Ongoing physical activity advice by humans versus computers: The Community Health Advice by Telephone (CHAT) Trial.

King, Abby C.; Friedman, Robert H.; Marcus, Bess H.; Castro, Cynthia M.; Napolitano, Melissa A.; Ahn, David K.; Baker, Laurence C.

doi:10.1037/0278-6133.26.6.718

Cited by 120 publications

(169 citation statements)

References 47 publications

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“…Focusing attention on objective measures (glucose levels) or providing medication reminders, may have resulted in more effective self-management behaviors (e.g., taking medicine, exercise). Future studies will need more detailed measures of intermediate variables, such as exercise and diet to determine if there were changes in lifestyle behaviors (King et al 2007). We are currently conducting a straight-forward comparison of ASMM versus care in a larger, randomized trial, including detailed assessment of components of the Common Sense Model of T2DM and life-style factors in order to compare changes related to the intervention.…”

Section: Discussionmentioning

confidence: 96%

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

et al. 2016

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Self-monitoring of blood glucose (SMBG) has been recommended for people with type 2 diabetes mellitus. This trial tested an automated self-management monitor (ASMM) that reminds patients to perform SMBG, provides feedback on results of SMBG, and action tips for improved self-management. This delayed-start trial randomized participants to using the ASMM immediately (IG), or following a delay of 6 months (DG). Glycated hemoglobin (HgbA1c) level and survey data was collected at home visits every 3 months. 44 diabetic men and women, mean age 70, completed the 12-month trial. Baseline HgbA1c was 8.1 % ± 1.0, dropping to 7.3 ± 1.0 by 9 months, with a 3-month lag in the DG (F = 3.56, p = 0.004). Decrease in HgbA1c was significantly correlated to increased frequency of SMBG, R = 0.588, p < 0.01. Providing older diabetics with objective immediate contingent feedback resulted in more frequent SMBG that correlated with better glycemic control. This type of technology may provide real-time feedback not only to patient users, but to the health care system, allowing better integration of provider recommendations with patient-centered action.

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Section: Discussionmentioning

confidence: 96%

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

et al. 2016

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“…Computer tailoring has shown promising effects in various health promotion programs [6,7], and has shown promising effects among older adults [8][9][10]. Researchers have recently acknowledged the importance of a more ecological approach to PA promotion by addressing social and physical environmental determinants in addition to focusing solely on intrapersonal determinants [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

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Background Important health benefits can be derived when low-cost (e.g., computer-tailored) physical activity interventions for older adults demonstrate sustained effects. Purpose The purpose of the study was to conduct in-depth analysis on the long-term efficacy of two tailored physical activity interventions for older adults. Methods A randomized controlled trial (n=1,971) with two computer-tailored interventions and a no-intervention control group was conducted. The two tailored interventions consisted of three tailored letters, delivered during 4 months. The basic tailored intervention targeted psychosocial determinants alone, while the environmentally tailored intervention additionally targeted environmental determinants, by providing tailored environmental information. Selfreported behaviors (i.e., total physical activity, transport walking and cycling, leisure walking and cycling, and sports) were measured at baseline and 12 months. Additionally, potential personal, health-related, and psychosocial moderators of the intervention effects were examined. Results The environmentally tailored intervention was effective in changing total physical activity, leisure cycling, and sports compared with the basic intervention and control group. No intervention effects were found for the basic intervention. Moderation analysis revealed that participants with a higher age, lower body mass index, and higher intention were unresponsive to the interventions. Conclusions Providing environmental information is an effective intervention strategy for increasing physical activity behaviors among older adults, especially among certain "at-risk" subgroups such as lower educated, overweight, or insufficiently active participants. Moderation analysis was perceived as a promising method for identifying meaningful subgroups that are unaffected by an intervention, which should receive special attention in future interventions.

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“…Examples of this type of "bottom up" approach to broadening interventions in the field include the use of trained community volunteers and service sectors in intervention delivery and evaluation, 69,70 as well as development and evaluation of state-of-the-art communication technologies to broaden intervention delivery in a potentially cost-sensitive manner. 49,71,72 Notably, older adults represent one of the fastest growing user groups of computers as well as Internet and social networking services. 73 Information technologies thus represent an increasingly pervasive and promising method for delivering health services and support, 74 including preventive health services, to them.…”

Section: Sciencementioning

confidence: 99%

Physical Activity for an Aging Population

2010

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Physical activity has been identified as one of three key health behaviors impacting the major chronic diseases of aging that are increasingly responsible for a substantial proportion of global mortality. Although the scientific evidence indicates that the health and quality of life effects of a physically active lifestyle extend across the life course, midlife and older adults represent the most inactive portion of the population. Among the objectives of this review are to discuss the benefits of an active lifestyle, particularly for older adults; highlight the major issues and challenges currently facing the physical activity and aging field; and explore the types of directions for science, policy, and practice that could positively impact the significant physical inactivity challenge facing a growing number of countries worldwide.

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Ongoing physical activity advice by humans versus computers: The Community Health Advice by Telephone (CHAT) Trial.

Abstract: Automated telephone-linked delivery systems represent an effective alternative for delivering physical activity advice to inactive older adults.

Cited by 120 publications

References 47 publications

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Randomized trial of technology-assisted self-monitoring of blood glucose by low-income seniors: improved glycemic control in type 2 diabetes mellitus

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

Physical Activity for an Aging Population

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