Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults
Abstract Background Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older adults. Therefore, this study aimed to examine the engagement, acceptability, usability, and satisfaction with ‘A...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12966-023-01406-4 |
| _version_ | 1797863531663589376 |
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| author | Stephanie J. Alley Stephanie Schoeppe Quyen G. To Lynne Parkinson Jannique van Uffelen Susan Hunt Mitch J. Duncan Anthony Schneiders Corneel Vandelanotte |
| author_facet | Stephanie J. Alley Stephanie Schoeppe Quyen G. To Lynne Parkinson Jannique van Uffelen Susan Hunt Mitch J. Duncan Anthony Schneiders Corneel Vandelanotte |
| author_sort | Stephanie J. Alley |
| collection | DOAJ |
| description | Abstract Background Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older adults. Therefore, this study aimed to examine the engagement, acceptability, usability, and satisfaction with ‘Active for Life,’ a web-based physical activity intervention providing computer-tailored physical activity advice to older adults. Methods Inactive older adults (n = 243) were randomly assigned into 3 groups: 1) tailoring + Fitbit, 2) tailoring only, or 3) a wait-list control. The tailoring + Fitbit group and the tailoring-only group received 6 modules of computer-tailored physical activity advice over 12 weeks. The advice was informed by objective Fitbit data in the tailoring + Fitbit group and self-reported physical activity in the tailoring-only group. This study examined the engagement, acceptability, usability, and satisfaction of Active for Life in intervention participants (tailoring + Fitbit n = 78, tailoring only n = 96). Wait-list participants were not included. Engagement (Module completion, time on site) were objectively recorded through the intervention website. Acceptability (7-point Likert scale), usability (System Usability Scale), and satisfaction (open-ended questions) were assessed using an online survey at post intervention. ANOVA and Chi square analyses were conducted to compare outcomes between intervention groups and content analysis was used to analyse program satisfaction. Results At post-intervention (week 12), study attrition was 28% (22/78) in the Fitbit + tailoring group and 39% (37/96) in the tailoring-only group. Engagement and acceptability were good in both groups, however there were no group differences (module completions: tailoring + Fitbit: 4.72 ± 2.04, Tailoring-only: 4.23 ± 2.25 out of 6 modules, p = .14, time on site: tailoring + Fitbit: 103.46 ± 70.63, Tailoring-only: 96.90 ± 76.37 min in total, p = .56, and acceptability of the advice: tailoring + Fitbit: 5.62 ± 0.89, Tailoring-only: 5.75 ± 0.75 out of 7, p = .41). Intervention usability was modest but significantly higher in the tailoring + Fitbit group (tailoring + Fitbit: 64.55 ± 13.59, Tailoring-only: 57.04 ± 2.58 out of 100, p = .003). Participants reported that Active for Life helped motivate them, held them accountable, improved their awareness of how active they were and helped them to become more active. Conversely, many participants felt as though they would prefer personal contact, more detailed tailoring and more survey response options. Conclusions This study supports web-based physical activity interventions with computer-tailored advice and Fitbit integration as engaging and acceptable in older adults. Trial registration Australian and New Zealand Clinical Trials Registry: ACTRN12618000646246. Registered April 23 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374901 |
| first_indexed | 2024-04-09T22:36:59Z |
| format | Article |
| id | doaj.art-4e683127d8f44f1998d90efba2d7756c |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-04-09T22:36:59Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-4e683127d8f44f1998d90efba2d7756c2023-03-22T12:24:50ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682023-02-0120111710.1186/s12966-023-01406-4Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adultsStephanie J. Alley0Stephanie Schoeppe1Quyen G. To2Lynne Parkinson3Jannique van Uffelen4Susan Hunt5Mitch J. Duncan6Anthony Schneiders7Corneel Vandelanotte8Appleton Institute, School of Health, Medical and Applied Sciences, Central Queensland UniversityAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland UniversityAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland UniversitySchool of Medicine & Public Health, College of Health, Medicine, and Wellbeing, The University of NewcastleDepartment of Movement Sciences, KU LeuvenSchool of Nursing, Midwifery and Social Sciences, Central Queensland UniversitySchool of Medicine & Public Health, College of Health, Medicine, and Wellbeing, The University of NewcastleSchool of Health, Medical and Applied Sciences, Central Queensland UniversityAppleton Institute, School of Health, Medical and Applied Sciences, Central Queensland UniversityAbstract Background Preliminary evidence suggests that web-based physical activity interventions with tailored advice and Fitbit integration are effective and may be well suited to older adults. Therefore, this study aimed to examine the engagement, acceptability, usability, and satisfaction with ‘Active for Life,’ a web-based physical activity intervention providing computer-tailored physical activity advice to older adults. Methods Inactive older adults (n = 243) were randomly assigned into 3 groups: 1) tailoring + Fitbit, 2) tailoring only, or 3) a wait-list control. The tailoring + Fitbit group and the tailoring-only group received 6 modules of computer-tailored physical activity advice over 12 weeks. The advice was informed by objective Fitbit data in the tailoring + Fitbit group and self-reported physical activity in the tailoring-only group. This study examined the engagement, acceptability, usability, and satisfaction of Active for Life in intervention participants (tailoring + Fitbit n = 78, tailoring only n = 96). Wait-list participants were not included. Engagement (Module completion, time on site) were objectively recorded through the intervention website. Acceptability (7-point Likert scale), usability (System Usability Scale), and satisfaction (open-ended questions) were assessed using an online survey at post intervention. ANOVA and Chi square analyses were conducted to compare outcomes between intervention groups and content analysis was used to analyse program satisfaction. Results At post-intervention (week 12), study attrition was 28% (22/78) in the Fitbit + tailoring group and 39% (37/96) in the tailoring-only group. Engagement and acceptability were good in both groups, however there were no group differences (module completions: tailoring + Fitbit: 4.72 ± 2.04, Tailoring-only: 4.23 ± 2.25 out of 6 modules, p = .14, time on site: tailoring + Fitbit: 103.46 ± 70.63, Tailoring-only: 96.90 ± 76.37 min in total, p = .56, and acceptability of the advice: tailoring + Fitbit: 5.62 ± 0.89, Tailoring-only: 5.75 ± 0.75 out of 7, p = .41). Intervention usability was modest but significantly higher in the tailoring + Fitbit group (tailoring + Fitbit: 64.55 ± 13.59, Tailoring-only: 57.04 ± 2.58 out of 100, p = .003). Participants reported that Active for Life helped motivate them, held them accountable, improved their awareness of how active they were and helped them to become more active. Conversely, many participants felt as though they would prefer personal contact, more detailed tailoring and more survey response options. Conclusions This study supports web-based physical activity interventions with computer-tailored advice and Fitbit integration as engaging and acceptable in older adults. Trial registration Australian and New Zealand Clinical Trials Registry: ACTRN12618000646246. Registered April 23 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=374901https://doi.org/10.1186/s12966-023-01406-4InternetOnlineActivity trackersActivity monitorsWearablesOlder adults |
| spellingShingle | Stephanie J. Alley Stephanie Schoeppe Quyen G. To Lynne Parkinson Jannique van Uffelen Susan Hunt Mitch J. Duncan Anthony Schneiders Corneel Vandelanotte Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults International Journal of Behavioral Nutrition and Physical Activity Internet Online Activity trackers Activity monitors Wearables Older adults |
| title | Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults |
| title_full | Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults |
| title_fullStr | Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults |
| title_full_unstemmed | Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults |
| title_short | Engagement, acceptability, usability and satisfaction with Active for Life, a computer-tailored web-based physical activity intervention using Fitbits in older adults |
| title_sort | engagement acceptability usability and satisfaction with active for life a computer tailored web based physical activity intervention using fitbits in older adults |
| topic | Internet Online Activity trackers Activity monitors Wearables Older adults |
| url | https://doi.org/10.1186/s12966-023-01406-4 |
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