Learning From Older Adults to Promote Independent Physical Activity Using Mobile Health (mHealth).
Learning From Older Adults to Promote Independent Physical Activity Using Mobile Health (mHealth).
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DOI：
10.3389/fpubh.2021.703910
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发表时间：
2021
影响因子：
5.2
通讯作者：
Zlatar ZZ
中科院分区：
文献类型：
--
作者：
Nebeker C;Zlatar ZZ
背景：健康老龄化至关重要，原因有几个，包括经济影响和生活质量。随着老年人口的迅速增加，确定可接受的方式来促进健康老龄化是一个优先事项。能够促进健康促进和降低风险行为的技术可能是一种解决方案，但前提是这些移动的健康（mHealth）工具可以被老年人使用。在身体活动干预的背景下，本研究收集了参与者对使用移动健康设备的意见，以了解接受情况并确定需要改进的领域。研究方法：独立行走促进大脑健康研究（NCT 03058146）旨在评估可穿戴移动健康技术在促进自由生活环境中参与者遵守身体活动处方方面的有效性。在干预完成后进行退出调查，以评估参与者的看法并征求关于整体研究设计的反馈，包括运动促进策略和特定于该技术的问题（例如，隐私），这可以为未来更可接受的移动健康干预提供信息。数字健康清单和框架用于指导分析，重点关注隐私，访问和可用性以及数据管理领域。结果：参与者（n = 41）年龄在70岁出头（平均值= 71.6），主要是女性（75.6%）和白色（92.7%）。大多数人受过大学教育（16.9岁），喜欢在日常生活中使用技术（85.4%）。主要挑战包括隐私问题、设备准确性、可用性和数据访问。具体来说，参与者希望了解他们的信息，并希望控制如何使用他们的可识别数据。总体而言，尽管存在设计挑战，但参与者能够使用该器械。结论：了解参与者对mHealth带来的挑战和担忧的看法很重要，因为接受程度将影响研究方案的采用和遵守。虽然这项研究在研究完成时从参与者那里学到了一些东西，但我们建议研究人员考虑可能影响参与者接受该技术的因素（访问，数据管理，隐私，风险），并将这些因素纳入mHealth研究设计过程。我们为老年人未来的mHealth研究提供建议。
Background: Healthy aging is critically important for several reasons, including economic impact and quality of life. As the population of older adults rapidly increases, identifying acceptable ways to promote healthy aging is a priority. Technologies that can facilitate health promotion and risk reduction behaviors may be a solution, but only if these mobile health (mHealth) tools can be used by the older adult population. Within the context of a physical activity intervention, this study gathered participant's opinions about the use of an mHealth device to learn about acceptance and to identify areas for improvement. Methods: The Independent Walking for Brain Health study (NCT03058146) was designed to evaluate the effectiveness of a wearable mHealth technology in facilitating adherence to a physical activity prescription among participants in free-living environments. An Exit Survey was conducted following intervention completion to gauge participant's perceptions and solicit feedback regarding the overall study design, including exercise promotion strategies and concerns specific to the technology (e.g., privacy), that could inform more acceptable mHealth interventions in the future. The Digital Health Checklist and Framework was used to guide the analysis focusing on the domains of Privacy, Access and Usability, and Data Management. Results: Participants (n = 41) were in their early 70's (mean = 71.6) and were predominantly female (75.6%) and White (92.7%). Most were college educated (16.9 years) and enjoyed using technology in their everyday life (85.4%). Key challenges included privacy concerns, device accuracy, usability, and data access. Specifically, participants want to know what is being learned about them and want control over how their identifiable data may be used. Overall, participants were able to use the device despite the design challenges. Conclusions: Understanding participant's perceptions of the challenges and concerns introduced by mHealth is important, as acceptance will influence adoption and adherence to the study protocol. While this study learned from participants at studycompletion, we recommend that researchers consider what might influence participant acceptance of the technology (access, data management, privacy, risks) and build these into the mHealth study design process. We provide recommendations for future mHealth studies with older adults.
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影响因子：
4.3
作者：
Hamideh, Dina;Nebeker, Camille
通讯作者：
Nebeker, Camille
影响因子：
1.8
作者：
Mihailidis, Alex;Cockburn, Amy;Boger, Jennifer
通讯作者：
Boger, Jennifer
DOI：
10.1097/jgp.0b013e31819431d5
发表时间：
2009-05
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
--
作者：
Jak AJ;Bondi MW;Delano-Wood L;Wierenga C;Corey-Bloom J;Salmon DP;Delis DC
通讯作者：
Delis DC
影响因子：
4.1
作者：
Parker SJ;Jessel S;Richardson JE;Reid MC
通讯作者：
Reid MC
影响因子：
4.4
作者：
Nilsen, Wendy;Kumar, Santosh;Atienza, Audie A.
通讯作者：
Atienza, Audie A.