Feasibility and acceptability of a technology-based, rural weight management intervention in older adults with obesity

Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring...

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Published inBMC geriatrics Vol. 21; no. 1; pp. 44 - 13
Main Authors Batsis, John A., Petersen, Curtis L., Clark, Matthew M., Cook, Summer B., Kotz, David, Gooding, Tyler L., Roderka, Meredith N., Al-Nimr, Rima I., Pidgeon, Dawna, Haedrich, Ann, Wright, K. C., Aquila, Christina, Mackenzie, Todd A.
Format Journal Article
LanguageEnglish
Published London BioMed Central 12.01.2021
BioMed Central Ltd
BMC
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Online AccessGet full text
ISSN1471-2318
1471-2318
DOI10.1186/s12877-020-01978-x

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Abstract Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. Methods A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m 2 . Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Results Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m 2 , and 115.5±13.0 cm, respectively. A total of 142 participants were screened ( n =27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% ( p < 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m ( p =0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p < 0.001). Conclusions A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Clinical trial registration Registered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
AbstractList Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged [greater than or equai to]65 years with a body mass index (BMI) [greater than or equai to]30 kg/m.sup.2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Mean age was 72.9[+ or -]3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8[+ or -]16.3 kg, 36.5[+ or -]5.2 kg/m.sup.2, and 115.5[+ or -]13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7[+ or -]19.3% of intervention days. In completers, mean weight loss was 4.6[+ or -]3.5 kg or 4.7[+ or -]3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5[+ or -]5.7 to 16.7[+ or -]5.9 (p< 0.001), 6-min walk improved by 42.0[+ or -]77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4[+ or -]4.7 points, p< 0.001). A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function.
Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m . Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m , and 115.5±13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p< 0.001). A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Registered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. Methods A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m 2 . Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Results Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m 2 , and 115.5±13.0 cm, respectively. A total of 142 participants were screened ( n =27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% ( p < 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m ( p =0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p < 0.001). Conclusions A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Clinical trial registration Registered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology.BACKGROUNDOlder adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology.A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored.METHODSA 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored.Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m2, and 115.5±13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p< 0.001).RESULTSMean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m2, and 115.5±13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p< 0.001).A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function.CONCLUSIONSA technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function.Registered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.CLINICAL TRIAL REGISTRATIONRegistered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. Methods A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged [greater than or equai to]65 years with a body mass index (BMI) [greater than or equai to]30 kg/m.sup.2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Results Mean age was 72.9[+ or -]3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8[+ or -]16.3 kg, 36.5[+ or -]5.2 kg/m.sup.2, and 115.5[+ or -]13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7[+ or -]19.3% of intervention days. In completers, mean weight loss was 4.6[+ or -]3.5 kg or 4.7[+ or -]3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5[+ or -]5.7 to 16.7[+ or -]5.9 (p< 0.001), 6-min walk improved by 42.0[+ or -]77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4[+ or -]4.7 points, p< 0.001). Conclusions A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Clinical trial registration Registered on Clinicaltrials.gov #NCT03104205. Registered on April 7, 2017. First participant enrolled on October 1st, 2018. Keywords: Weight, Telehealth, Disparities
Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. Methods A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Results Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m2, and 115.5±13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p< 0.001). Conclusions A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Clinical trial registration Registered on Clinicaltrials.gov #NCT03104205. Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
Abstract Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology. Methods A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged ≥65 years with a body mass index (BMI) ≥30 kg/m2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored. Results Mean age was 72.9±3.9 years (82% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8±16.3 kg, 36.5±5.2 kg/m2, and 115.5±13.0 cm, respectively. A total of 142 participants were screened (n=27 ineligible), and 53 consented. There were nine dropouts (17%). Overall satisfaction with the trial (4.7+ 0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+ 0.9) were high. Fitbit was worn an average of 81.7±19.3% of intervention days. In completers, mean weight loss was 4.6±3.5 kg or 4.7±3.5% (p< 0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5±5.7 to 16.7±5.9 (p< 0.001), 6-min walk improved by 42.0±77.3 m (p=0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4±4.7 points, p< 0.001). Conclusions A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function. Clinical trial registration Registered on Clinicaltrials.gov # NCT03104205 . Registered on April 7, 2017. First participant enrolled on October 1st, 2018.
ArticleNumber 44
Audience Academic
Author Pidgeon, Dawna
Clark, Matthew M.
Cook, Summer B.
Aquila, Christina
Mackenzie, Todd A.
Gooding, Tyler L.
Al-Nimr, Rima I.
Petersen, Curtis L.
Kotz, David
Roderka, Meredith N.
Wright, K. C.
Batsis, John A.
Haedrich, Ann
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  organization: Division of Geriatric Medicine, School of Medicine, and Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
– sequence: 2
  givenname: Curtis L.
  surname: Petersen
  fullname: Petersen, Curtis L.
  organization: Dartmouth College
– sequence: 3
  givenname: Matthew M.
  surname: Clark
  fullname: Clark, Matthew M.
  organization: Mayo Clinic Rochester, Department of Psychiatry and Psychology, and Division of Endocrinology
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  surname: Cook
  fullname: Cook, Summer B.
  organization: University of New Hampshire
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  surname: Kotz
  fullname: Kotz, David
  organization: Dartmouth College
– sequence: 6
  givenname: Tyler L.
  surname: Gooding
  fullname: Gooding, Tyler L.
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
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  givenname: Meredith N.
  surname: Roderka
  fullname: Roderka, Meredith N.
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
– sequence: 8
  givenname: Rima I.
  surname: Al-Nimr
  fullname: Al-Nimr, Rima I.
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
– sequence: 9
  givenname: Dawna
  surname: Pidgeon
  fullname: Pidgeon, Dawna
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
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  givenname: Ann
  surname: Haedrich
  fullname: Haedrich, Ann
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
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  surname: Wright
  fullname: Wright, K. C.
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
– sequence: 12
  givenname: Christina
  surname: Aquila
  fullname: Aquila, Christina
  organization: Dartmouth-Hitchcock, Geisel School of Medicine, and The Dartmouth Institute for Health Policy
– sequence: 13
  givenname: Todd A.
  surname: Mackenzie
  fullname: Mackenzie, Todd A.
  organization: Dartmouth College
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33435877$$D View this record in MEDLINE/PubMed
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Issue 1
Keywords Telehealth
Disparities
Weight
Language English
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Snippet Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability...
Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and...
Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability...
Abstract Background Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility,...
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StartPage 44
SubjectTerms Aged
Aging
Balance
Behavior therapy
Body Mass Index
Body weight loss
Care and treatment
Dietary restrictions
Disparities
Exercise
Feasibility Studies
Female
Gait
Geriatrics
Geriatrics/Gerontology
Health promotion
Health services research
Humans
Intervention
Male
Medicine
Medicine & Public Health
Methods
Nutrition research
Obesity
Obesity - diagnosis
Obesity - epidemiology
Obesity - therapy
Older people
Onsite
Physical fitness
Physical therapists
Physical training
Rehabilitation
Research Article
Rural aged
Rural areas
Strength training
Technology
Technology Acceptance Model
Technology application
Telehealth
Telemedicine
Videoconferencing
Weight
Weight control
Weight Loss
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Title Feasibility and acceptability of a technology-based, rural weight management intervention in older adults with obesity
URI https://link.springer.com/article/10.1186/s12877-020-01978-x
https://www.ncbi.nlm.nih.gov/pubmed/33435877
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https://www.proquest.com/docview/2477496558
https://pubmed.ncbi.nlm.nih.gov/PMC7801868
https://doaj.org/article/0c0a47e23525438cad0aa5456ee25315
Volume 21
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