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Tablet-Based Strength-Balance Training to Motivate and Improve Adherence to Exercise in Independently Living Older People: Part 2 of a Phase II Preclinical Exploratory Trial

Published on Aug 12, 2013in Journal of Medical Internet Research 4.67
· DOI :10.2196/jmir.3055
Eva van het Reve4
Estimated H-index: 4
(ETH Zurich),
Patrícia Silveira7
Estimated H-index: 7
+ 2 AuthorsE. D. de Bruin36
Estimated H-index: 36
Abstract
Background: Reaction time, coordination, and cognition performance typically diminish in older adults, which may lead to gait impairments, falls, and injuries. Regular strength–balance exercises are highly recommended to reduce this problem and to improve health, well-being, and independence in old age. However, many older people face a lack of motivation in addition to other strong barriers to exercise. We developed ActiveLifestyle, an information technology (IT)-based system for active and healthy aging aiming at improving balance and strength. ActiveLifestyle is a training app that runs on a tablet and assists, monitors, and motivates older people to follow personalized training plans autonomously at home. Objective: The objectives were to (1) investigate which IT-mediated motivation strategies increase adherence to physical exercise training plans in older people, (2) assess the impact of ActiveLifestyle on physical activity behavior change, and (3) demonstrate the effectiveness of the ActiveLifestyle training to improve gait speed. Methods: A total of 44 older adults followed personalized, 12-week strength and balance training plans. All participants performed the exercises autonomously at home. Questionnaires were used to assess the technological familiarity and stage of behavior change, as well as the effectiveness of the motivation instruments adopted by ActiveLifestyle. Adherence to the exercise plan was evaluated using performance data collected by the app and through information given by the participants during the study. Pretests and posttests were performed to evaluate gait speed of the participants before and after the study. Results: Participants were 75 years (SD 6), predominantly female (64%), held a trade or professional diploma (54%), and their past profession was in a sitting position (43%). Of the 44 participants who enrolled, 33 (75%) completed the study. The app proved to assist and motivate independently living and healthy older adults to autonomously perform strength–balance exercises (median 6 on a 7-point Likert scale). Social motivation strategies proved more effective than individual strategies to stimulate the participants to comply with the training plan, as well as to change their behavior permanently toward a more physically active lifestyle. The exercises were effective to improve preferred and fast gait speed. Conclusions: ActiveLifestyle assisted and motivated independently living and healthy older people to autonomously perform strength–balance exercises over 12 weeks and had low dropout rates. The social motivation strategies were more effective to stimulate the participants to comply with the training plan and remain on the intervention. The adoption of assistive technology devices for physical intervention tends to motivate and retain older people exercising for longer periods of time. [J Med Internet Res 2013;15(8):e159]
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  • Citations (67)
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References119
Newest
Published on Nov 1, 2013in International Journal of Medical Informatics 2.96
Yi You Mei1
Estimated H-index: 1
(UMass: University of Massachusetts Amherst),
Jenna L. Marquard7
Estimated H-index: 7
(UMass: University of Massachusetts Amherst)
+ 1 AuthorsAudrey L. DeFeo1
Estimated H-index: 1
Abstract Background and purpose Patient falls are the leading cause of unintentional injury and death among older adults. In 2000, falls resulted in over 10,300 elderly deaths, costing the United States approximately $179 million in incidence and medical costs. Furthermore, non-fatal injuries caused by falls cost the United States $19 billion annually. Health information technology (IT) applications, specifically electronic falls reporting systems, can aid quality improvement efforts to prevent ...
16 Citations Source Cite
Published on Oct 1, 2013in Joint Bone Spine 3.30
Thierry Marhadour14
Estimated H-index: 14
,
Alain Saraux48
Estimated H-index: 48
1 Citations Source Cite
Published on Jun 1, 2013in Joint Bone Spine 3.30
Thierry Marhadour14
Estimated H-index: 14
,
Alain Saraux48
Estimated H-index: 48
L’editeur a le regret de vous informer que cet article ayant deja ete publie dans: , 80/5 (2013) 553-554, doi:10.1016/ , cette seconde publication faite par erreur a ete retiree.
1 Citations Source Cite
Published on May 1, 2013in International Journal of Medical Informatics 2.96
Patrícia Silveira7
Estimated H-index: 7
(University of Trento),
Eva van het Reve4
Estimated H-index: 4
(ETH Zurich)
+ 2 AuthorsE. D. de Bruin36
Estimated H-index: 36
(ETH Zurich)
Abstract Background With age reaction time, coordination and cognition tend to deteriorate, which may lead to gait impairments, falls and injuries. To reduce this problem in elderly and to improve health, well-being and independence, regular balance and strength exercises are recommended. However, elderly face strong barriers to exercise. Objective We developed Active Lifestyle, an IT-based system for active and healthy aging aiming at improving elderly's balance and strength. Active Lifestyle i...
39 Citations Source Cite
Published on Apr 1, 2013in International Journal of Medical Informatics 2.96
Toshio Obi4
Estimated H-index: 4
(Waseda University),
Diana Ishmatova1
Estimated H-index: 1
(SPbU: Saint Petersburg State University),
Naoko Iwasaki3
Estimated H-index: 3
(Waseda University)
Abstract Objective The paper aims to explore effective measures and strategies for the promotion of ICT-enabled innovations for the elderly and people with special needs. Methods The paper begins by reviewing current government initiatives in the field of e-health and accessibility that are addressing challenges faced by Japan's rapidly ageing society. It then evaluates the results of Japanese government efforts in the promotion of ICT solutions for its older population against the availability ...
43 Citations Source Cite
Published on Apr 1, 2013in Patient Education and Counseling 2.79
Hilde Geraedts5
Estimated H-index: 5
(UMCG: University Medical Center Groningen),
Agnes Zijlstra9
Estimated H-index: 9
(UMCG: University Medical Center Groningen)
+ 2 AuthorsWierd P. Zijlstra38
Estimated H-index: 38
(German Sport University Cologne)
A B S T R A C T Objective: To evaluate the literature on effectiveness of remote feedback on physical activity and capacity in home-based physical activity interventions for older adults with or without medical conditions. In addition, the effect of remote feedback on adherence was inventoried. Methods: A systematic review. Data sources included PubMed, PsycInfo, Cochrane and EMBASE. A bestevidence synthesis was used for qualitative summarizing of results. Results: Twenty-four studies met the in...
35 Citations Source Cite
Published on Feb 1, 2013in Arquivos De Neuro-psiquiatria 1.01
Andrea Camaz Deslandes21
Estimated H-index: 21
Aging is an inevitable process that is associated to loss of functional capacities in several body systems, like the cardiovascular, the skeletal muscle mass, the osteoarticular and the neuro-immune-endocrine systems. Changes appear due to interactions between genetic factors and way of life, such as diet and sedentary life style. This review shows evidence from the past twenty years concerning the importance of physical exercise to reduce the deleterious effects of aging, regarding the improvem...
9 Citations Source Cite
Linda Burke8
Estimated H-index: 8
(Curtin University),
Andy H. Lee46
Estimated H-index: 46
(Curtin University)
+ 5 AuthorsAnnie S. Anderson36
Estimated H-index: 36
(Dund.: University of Dundee)
Background: This intervention aimed to ascertain whether a low-cost, accessible, physical activity and nutrition program could improve physical activity and nutrition behaviours of insufficiently active 60–70 year olds residing in Perth, Australia. Methods: A 6-month home-based randomised controlled trial was conducted on 478 older adults (intervention, n = 248; control, n = 230) of low to medium socioeconomic status. Both intervention and control groups completed postal questionnaires at baseli...
35 Citations Source Cite
Alar Kuusik6
Estimated H-index: 6
,
Külli Sarna1
Estimated H-index: 1
,
Enar Reilent4
Estimated H-index: 4
The paper describes a tele-rehabilitation system for simultaneous motor rehabilitation (post-stroke and post-arthroscopy) and continuous patient's condition assessment with the focus on patient safety observations. Micro-electro-mechanical accelerometer and gyroscope sensors attached to the patient gather information about the performed therapeutic exercises. The measurement data processing of the vital sign sensors and accelerometers is done in the health hub device in real time with the patien...
1 Citations
Published on Dec 1, 2012in BMC Geriatrics 2.87
Giuseppe Pichierri3
Estimated H-index: 3
(ETH Zurich),
Kurt Murer15
Estimated H-index: 15
(ETH Zurich),
E. D. de Bruin36
Estimated H-index: 36
(ETH Zurich)
Background Computer-based interventions have demonstrated consistent positive effects on various physical abilities in older adults. This study aims to compare two training groups that achieve similar amounts of strength and balance exercise where one group receives an intervention that includes additional dance video gaming. The aim is to investigate the different effects of the training programs on physical and psychological parameters in older adults.
70 Citations Source Cite
Cited By67
Newest
Published on Feb 18, 2019in BMC Geriatrics 2.87
Beatrice Pettersson (Umeå University), Maria Wiklund8
Estimated H-index: 8
(Umeå University)
+ 4 AuthorsMarlene Sandlund7
Estimated H-index: 7
(Umeå University)
Background Exercise is effective in order to prevent falls in community-dwelling older people. Self-management programs have the potential to increase access and reduce costs related to exercise-based fall prevention. However, information regarding older people’s views of participating in such programs is needed to support implementation. The aim of this study was to explore older people’s experiences of a self-management fall prevention exercise routine guided either by a digital program (web-b...
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V. Zander (MDH: Mälardalen University College), R.-M. Johansson-Pajala (MDH: Mälardalen University College), Christine Gustafsson8
Estimated H-index: 8
(MDH: Mälardalen University College)
AbstractPurpose: To conduct a systematic review of existing methods to evaluate the individual aspects of welfare technology from the perspectives of independence, safety, activity, and participation. Furthermore, the study aimed to describe outcomes that have been the focus of previous research to evaluate individual aspects of welfare technology in older persons living in ordinary housing. Materials and methods: A systematic literature review in PubMed, CINAHL Plus, PsycINFO, Scopus, and Web o...
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Published on Jan 1, 2019
Marcos Baez7
Estimated H-index: 7
(Tomsk Polytechnic University),
Radoslaw Nielek8
Estimated H-index: 8
+ 1 AuthorsAdam Wierzbicki16
Estimated H-index: 16
Social participation is known to bring great benefits to the health and well-being of people as they age. From being in contact with others to engaging in group activities, keeping socially active can help slow down the effects of age-related declines and reduce risks of loneliness and social isolation and even mortality in old age. There are unfortunately a variety of barriers that make it difficult for older adults to engage in social activities on a regular basis. In this chapter, we give an ...
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Published on Jan 1, 2019in Clinical Gerontologist 0.86
Chethan Ramprasad1
Estimated H-index: 1
(UM: University of Miami),
Leonardo Tamariz24
Estimated H-index: 24
(UM: University of Miami)
+ 2 AuthorsAna M Palacio11
Estimated H-index: 11
(UM: University of Miami)
ABSTRACTObjectives: This systematic review/meta-analysis examines the potential for older people to accept and use tablet technology in clinical settings by assessing satisfaction and effectiveness.Methods: A comprehensive literature search was conducted of PubMed, SCOPUS, and CINAHL through March 2017. Inclusion criteria included studies with any clinical use of a tablet technology with a median patient age above 65 years.Results: We included a total of 12 studies (4 randomized controlled trial...
4 Citations Source Cite
Published on Jan 1, 2019
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Published on Dec 1, 2018
Oyungerel Byambasuren2
Estimated H-index: 2
(Bond University),
Sharon Sanders12
Estimated H-index: 12
(Bond University)
+ 1 AuthorsPaul Glasziou Fracgp98
Estimated H-index: 98
(Bond University)
Mobile health apps aimed towards patients are an emerging field of mHealth. Their potential for improving self-management of chronic conditions is significant. Here, we propose a concept of “prescribable” mHealth apps, defined as apps that are currently available, proven effective, and preferably stand-alone, i.e., that do not require dedicated central servers and continuous monitoring by medical professionals. Our objectives were to conduct an overview of systematic reviews to identify such app...
13 Citations Source Cite