农村肥胖老年人行为改变技术。
Technology for Behavioral Change in Rural Older Adults with Obesity.
作者信息
Batsis John A, Naslund John A, Zagaria Alexandra B, Kotz David, Dokko Rachel, Bartels Stephen J, Carpenter-Song Elizabeth
机构信息
a Section of General Internal Medicine , Dartmouth-Hitchcock Medical Center , Lebanon , NH , USA.
b Geisel School of Medicine at Dartmouth , Hanover , NH , USA.
出版信息
J Nutr Gerontol Geriatr. 2019 Apr-Jun;38(2):130-148. doi: 10.1080/21551197.2019.1600097. Epub 2019 Apr 11.
BACKGROUND
Mobile health (mHealth) technologies comprise a multidisciplinary treatment strategy providing potential solutions for overcoming challenges of successfully delivering health promotion interventions in rural areas. We evaluated the potential of using technology in a high-risk population.
METHODS
We conducted a convergent, parallel mixed-methods study using semi-structured interviews, focus groups, and self-reported questionnaires, using purposive sampling of 29 older adults, 4 community leaders and 7 clinicians in a rural setting. We developed codes informed by thematic analysis and assessed the quantitative data using descriptive statistics.
RESULTS
All groups expressed that mHealth could improve health behaviors. Older adults were optimistic that mHealth could track health. Participants believed they could improve patient insight into health, motivating change and assuring accountability. Barriers to using technology were described, including infrastructure.
CONCLUSIONS
Older rural adults with obesity expressed excitement about the use of mHealth technologies to improve their health, yet barriers to implementation exist.
背景
移动健康（mHealth）技术是一种多学科治疗策略，为克服在农村地区成功开展健康促进干预措施所面临的挑战提供了潜在解决方案。我们评估了在高危人群中使用技术的潜力。
方法
我们采用半结构化访谈、焦点小组和自我报告问卷进行了一项聚合性平行混合方法研究，在农村地区对29名老年人、4名社区领袖和7名临床医生进行了目的抽样。我们通过主题分析制定编码，并使用描述性统计评估定量数据。
结果
所有群体都表示移动健康可以改善健康行为。老年人对移动健康能够跟踪健康状况持乐观态度。参与者认为移动健康可以提高患者对健康的认识，激发改变并确保责任落实。研究描述了使用技术的障碍，包括基础设施方面的障碍。
结论
患有肥胖症的农村老年人对使用移动健康技术改善健康状况表示兴奋，但实施过程中存在障碍。
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