Implementation-effectiveness trial of an ecological intervention for physical activity in ethnically diverse low income senior centers

Rich, Porchia; Aarons, Gregory A.; Takemoto, Michelle; Cárdenas, Verónica; Crist, Katie; Bolling, Khalisa; Lewars, Brittany; Sweet, Cynthia Castro; Shi, Yuyan; Full, Kelsie M; Johnson, Eileen; Rosenberg, Dori E.; Whitt-Glover, Melicia C.; Marcus, Bess H.; Kerr, Jacqueline

doi:10.1186/s12889-017-4584-1

Cited by 15 publications

(10 citation statements)

References 25 publications

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“…Studies show that older adults are able to operate tablets better than personal computers [20,21] or smartphones owing to their large touchscreen [22]. It is not surprising that recent health interventions for older adults choose tablets as the primary mode of delivery [23-27].…”

Section: Introductionmentioning

confidence: 99%

Supporting Older Adults in Exercising With a Tablet: A Usability Study

Mehra¹,

Visser²,

Cila³

et al. 2019

JMIR Hum Factors

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Background For older adults, physical activity is vital for maintaining their health and ability to live independently. Home-based programs can help them achieve the recommended exercise frequency. An application for a tablet computer was developed to support older adults in following a personal training program. It featured goal setting, tailoring, progress tracking, and remote feedback. Objective In line with the Medical Research Council Framework, which prescribes thorough testing before evaluating the efficacy with a randomized controlled trial, the aim of this study was to assess the usability of a tablet-based app that was designed to support older adults in doing exercises at home. Methods A total of 15 older adults, age ranging from 69 to 99 years old, participated in a usability study that utilized a mixed-methods approach. In a laboratory setting, novice users were asked to complete a series of tasks while verbalizing their ongoing thoughts. The tasks ranged from looking up information about exercises and executing them to tailoring a weekly exercise schedule. Performance errors and time-on-task were calculated as proxies of effective and efficient usage. Overall satisfaction was assessed with a posttest interview. All responses were analyzed independently by 2 researchers. Results The participants spent 13-85 seconds time-on-task. Moreover, 79% (11/14)-100% (14/14) participants completed the basic tasks with either no help or after having received 1 hint. For expert tasks, they needed a few more hints. During the posttest interview, the participants made 3 times more positive remarks about the app than negative remarks. Conclusions The app that was developed to support older adults in doing exercises at home is usable by the target audience. First-time users were able to perform basic tasks in an effective and efficient manner. In general, they were satisfied with the app. Tasks that were associated with behavior execution and evaluation were performed with ease. Complex tasks such as tailoring a personal training schedule needed more effort. Learning effects, usefulness, and long-term satisfaction will be investigated through longitudinal follow-up studies.

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Section: Introductionmentioning

confidence: 99%

Supporting Older Adults in Exercising With a Tablet: A Usability Study

Mehra¹,

Visser²,

Cila³

et al. 2019

JMIR Hum Factors

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“…Systematic reviews from intervention studies based on the SEM have revealed the effectiveness of such interventions, indicating that not only PA level was increased, but sedentary time was reduced ( 25 , 26 ). It is noteworthy that many current studies have condensed the SEM into three levels: individual, interpersonal, and community levels ( 27 , 28 ). Our detailed interventions based on the three levels (individual, interpersonal, and community levels) are as follows ( Figure 1 ):…”

Section: Methodsmentioning

confidence: 99%

A Multilevel Physical Activity Intervention Among Chinese Rural Older Adults (Stay Active While Aging): A Study Protocol for a Clustered Randomized Controlled Trial

Wang

Deng

et al. 2022

Front. Public Health

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BackgroundAlthough a large number of studies have confirmed the benefits of physical activity (PA) in preventing age-related diseases and disabilities, a growing number of older people spent more time in sedentary behavior as opposed to PA. To reverse the alarming trend, numerous studies have corroborated the effectiveness of PA interventions in improving PA among older adults. However, such research is scarce in rural China, where a majority of older adults do not meet the PA recommendation. The Stay Active While Aging (SAWA) aimed to conduct an intervention to improve the PA level among older adults in rural China.MethodsThe SAWA is designed as a single-blind, clustered randomized controlled trial carried out in rural Sichuan, China with an 8-week intervention and a 24-month follow-up. The intervention group will receive a multilevel intervention (individual, interpersonal, and community levels), while the control group will not. The primary outcome is the PA level. Secondary outcome measures include sedentary behavior level, self-efficacy, self-regulation, cognitive function, night-time sleep quality, and anthropometry. The difference-in-differences (DID) will be performed to investigate the between-group differences, adjusted for baseline data and covariates.DiscussionThe SAWA trial will provide a multilevel intervention based on the socio-ecologic model among older adults in rural China. We target the PA level and health status changes while also focus on the maintenance of such intervention during 24 months. If the SAWA produces positive results, it will be possible to recommend similar strategies to be implemented in other Chinese older adults and beyond.Trial registrationChiCTR2100045653 (https://www.chictr.org.cn/index.aspx).

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“…Participants presented selected projects to transportation engineers, submitted online requests through a municipal website, and/or called elected officials. The curriculum for the physical activity condition used an adapted evidence-based program for older adults [ 22 ] and included group exercise plus behavior change strategies, such as goal setting, social support, and positive thinking for increasing physical activity. The 8-week intervention concluded in November 2016.…”

Section: Methodsmentioning

confidence: 99%

Engaging older adults as advocates for age-friendly, walkable communities: The Senior Change Makers Pilot Study

Patch

Conway

Kerr

et al. 2021

Translational Behavioral Medicine

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As the U.S. population ages, communities must adapt to help older adults thrive. Built environment features, like safe sidewalks and crosswalks, provide the foundation for age- and physical activity-friendly communities. Controlled studies are needed to evaluate advocacy training programs that instruct and support seniors to advocate for more walkable neighborhoods. The Senior Change Makers Pilot Study evaluated an advocacy program that taught seniors to evaluate pedestrian environments using the validated MAPS-Mini audit tool, identify barriers, and advocate for improvements. Participants (n = 50) were recruited from four low-income senior housing sites in San Diego, CA, which were randomly assigned to an 8-week advocacy program or physical activity (PA) comparison intervention. Evaluation included surveys, accelerometers to assess PA, and direct observation. Primary outcomes were seniors’ advocacy confidence and skills. Main analyses used repeated measures ANOVAs. Seniors in the advocacy condition (n = 17) increased their advocacy outcome efficacy (p = .03) and knowledge of resources (p = .04) more than seniors in the PA condition (n = 33). Most seniors in the advocacy condition completed a street audit (84%), submitted an advocacy request (79%), or made an advocacy presentation to city staff (58%). Environmental changes included repairs to sidewalks and crosswalks. City staff approved requests for lighting, curb cuts, and crosswalk markings. Seniors’ accelerometer-measured PA did not significantly increase, but self-reported transportation activity increased in the PA condition (p = .04). This study showed the potential of advocacy training to empower seniors to make communities more age- and activity-friendly.

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Implementation-effectiveness trial of an ecological intervention for physical activity in ethnically diverse low income senior centers

Cited by 15 publications

References 25 publications

Supporting Older Adults in Exercising With a Tablet: A Usability Study

Supporting Older Adults in Exercising With a Tablet: A Usability Study

A Multilevel Physical Activity Intervention Among Chinese Rural Older Adults (Stay Active While Aging): A Study Protocol for a Clustered Randomized Controlled Trial

Engaging older adults as advocates for age-friendly, walkable communities: The Senior Change Makers Pilot Study

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