered (registration date 14/11/2013).

scholarly journals Group exercise and self-management for older adults with osteoarthritis: a feasibility study

2015 ◽  
Vol 17 (03) ◽  
pp. 252-264
Author(s):  
Shilpa Patel ◽  
Peter J Heine ◽  
David R Ellard ◽  
Martin Underwood
Keyword(s):  
Older Adults ◽  
Pilot Study ◽  
Controlled Trial ◽  
Behavioural Change ◽  
Self Management ◽  
Management Intervention ◽  
Literature Reviews ◽  
Inflammatory Drugs ◽  
Randomised Controlled ◽  
Combined Intervention

BackgroundOsteoarthritis (OA) is a common condition expected to be the fourth leading cause of disability by the year 2020. Treatment with non-steroidal anti-inflammatory drugs is problematic in older adults (>75 years) where the presence of comorbidities is more prevalent. Exercise has been recommended irrespective of age and comorbidity. The purpose of this project was to develop a combined exercise and self-management intervention to help older adults with OA to manage their comorbidities.MethodsLiterature reviews were conducted to inform the development of an intervention followed by a pilot study to assess feasibility and test outcome measures. Participant interviews and session observation were used to evaluate the pilot study.ResultsEvidence from the literature reviews suggested that a combined intervention consisting of behavioural change/self-management education and exercise was the most appropriate. Each component was developed and then tested as a combined package in a pilot study which comprised 12 sessions delivered over six weeks. Four males and six females aged between 75 and 92 years took part. The average attendance was 89%. Most participants reported some benefit and satisfaction with the programme along with changes in physical ability. The majority of participants continued with some form of exercise at three months.ConclusionThe intervention was well received and has encouraged 80% of participants to continue exercising after the programme. The small but positive changes seen in comorbidities, benefit of the intervention, satisfaction and general health are promising. Randomised controlled trial evidence of effectiveness and cost effectiveness is needed before such interventions can be recommended.

scholarly journals Effects of a three-armed randomised controlled trial using self-monitoring of daily steps with and without counselling in prediabetes and type 2 diabetes—the Sophia Step Study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jenny Rossen ◽  
Kristina Larsson ◽  
Maria Hagströmer ◽  
Agneta Yngve ◽  
Kerstin Brismar ◽  
...  
Keyword(s):  
Physical Activity ◽  
Type 2 Diabetes ◽  
Primary Outcome ◽  
Controlled Trial ◽  
Single Component ◽  
Control Group ◽  
Self Monitoring ◽  
Randomised Controlled ◽  
Step Study

Abstract Background This aimed to evaluate the effects of self-monitoring of daily steps with or without counselling support on HbA1c, other cardiometabolic risk factors and objectively measured physical activity (PA) during a 2-year intervention in a population with prediabetes or type 2 diabetes. Methods The Sophia Step Study was a three-armed parallel randomised controlled trial. Participants with prediabetes or type 2 diabetes were recruited in a primary care setting. Allocation (1:1:1) was made to a multi-component intervention (self-monitoring of steps with counselling support), a single-component intervention (self-monitoring of steps without counselling support) or standard care. Data were collected for primary outcome HbA1c at baseline and month 6, 12, 18 and 24. Physical activity was assessed as an intermediate outcome by accelerometer (ActiGraph GT1M) for 1 week at baseline and the 6-, 12-, 18- and 24-month follow-up visits. The intervention effects were evaluated by a robust linear mixed model. Results In total, 188 subjects (64, 59, 65 in each group) were included. The mean (SD) age was 64 (7.7) years, BMI was 30.0 (4.4) kg/m2 and HbA1c was 50 (11) mmol/mol, 21% had prediabetes and 40% were female. The dropout rate was 11% at 24 months. Effect size (CI) for the primary outcome (HbA1c) ranged from -1.3 (-4.8 to 2.2) to 1.1 (-2.4 to 4.6) mmol/mol for the multi-component vs control group and from 0.3 (-3.3 to 3.9) to 3.1 (-0.5 to 6.7) mmol/mol for the single-component vs control group. Effect size (CI) for moderate-to-vigorous physical activity ranged from 8.0 (0.4 to 15.7) to 11.1 (3.3 to 19.0) min/day for the multi-component vs control group and from 7.6 (-0.4 to 15.6) to 9.4 (1.4 to 17.4) min/day for the single-component group vs control group. Conclusion This 2-year intervention, including self-monitoring of steps with or without counselling, prevented a decrease in PA but did not provide evidence for improved metabolic control and cardiometabolic risk factors in a population with prediabetes or type 2 diabetes. Trial registration ClinicalTrials.gov, NCT02374788. Registered 2 March 2015—Retrospectively registered.

Revisiting self-regulatory techniques to promote physical activity in older adults: null-findings from a randomised controlled trial

2016 ◽  
Vol 31 (10) ◽  
pp. 1145-1165 ◽  
Author(s):  
Lisa M. Warner ◽  
Julia K. Wolff ◽  
Jochen P. Ziegelmann ◽  
Ralf Schwarzer ◽  
Susanne Wurm
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Randomised Controlled

scholarly journals Effectiveness of a smartphone application to promote physical activity in primary care: the SMART MOVE randomised controlled trial

2014 ◽  
Vol 64 (624) ◽  
pp. e384-e391 ◽  
Author(s):  
Liam G Glynn ◽  
Patrick S Hayes ◽  
Monica Casey ◽  
Fergus Glynn ◽  
Alberto Alvarez-Iglesias ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Smartphone Application ◽  
Randomised Controlled
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