Technology for Behavioral Change in Rural Older Adults with Obesity.

Q3 Medicine

Journal of Nutrition in Gerontology and Geriatrics Pub Date : 2019-04-01 Epub Date: 2019-04-11 DOI:10.1080/21551197.2019.1600097

John A Batsis, John A Naslund, Alexandra B Zagaria, David Kotz, Rachel Dokko, Stephen J Bartels, Elizabeth Carpenter-Song

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引用次数: 0

Abstract

Background: Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population.

Methods: We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting. We developed codes informed by thematic analysis and assessed the quantitative data using descriptive statistics.

Results: All groups expressed that mHealth could improve health behaviors. Older adults were optimistic that mHealth could track health. Participants believed they could improve patient insight into health, motivating change and assuring accountability. Barriers to using technology were described, including infrastructure.

Conclusions: Older rural adults with obesity expressed excitement about the use of mHealth technologies to improve their health, yet barriers to implementation exist.

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农村老年人肥胖症行为改变技术。

背景：移动医疗（mHealth）技术是一种多学科治疗策略，为克服在农村地区成功实施健康促进干预措施所面临的挑战提供了潜在的解决方案。我们评估了在高风险人群中使用该技术的潜力：我们采用半结构式访谈、焦点小组和自我报告问卷等方法，对农村地区的 29 名老年人、4 名社区领袖和 7 名临床医生进行了有目的的抽样调查，开展了一项趋同、平行的混合方法研究。我们根据主题分析编制了代码，并使用描述性统计对定量数据进行了评估：所有小组都表示移动医疗可以改善健康行为。老年人对移动医疗可以跟踪健康状况持乐观态度。参与者认为它们可以提高患者对健康的洞察力，促进改变并确保问责制。与会者描述了使用技术的障碍，包括基础设施：患有肥胖症的农村老年人对使用移动医疗技术改善健康状况表示兴奋，但在实施过程中仍存在障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Nutrition in Gerontology and Geriatrics Nursing-Nutrition and Dietetics

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： The Journal of Nutrition in Gerontology and Geriatrics publishes original research studies that are directly relevant to clinical and community nutrition issues that affect older adults. Epidemiologic and community-based studies are suitable for JNE, as are well-controlled clinical trials of preventive and therapeutic nutritional interventions. The Journal of Nutrition in Gerontology and Geriatrics invites papers on a broad array of topics in the nutrition and aging field, including but not limited to studies of: preventive nutrition, nutritional interventions for chronic disease, aging effects on nutritional requirements, nutritional status and dietary intake behaviors, nutritional frailty and functional status, usefulness of supplements, programmatic interventions, transitions in care and long term care, and community nutrition issues.