The effectiveness of a wearable activity tracker (WAT)-based intervention to improve physical activity levels in sedentary older adults: A systematic review and meta-analysis

Liu, Justina Yat Wa; Kor, Patrick Pui Kin; Chan, Claire Pik Ying; Kwan, Rick Yiu Cho; Sze-Ki, Daphne

doi:10.1016/j.archger.2020.104211

Cited by 43 publications

(70 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similarly, for GAPPA 4. Active Systems , there were many eHealth, digital and activity trackers reviews [ 29 , 31 , 34 , 45 , 47 , 50 , 51 , 57 , 59 , 60 , 63 ] but none exploring monitoring at population or systemic levels. Further investigation is now required to identify individual studies, including unpublished data, in these areas.…”

Section: Discussionmentioning

confidence: 99%

A scoping review of physical activity interventions for older adults

Taylor

Walsh

Kwok

et al. 2021

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

Background To inform implementation and future research, this scoping review investigates the volume of evidence for physical activity interventions among adults aged 60+. Our research questions are: (1) what is the evidence regarding interventions designed to increase total physical activity in adults aged 60+ years, in accordance with three of the four strategic objectives of GAPPA (active societies, active environments, active people); (2) what is the current evidence regarding the effectiveness of physical activity programmes and services designed for older adults?; and (3) What are the evidence gaps requiring further research? Methods We searched PEDro, MEDLINE, CINAHL and Cochrane from 1 January 2010 to 1 November 2020 for systematic reviews and meta-analyses of physical activity interventions in adults aged 60+. We identified interventions designed to: (1) increase physical activity; and (2) deliver physical activity programmes and services in home, community or outpatient settings. We extracted and coded data from eligible reviews according to our proposed framework informed by TIDieR, Prevention of Falls Network Europe (PROFANE), and WHO’s International Classification of Functioning, Disability and Health (ICF). We classified the overall findings as positive, negative or inconclusive. Results We identified 39 reviews of interventions to increase physical activity and 342 reviews of programmes/services for older adults. Interventions were predominantly structured exercise programmes, including balance strength/resistance training, and physical recreation, such as yoga and tai chi. There were few reviews of health promotion/coaching and health professional education/referral, and none of sport, workplace, sociocultural or environmental interventions. Fewer reported outcomes of total physical activity, social participation and quality of life/well-being. We noted insufficient coverage in diverse and disadvantaged samples and low-middle income countries. Conclusions There is a modest but growing volume of evidence regarding interventions designed to increase total physical activity in older adults, although more interventional studies with long term follow-up are needed, particularly for GAPPA 1. Active Societies and GAPPA 2. Active Environments. By comparison, there is abundant evidence for GAPPA 3. specific programmes and services, but coverage of sport and workplace interventions, and diverse samples and settings is lacking. Comprehensive reviews of individual studies are now needed as well as research targeting neglected outcomes, populations and settings.

show abstract

Section: Discussionmentioning

confidence: 99%

A scoping review of physical activity interventions for older adults

Taylor

Walsh

Kwok

et al. 2021

Int J Behav Nutr Phys Act

View full text Add to dashboard Cite

show abstract

“…As the aging process is usually accompanied by illnesses that hinder physical mobility, WATs, as a device designed to encourage physical mobility through integrating behavior change techniques and social support, have great potential in promoting and maintaining the health of aging individuals [53,54]. Despite its demonstrated effectiveness in improving physical activity levels among sedentary older adults [55], there is still significant negativity, frustration, and anxiety toward assistive technologies and health information technologies among older adults [14,56]. Other barriers related to data inaccuracy, lack of adequate instructions [24], device characteristics such as longevity, ergonomics, and aesthetics, as well as financial costs [57], are also identified by researchers that examined older adults' acceptance of WATs.…”

Section: Discussionmentioning

confidence: 99%

Rethinking Wearable Activity Trackers as Assistive Technologies: A Qualitative Study on Long-Term Use

Liu

Peng

Kononova

et al. 2021

Proceedings of the Annual Hawaii International Conference on System Sciences

View full text Add to dashboard Cite

This study proposes that wearable activity trackers (WATs), such as Fitbit, Apple Watch, can be viewed as assistive technologies to promote older adults' health and independent living. Qualitative interview data with 20 older adults (65 and older) who had used WATs for six months or longer were analyzed within the framework of the Match Person and Technology (MPT) model. We found that personal and psychosocial factors, environmental factors, and technology-related factors contributed to the participants' long-term engagement with WATs. Determination and self-discipline, support from one's family members and friends, and goal setting and feedback of goal accomplishment were among the most mentioned facilitators of using WATs for more than six months. We discussed the design implications of these findings.

show abstract

“…Mantoani et al ( 42 ) demonstrated that activity monitoring devices effectively promoted the PA of COPD patients; the potential of these devices in promoting the PA of patients with COPD was assumed. Liu et al ( 46 ) believed that compared with the usual care and health education, step counters better promote the PA of elders. Step counters are promising devices that can promote the PA of patients with diabetes and cancer ( 47 – 49 ).…”

Section: Discussionmentioning

confidence: 99%

An Exploration of the Application of Step Counter-Based Physical Activity Promotion Programs in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review

Han

Yang

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

Objective: This paper aimed to systematically review the application methods and components of step counter-based physical activity (PA) promotion programs in patients with chronic obstructive pulmonary disease (COPD). The effects of longer-duration (≥12 weeks) programs on PA, exercise capacity, quality of life, and dyspnea were discussed.Methods: This review was performed in accordance with the preferred reporting items for systematic reviews and meta-analysis. Online data resources PubMed, Web of Science, Embase, and EBSCO were searched. The publication year was limited between January 2000 to August 2020. All randomized controlled trials with ≥12-week duration of step counter-based PA promotion programs of COPD were included. Two researchers independently assessed the quality of the included studies and extracted their characteristics.Results: Nine studies involving 1,450 participants were included. Step counters, counseling, exercise goals, diaries, and tele-communicational approaches were common components of these programs. The PA feedback tools were mostly pedometers (n = 8), whereas accelerometers were often used as assessment tools of PA (n = 5). All studies implemented counseling: five applied behavioral change theories, and three reported motivational interview techniques simultaneously. Six studies reported detailed exercise goals. The usual exercise goal was to reach a total of 8,000–10,000 steps/day. Three research studies used diaries, and five applied tele-communication approaches to deliver interventions. The programs could be implemented alone (n = 4), in combination with exercise training (n = 2), or with pulmonary rehabilitation (n = 2). All studies showed a significant increase in the PA (≥793 steps/day). Three studies observed a significant improvement in exercise capacity (≥13.4 m), and two reported a significant increase in the quality of life (p < 0.05). No study showed significant between-group differences in dyspnea.Conclusion: There are a few studies assessing the impact of long-duration (≥12 weeks) step counter-based interventions in COPD, with different methodologies, although all studies included counseling and exercise goal setting. These interventions seem to have a positive effect on PA. A few studies also showed benefit on exercise capacity and quality of life.

show abstract

The effectiveness of a wearable activity tracker (WAT)-based intervention to improve physical activity levels in sedentary older adults: A systematic review and meta-analysis

Cited by 43 publications

References 39 publications

A scoping review of physical activity interventions for older adults

A scoping review of physical activity interventions for older adults

Rethinking Wearable Activity Trackers as Assistive Technologies: A Qualitative Study on Long-Term Use

An Exploration of the Application of Step Counter-Based Physical Activity Promotion Programs in Patients With Chronic Obstructive Pulmonary Disease: A Systematic Review

Contact Info

Product

Resources

About