Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial
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 preve...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-07-01
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| Series: | Frontiers in Digital Health |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fdgth.2020.00010/full |
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| author | Kristin Taraldsen A. Stefanie Mikolaizak Andrea B. Maier Andrea B. Maier Sabato Mellone Elisabeth Boulton Kamiar Aminian Clemens Becker Lorenzo Chiari Turid Follestad Brenda Gannon Aniosora Paraschiv-Ionescu Mirjam Pijnappels Ingvild Saltvedt Ingvild Saltvedt Michael Schwenk Chris Todd Chris Todd Fan B. Yang Anna Zacchi Anna Zacchi Jeanine van Ancum Beatrix Vereijken Jorunn L. Helbostad |
| author_facet | Kristin Taraldsen A. Stefanie Mikolaizak Andrea B. Maier Andrea B. Maier Sabato Mellone Elisabeth Boulton Kamiar Aminian Clemens Becker Lorenzo Chiari Turid Follestad Brenda Gannon Aniosora Paraschiv-Ionescu Mirjam Pijnappels Ingvild Saltvedt Ingvild Saltvedt Michael Schwenk Chris Todd Chris Todd Fan B. Yang Anna Zacchi Anna Zacchi Jeanine van Ancum Beatrix Vereijken Jorunn L. Helbostad |
| author_sort | Kristin Taraldsen |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T12:35:15Z |
| format | Article |
| id | doaj.art-c90ec27b851e4caf9fb96be978a1f544 |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-12-13T12:35:15Z |
| publishDate | 2020-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Digital Health |
| spelling | doaj.art-c90ec27b851e4caf9fb96be978a1f5442022-12-21T23:45:53ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2020-07-01210.3389/fdgth.2020.00010563688Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled TrialKristin Taraldsen0A. Stefanie Mikolaizak1Andrea B. Maier2Andrea B. Maier3Sabato Mellone4Elisabeth Boulton5Kamiar Aminian6Clemens Becker7Lorenzo Chiari8Turid Follestad9Brenda Gannon10Aniosora Paraschiv-Ionescu11Mirjam Pijnappels12Ingvild Saltvedt13Ingvild Saltvedt14Michael Schwenk15Chris Todd16Chris Todd17Fan B. Yang18Anna Zacchi19Anna Zacchi20Jeanine van Ancum21Beatrix Vereijken22Jorunn L. Helbostad23Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayDepartment of Clinical Gerontology, Robert Bosch Krankenhaus, Stuttgart, GermanyDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Medicine and Aged Care, @AgeMelbourne, The University of Melbourne, The Royal Melbourne Hospital, Melbourne, VIC, AustraliaDepartment of Electrical, Electronic and Information Engineering ≪Guglielmo Marconi≫, University of Bologna, Bologna, ItalySchool of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United KingdomLaboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, Lausanne, SwitzerlandDepartment of Clinical Gerontology, Robert Bosch Krankenhaus, Stuttgart, GermanyDepartment of Electrical, Electronic and Information Engineering ≪Guglielmo Marconi≫, University of Bologna, Bologna, ItalyDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayCentre for Business and Economics of Health, The University of Queensland, Brisbane, QLD, AustraliaLaboratory of Movement Analysis and Measurement, Ecole Polytechnique Federale de Lausanne, Lausanne, SwitzerlandDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayDepartment of Geriatrics, Clinic of Medicine, St Olavs hospital, University Hospital of Trondheim, Trondheim, NorwayDepartment of Clinical Gerontology, Robert Bosch Krankenhaus, Stuttgart, GermanySchool of Health Sciences, Manchester Academic Health Science Centre, The University of Manchester, Manchester, United Kingdom0Manchester University NHS Foundation Trust, Manchester, United Kingdom1Centre for Health Economics, University of York, York, United Kingdom2Doxee s.p.a., Modena, Italy3CINECA, Bologna, ItalyDepartment of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology (NTNU), Trondheim, NorwayBackground: 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.https://www.frontiersin.org/article/10.3389/fdgth.2020.00010/fullphysical activitymuscle strengthbalancebehavioral changemHealth |
| spellingShingle | Kristin Taraldsen A. Stefanie Mikolaizak Andrea B. Maier Andrea B. Maier Sabato Mellone Elisabeth Boulton Kamiar Aminian Clemens Becker Lorenzo Chiari Turid Follestad Brenda Gannon Aniosora Paraschiv-Ionescu Mirjam Pijnappels Ingvild Saltvedt Ingvild Saltvedt Michael Schwenk Chris Todd Chris Todd Fan B. Yang Anna Zacchi Anna Zacchi Jeanine van Ancum Beatrix Vereijken Jorunn L. Helbostad Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial Frontiers in Digital Health physical activity muscle strength balance behavioral change mHealth |
| title | Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial |
| title_full | Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial |
| title_fullStr | Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial |
| title_full_unstemmed | Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial |
| title_short | Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors—The PreventIT Feasibility Randomized Controlled Trial |
| title_sort | digital technology to deliver a lifestyle integrated exercise intervention in young seniors the preventit feasibility randomized controlled trial |
| topic | physical activity muscle strength balance behavioral change mHealth |
| url | https://www.frontiersin.org/article/10.3389/fdgth.2020.00010/full |
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