Fidelity and feasibility of a multicomponent physical activity intervention in a retirement community

Zhang, Zhanjia; Giordani, Bruno; Chen, Weiyun

doi:10.1016/j.gerinurse.2019.12.002

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…In previous lifestyle interventions that were successful on the short term, dietary habits and physical activity levels often revert to the levels before the intervention period ( 77 , 78 ). Interventions aiming to increasing physical activity among people in retirement emphasize the importance of provide tailored and adaptable exercise programs ( 79 , 80 ). Digital technologies can help to stimulate long term changes, take into account personal motives and threats, previous occupation, goals, opportunities and wishes, account for population and environmental factors, and potentially reaches a large number of individuals at relatively low costs ( 81 , 82 ).…”

Section: Window Of Opportunity: Retirementmentioning

confidence: 99%

The Relevance of Diet, Physical Activity, Exercise, and Persuasive Technology in the Prevention and Treatment of Sarcopenic Obesity in Older Adults

et al. 2021

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The aging population faces two conditions that threaten healthy aging: high fat mass (obesity) and low muscle mass and function (sarcopenia). The combination of both—referred to as sarcopenic obesity—synergistically increases the risk of adverse health outcomes. The two conditions often co-occur because they reinforce each other and share common etiologies, including poor nutrition and inactivity. All aging people are at risk of gaining weight and losing muscle mass and could benefit from improvements in physical activity, exercise and dietary intake. one specific window of opportunity is during the transient time of retirement, as older adults already need to restructure their daily activities. It is key to change lifestyle behavior in a sustainable manner, providing scientifically proven, personalized, and acceptable principles that can be integrated in daily life. Health technologies (e.g., applications) can provide promising tools to deliver personalized and appealing lifestyle interventions to a large group of people while keeping health care costs low. Several studies show that health technologies have a strong positive effect on physical activity, exercise and dietary intake. Specifically, health technology is increasingly applied to older people, although strong evidence for long term effects in changing lifestyle behavior is generally lacking. Concluding, technology could play an important role in the highly warranted prevention of sarcopenic obesity in older adults. Although health technology seems to be a promising tool to stimulate changes in physical activity, exercise and dietary intake, studies on long lasting effects and specifically targeted on older people around the time of retirement are warranted.

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Section: Window Of Opportunity: Retirementmentioning

confidence: 99%

The Relevance of Diet, Physical Activity, Exercise, and Persuasive Technology in the Prevention and Treatment of Sarcopenic Obesity in Older Adults

et al. 2021

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“…The social ecological model posits that an individual’s PA behaviors are shaped by the dynamic interaction among individual, interpersonal, and community factors, as well as public policy. The likelihood of changing and maintaining PA behaviors will be increased when influential factors at the multiple nested levels of the social ecological model are addressed concurrently [ 7 , 15 , 16 , 17 ]. The individual level encompasses one’s knowledge, skills, fitness, attitudes, and personal characteristics that determine changes in their PA behaviors.…”

Section: Introductionmentioning

confidence: 99%

“…The interpersonal level involves social interaction, social relationship, and social support, which are facilitating factors for an individual’s PA behavior change. Supporting the social ecological model, empirical studies have suggested that, in order to change PA behaviors of older adults, intervention strategies should focus on these changing factors that influence PA behaviors across multiple levels [ 7 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Technology-Enhanced 4Active Intervention Impacting Psychological Well-Being and Physical Activity among Older Adults: A Pilot Study

Chen

Zhang

Giordani

et al. 2022

IJERPH

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Background: To increase psychological well-being and physical activity (PA) behaviors, our pilot study used the social ecological model as the framework to design the 4Active intervention, focusing on multicomponent exercise group lessons at the interpersonal level and self exercise enhanced by activity trackers at the individual level. The purpose of this pilot study was to examine the effectiveness of the two-level 4Active intervention in improving psychological well-being and PA participation in older adults living in retirement communities. Methods: Participants were 27 older adults with a mean age of 85.9 ± 9.3 years. Based on the two-arm, quasi-experimental study design, fourteen older adults (2 men, 12 women) living in one retirement community (RC) were assigned into the intervention group receiving the two-level 4Active intervention, whereas 13 older adults (1 man, 12 women) living in another RC were allocated to the active control group receiving group exercise intervention alone for eight weeks. One week before and after the interventions, the participants were pre-tested and post-tested in psychological well-being (i.e., life satisfaction, subjective happiness, positive affect, and negative affect) and weekly PA minutes (i.e., weekly walking, vigorous, moderate, and total PA minutes). The data were analyzed be means of descriptive statistics, independent sample t-tests, and ANCOVA repeated measures. Results: The results of ANCOVA repeated measures indicated that both groups maintained their slightly high or very high levels of life satisfaction, happiness, and positive affect over times. However, the two-level 4Active intervention group showed significant decreases in negative affect (F = 4.78, p = 0.04, η2 = 0.23) and significance increases in weekly moderate PA (F = 10.355, p = 0.004, η2 = 0.310) compared with the active control group over time. Conclusion: It is concluded that engaging in the two-level 4Active intervention including group-based multicomponent exercises and technology-enhanced self-exercises is more effective in decreasing negative affect and increasing weekly moderate PA METS-min in physically and cognitively frail older adults over time, compared with attending the group exercises alone.

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Remote Digital Technologies for the Early Detection and Monitoring of Cognitive Decline in Patients With Type 2 Diabetes: Insights From Studies of Neurodegenerative Diseases

DuBord

Paolillo

Staffaroni

2023

J Diabetes Sci Technol

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Type 2 diabetes (T2D) is a risk factor for cognitive decline. In neurodegenerative disease research, remote digital cognitive assessments and unobtrusive sensors are gaining traction for their potential to improve early detection and monitoring of cognitive impairment. Given the high prevalence of cognitive impairments in T2D, these digital tools are highly relevant. Further research incorporating remote digital biomarkers of cognition, behavior, and motor functioning may enable comprehensive characterizations of patients with T2D and may ultimately improve clinical care and equitable access to research participation. The aim of this commentary article is to review the feasibility, validity, and limitations of using remote digital cognitive tests and unobtrusive detection methods to identify and monitor cognitive decline in neurodegenerative conditions and apply these insights to patients with T2D.

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Fidelity and feasibility of a multicomponent physical activity intervention in a retirement community

Cited by 4 publications

References 27 publications

The Relevance of Diet, Physical Activity, Exercise, and Persuasive Technology in the Prevention and Treatment of Sarcopenic Obesity in Older Adults

The Relevance of Diet, Physical Activity, Exercise, and Persuasive Technology in the Prevention and Treatment of Sarcopenic Obesity in Older Adults

Technology-Enhanced 4Active Intervention Impacting Psychological Well-Being and Physical Activity among Older Adults: A Pilot Study

Remote Digital Technologies for the Early Detection and Monitoring of Cognitive Decline in Patients With Type 2 Diabetes: Insights From Studies of Neurodegenerative Diseases

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