A Randomized Controlled Trial of an Automated Exercise Coach for Older Adults

Bickmore, Timothy; Silliman, Rebecca A.; Nelson, Kerrie P.; Cheng, Debbie M.; Winter, Michael; Henault, Lori; Paasche‐Orlow, Michael K.

doi:10.1111/jgs.12449

Cited by 237 publications

(298 citation statements)

References 47 publications

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“…Of the 9 studies that used the Internet as the main intervention component, 5 reported significant differences between groups in increasing physical activity. 98,100,102,106,107 The outcomes differed in each study and included increases in step counts, increases in moderately vigorous physical activity, increases in moderate physical activity, and increases in minutes per week of physical activity. Two of the 14 studies examined the use of SMS, 103,109 and both reported significant differences between the intervention and control or comparative conditions.…”

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

“…98,97,[100][101][102][103]106,107,109 Overall, the technology that was used most often to increase physical activity was the Internet through Web sites, online tutorials, or networking opportunities. Many of the programs that used the Internet also used other forms of technology, including pedometers and feedback messages via e-mail.…”

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

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Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

466

389

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A lthough mortality for cardiovascular disease (CVD) has declined for several decades, heart disease and stroke continue to be the leading causes of death, disability, and high healthcare costs. Unhealthy behaviors related to CVD risk (eg, smoking, sedentary lifestyle, and unhealthful eating habits) remain highly prevalent. The high rates of overweight, obesity, and type 2 diabetes mellitus (T2DM); the persistent presence of uncontrolled hypertension; lipid levels not at target; and the ≈18% of adults who continue to smoke cigarettes pose formidable challenges for achieving improved cardiovascular health.1,2 It is apparent that the performance of healthful behaviors related to the management of CVD risk factors has become an increasingly important facet of the prevention and management of CVD. 3In 2010, the American Heart Association (AHA) made a transformative shift in its strategic plan and added the concept of cardiovascular health.2 To operationalize this concept, the AHA targeted 4 health behaviors in the 2020 Strategic Impact Goals: reduction in smoking and weight, healthful eating, and promotion of regular physical activity. Three health indicators also were included: glucose, blood pressure (BP), and cholesterol. On the basis of the AHA Life's Simple 7 metrics for improved cardiovascular health, <1% of adults in the United States follow a healthful eating plan, only 32% have a normal body mass index, and > 30% have not reached the target levels for lipids or BP. National Health and Nutrition Examination Survey (NHANES) data revealed that people who met ≥6 of the cardiovascular health metrics had a significantly better risk profile (hazard ratio for all-cause mortality, 0.49) compared with individuals who had achieved only 1 metric or none.2 The studies reviewed in this statement targeted these behaviors (ie, smoking, physical activity, healthful eating, and maintaining a healthful weight) and cardiovascular health indicators (ie, blood glucose, lipids, BP, body mass index) as the primary outcomes in the clinical trials testing mobile health (mHealth) interventions.eHealth, or digital health, is the use of emerging communication and information technologies, especially the Internet, to improve health and health care 4 (Table 1). mHealth, a subsegment of eHealth, is the use of mobile computing and communication technologies (eg, mobile phones, wearable sensors) for health services and information.4,5 mHealth technology uses techniques and advanced concepts from an array of disciplines, for example, computer science, electrical and

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Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

Section: Review Of Evidence For the Efficacy Of Mobile Technologybasementioning

confidence: 99%

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Burke¹,

Ma²,

Azar³

et al. 2015

Circulation

466

389

View full text Add to dashboard Cite

show abstract

“…While this approach deserves consideration, other strategies would include, for example, enhancing the clinicians' own ability to deliver effective exercise counseling through education and training in motivational interviewing. Moreover, additional approaches that target and engage patients directly, such as mobile health (e.g., via texting or smartphone applications) and other automated technologies, 5 could be linked to EVS to enhance the capacity of primary care to motivate physical activity.…”

Section: F Ive Decades Ago President Eisenhower Launched Andmentioning

confidence: 99%

Capsule Commentary on Grant, et al., Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels

Simon

2014

J GEN INTERN MED

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“…Bickmore et al (2013) analyzed month-long phases of interactions of older adults with a personified exercise coaching system -it used spoken language, but user input was selected from sets of touchscreen buttons. Sidner et al (2013) addressed the social support aspect, attempting to identify preferred domains of conversation or joint activity based on the same system design.…”

Section: Related Work 21 Assistive and Accompanying Systemsmentioning

confidence: 99%

Proceedings of the 18th Annual SIGdial Meeting on Discourse and Dialogue

2017

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We are excited to welcome you to this year's SIGdial Conference, the 18th Annual Meeting of the Special Interest Group on Discourse and Dialogue. We are pleased to hold the conference in Saarbrücken on August 15-17th, co-located with SemDial 2017, and in close proximity to both INTERSPEECH 2017 and YRRSDS 2017, the Young Researchers' Roundtable on Spoken Dialog Systems.The SIGdial conference remains a premier publication venue for research in discourse and dialogue. This year, the program includes oral presentations, poster sessions, and one demo session. SIGdial 2017 also hosts three special sessions, two joint with SemDial 2017.We received 113 submissions this year. In only one previous year has there been a greater number of submissions to SIGdial. All long and short papers received at least 3 reviews. We carefully considered both the numeric ratings and the tenor of the comments in making our selections for the program. Overall, the members of the Program Committee did an excellent job in reviewing the submitted papers. We thank them for their important role in selecting the accepted papers and for helping to come up with a high quality program for the conference. We also thank Pierre Lison, Mentoring Chair for SIGdial 2017, for his dedicated work on the mentoring process. The goal of mentoring is to assist authors of papers that contain important ideas but lack clarity. In line with the SIGdial tradition, our aim has been to create a balanced program that accommodates as many favorably rated papers as possible. We accepted 29 long papers, 11 short papers and 7 demo presentations. These numbers give an overall acceptance rate of 41.6%. The rates separately for types of papers are 42% for long papers, 30% for short and 87% for demo submissions. Of the long papers, 18 were presented as oral presentations. The remaining 11 long papers and all the short papers were presented as posters, split into two poster sessions.This year SIGdial has three special sessions on topics of growing interest. The chosen sessions were (i) the Special Session on Negotiation Dialog organized by Amanda Stent, Aasish Pappu, Diane Litman and Marilyn Walker; (ii) the Second WOCHAT Special Session on Chatbots and Conversational Agents organized by Ryuichiro Higashinaka, Ron Artstein, Rafael E. Banchs, and Wolfgang Minker; and (iii) Special Session on Natural Language Generation for Dialog Systems organized by Marilyn Walker, Verena Rieser, Vera Demberg, Dietrich Klakow, Dilek Hakkani-Tur, David M. Howcroft and Shereen Oraby. These specialized topics brought diverse paper submissions to our technical program. At the conference, the special sessions also featured panel discussions and position talks, allowing for active engagement of the conference participants. This year, two of these special sessions, the one on negotiation and on conversational agents, are part of the joint SIGdial/SemDial program at the conference bringing both communities to participate in them. This year's SIGdial conference runs 3 full days compared to previous year...

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A Randomized Controlled Trial of an Automated Exercise Coach for Older Adults

Abstract: An automated exercise promotion system deployed from outpatient clinics increased walking among older adults over the short-term. Effective methods for long-term maintenance of behavior change are needed.

Cited by 237 publications

References 47 publications

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention

Capsule Commentary on Grant, et al., Exercise as a Vital Sign: A Quasi-Experimental Analysis of a Health System Intervention to Collect Patient-Reported Exercise Levels

Proceedings of the 18th Annual SIGdial Meeting on Discourse and Dialogue

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