TY - JOUR
T1 - An mHealth-Facilitated Personalized Intervention for Physical Activity and Sleep in Community-Dwelling Older Adults
AU - Li, Junxin
AU - Szanton, Sarah L.
AU - McPhillips, Miranda V.
AU - Lukkahatai, Nada
AU - Pien, Grace W.
AU - Chen, Ker Cheng
AU - Hladek, Melissa D.
AU - Hodgson, Nancy
AU - Gooneratne, Nalaka S.
N1 - Publisher Copyright:
© 2022 Human Kinetics, Inc
PY - 2022/4/1
Y1 - 2022/4/1
N2 - This randomized controlled pilot trial tested the preliminary effect of a 24-week mHealth-facilitated, personalized intervention on physical activity (PA) and sleep in 21 community-dwelling older adults. The intervention included a personalized exercise prescription, training, goal setting, and financial incentives. mHealth strategies, including self-monitoring, motivational messages, activity reminders, and phone coaching, were used to facilitate PA participation. PA and sleep were measured using actigraphy and questionnaires at baseline and 8-, 16-, and 24-week visits. Participants in the intervention group had lower objective PA levels at 24 weeks than at 8 and 16 weeks, although levels of PA remained higher than at baseline. Compared with the control group, the intervention increased PA at 8, 16, and 24 weeks; improved subjective sleep quality at 16 and 24 weeks; and increased actigraphy-measured sleep duration and sleep efficiency at 24 weeks. mHealth PA interventions may benefit PA and sleep in older adults. Strategies for maintaining long-term PA behavioral changes are needed.
AB - This randomized controlled pilot trial tested the preliminary effect of a 24-week mHealth-facilitated, personalized intervention on physical activity (PA) and sleep in 21 community-dwelling older adults. The intervention included a personalized exercise prescription, training, goal setting, and financial incentives. mHealth strategies, including self-monitoring, motivational messages, activity reminders, and phone coaching, were used to facilitate PA participation. PA and sleep were measured using actigraphy and questionnaires at baseline and 8-, 16-, and 24-week visits. Participants in the intervention group had lower objective PA levels at 24 weeks than at 8 and 16 weeks, although levels of PA remained higher than at baseline. Compared with the control group, the intervention increased PA at 8, 16, and 24 weeks; improved subjective sleep quality at 16 and 24 weeks; and increased actigraphy-measured sleep duration and sleep efficiency at 24 weeks. mHealth PA interventions may benefit PA and sleep in older adults. Strategies for maintaining long-term PA behavioral changes are needed.
KW - behavioral change
KW - exercise
KW - motivation
UR - http://www.scopus.com/inward/record.url?scp=85128160083&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85128160083&partnerID=8YFLogxK
U2 - 10.1123/japa.2020-0463
DO - 10.1123/japa.2020-0463
M3 - Article
C2 - 34489366
AN - SCOPUS:85128160083
SN - 1063-8652
VL - 30
SP - 261
EP - 270
JO - Journal of Aging and Physical Activity
JF - Journal of Aging and Physical Activity
IS - 2
ER -