Eisenhauer Christine M, Hageman Patricia A, Rowland Sheri, Becker Betsy J, Barnason Susan A, Pullen Carol H
College of Nursing, University of Nebraska Medical Center, Norfolk, Nebraska.
College of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.
Public Health Nurs. 2017 Mar;34(2):138-146. doi: 10.1111/phn.12297. Epub 2016 Oct 18.
To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth).
Men in this 3-week pilot study used FitBit One to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1-3 times daily. A purposive sample of 12 rural men (ages 40-67) was recruited by community leaders.
(1) baseline heart rate, blood pressure, and BMI, (2) FitBit One usage, (3) investigator-generated surveys on acceptability of mHealth, and (4) focus group on experience with mHealth.
Men were overweight (n = 3) or obese (n = 9) and 9 of 12 were hypertensive. Nine of twelve wore FitBit One all 21 days. Eleven of 12 men logged food, with 9 of 12 doing this at least 15 of 21 days. Self-monitoring and daily text messaging increased awareness of energy intake and output. Companion app's food log needed targeting for rural foods. Rotating seasons (occupational, religious, recreational) and weak cellular signals created contextual barriers to self-monitoring eating and activity.
FitBit One and text messaging were perceived as useful among the rural men, while the companion apps require adaptation to reflect dietary norms.
研究农村男性对移动和无线设备用于自我监测饮食和身体活动（移动健康）的使用情况及看法。
在这项为期3周的试点研究中，男性使用FitBit One记录每日食物摄入量并监测活动。一款配套应用程序允许对其他参与者的活动进行监测。每天接收1 - 3次与健康相关的短信。由社区领袖招募了12名农村男性（年龄在40 - 67岁之间）作为有目的的样本。
（1）基线心率、血压和体重指数，（2）FitBit One的使用情况，（3）研究者编制的关于移动健康可接受性的调查问卷，以及（4）关于移动健康体验的焦点小组。
男性超重（n = 3）或肥胖（n = 9），12人中有9人患有高血压。12人中有9人在全部21天内都佩戴了FitBit One。12人中有11人记录了食物摄入情况，12人中有9人在21天中的至少15天做到了这一点。自我监测和每日短信增加了对能量摄入和输出的认识。配套应用程序的食物日志需要针对农村食物进行调整。季节轮换（职业、宗教、娱乐方面）以及微弱的手机信号给饮食和活动的自我监测造成了背景障碍。
FitBit One和短信在农村男性中被认为是有用的，而配套应用程序需要进行调整以反映饮食规范。
