Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial

Frontiers in Digital Health

Chris Todd¹  Fan B. Yang²  Anna Zacchi⁴  Brenda Gannon⁵  Clemens Becker⁶  Michael Schwenk⁶  A. Stefanie Mikolaizak⁶  Lorenzo Chiari⁷  Sabato Mellone⁷  Ingvild Saltvedt⁸  Mirjam Pijnappels⁹  Jeanine van Ancum⁹  Andrea B. Maier^1,10  Beatrix Vereijken^1,11  Turid Follestad^1,11  Kristin Taraldsen^1,11  Jorunn L. Helbostad^1,11  Aniosora Paraschiv-Ionescu^1,12  Kamiar Aminian^1,12  Elisabeth Boulton^1,13 

[1] 0Manchester University NHS Foundation Trust, Manchester, United Kingdom;1Centre for Health Economics, University of York, York, United Kingdom;2Doxee s.p.a., Modena, Italy;3CINECA, Bologna, Italy;Centre for Business and Economics of Health, The University of Queensland, Brisbane, QLD, Australia;Department of Clinical Gerontology, Robert Bosch Krankenhaus, Stuttgart, Germany;Department of Electrical, Electronic and Information Engineering ≪Guglielmo Marconi≫, University of Bologna, Bologna, Italy;Department of Geriatrics, Clinic of Medicine, St Olavs hospital, University Hospital of Trondheim, Trondheim, Norway;Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands;Department of Medicine and Aged Care, @AgeMelbourne, The University of Melbourne, The Royal Melbourne Hospital, Melbourne, VIC, Australia;Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway;Laboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, Lausanne, Switzerland;School of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom;

关键词: physical activity;    muscle strength;    balance;    behavioral change;    mHealth;   

DOI  :  10.3389/fdgth.2020.00010

来源: DOAJ

【 摘 要 】

Background: Behavioral change is the key to alter individuals' lifestyle from sedentary to active. The aim was to assess the feasibility of delivering a Lifestyle-integrated Functional Exercise programme and evaluate the delivery of the intervention by use of digital technology (eLiFE) to prevent functional decline in 61–70 year-old adults.Methods: This multicentre, feasibility randomized controlled trial was run in three countries (Norway, Germany, and the Netherlands). Out of 7,500 potential participants, 926 seniors (12%) were screened and 180 participants randomized to eLiFE (n = 61), aLiFE (n = 59), and control group (n = 60). eLiFE participants used an application on smartphones and smartwatches while aLiFE participants used traditional paper-based versions of the same lifestyle-integrated exercise intervention. Participants were followed for 12 months, with assessments at baseline, after a 6 month active trainer-supported intervention, and after a further 6 months of unsupervised continuation of the programme.Results: At 6 months, 87% of participants completed post-test, and 77% completed the final assessment at 12 months. Participants were willing to be part of the programme, with compliance and reported adherence relatively high. Despite small errors during start-up in the technological component, intervention delivery by use of technology appeared acceptable. No serious adverse events were related to the interventions. All groups improved regarding clinical outcomes over time, and complexity metrics show potential as outcome measure in young seniors.Conclusion: This feasibility RCT provides evidence that an ICT-based lifestyle-integrated exercise intervention, focusing on behavioral change, is feasible and safe for young seniors.Clinical Trial Registration:ClinicalTrials.gov, identifier: NCT03065088. Registered on 14 February 2017.

【 授权许可】

Unknown