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

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Datum

2020

Autor:innen

Taraldsen, Kristin
Mikolaizak, A. Stefanie
Maier, Andrea B.
Mellone, Sabato
Boulton, Elisabeth
Aminian, Kamiar
Becker, Clemens
Chiari, Lorenzo
Follestad, Turid
et al.

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Published

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Frontiers in Digital Health. Frontiers. 2020, 2, 10. eISSN 2673-253X. Available under: doi: 10.3389/fdgth.2020.00010

Zusammenfassung

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.

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Fachgebiet (DDC)
796 Sport

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physical activity, muscle strength, balance, behavioral change, mHealth

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ISO 690TARALDSEN, Kristin, A. Stefanie MIKOLAIZAK, Andrea B. MAIER, Sabato MELLONE, Elisabeth BOULTON, Kamiar AMINIAN, Clemens BECKER, Lorenzo CHIARI, Turid FOLLESTAD, Michael SCHWENK, 2020. Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors : The PreventIT Feasibility Randomized Controlled Trial. In: Frontiers in Digital Health. Frontiers. 2020, 2, 10. eISSN 2673-253X. Available under: doi: 10.3389/fdgth.2020.00010
BibTex
@article{Taraldsen2020-07-31Digit-69037,
  year={2020},
  doi={10.3389/fdgth.2020.00010},
  title={Digital Technology to Deliver a Lifestyle-Integrated Exercise Intervention in Young Seniors : The PreventIT Feasibility Randomized Controlled Trial},
  volume={2},
  journal={Frontiers in Digital Health},
  author={Taraldsen, Kristin and Mikolaizak, A. Stefanie and Maier, Andrea B. and Mellone, Sabato and Boulton, Elisabeth and Aminian, Kamiar and Becker, Clemens and Chiari, Lorenzo and Follestad, Turid and Schwenk, Michael},
  note={Article Number: 10}
}
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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: 
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Conclusion: 
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