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 - Funding Information:
This study was supported by National Institute of Nursing Research (NR016484, K23NR018487), National Institutes of Health/National Heart, Lung, and Blood Institute (T32 HL07953) University of Pennsylvania Junior Investigator Preliminary/Feasibility Grant, and National Institute of Nursing Research (P30 NR018093). We would like to thank all the participants’ for their participation. We also thank staff members at the Center for Human Phenomic Science Penn Presbyterian Medical Center for their support.
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 -