INTEGRATING TECHNOLOGY INTO A WELLNESS MOTIVATION INTERVENTION: THEORY-BASED DESIGN

2.50
Hdl Handle:
http://hdl.handle.net/10755/211454
Type:
Research Study
Title:
INTEGRATING TECHNOLOGY INTO A WELLNESS MOTIVATION INTERVENTION: THEORY-BASED DESIGN
Abstract:
Purpose: To describe procedures for pilot testing an iPod-touch application delivering critical content in a theory-based Wellness Motivation Intervention (WMI) designed to promote motivation for physical activity among older adults at risk for falls.  iPod-touch applications have been used to track physical activity in older adults, however few interface with older adults from a theoretical perspective. Rationale: The growing number of falls and related injuries among older adults continues to have a negative impact on quality of life and health care cost.  Physical activity is a proven fall-preventive strategy, yet the majority of older adults have sedentary lifestyles.  Intervention research that integrates the biomechanical benefits of physical activity with behavioral change elements is needed to stem the devastating effects of falls.  The WMI is designed to enhance motivation for physical activity that reduces fall risk by targeting the social contextual resources and behavioral change processes central to fall-preventive physical activity. The WMI is delivered through critical content designed to promote awareness of social contextual resources, self-knowledge, motivation appraisal, and self-regulation.  The interactive capacity and feedback mechanisms of the iPod-touch application allow for real time delivery of theoretically relevant critical content.  The accelerometer sensor within the iPod-touch allows evaluation of physical activity behavior. Methods: A software application was developed as an interdisciplinary collaborative effort to: (a) accurately measure physical activity; and (b) deliver theoretically relevant critical content of the WMI.  Motivational content was developed for each of the critical areas and linked to behavior change techniques.  Nine adults aged 60-79 years constituted a panel of content experts for evaluating the: (a) clarity of motivational content; (b) internal consistency of  content within each motivational frame; (c) content validity; and (d) prototype usability and acceptability.  Four volunteers evaluated the iPod-touch over the course of seven days for real time acceptability and accuracy of the accelerometer function. Results: The expert panel found the iPod-touch to be usable and acceptable. The majority (66.7 %) indicated that abstract, aesthetic, and positive images were easy to understand and the most appealing. The motivational content was clearly worded. Content within each motivational frame was internally consistent. Ten of twelve motivational statements had acceptable content validity; one item was revised and another developed based on panel recommendations. Implications: The high cost of falls among older adults and sedentary lifestyle makes interventions designed to promote motivation for physical activity essential.  Theory guided iPod-touch applications may be a promising adjunct to promoting motivation for physical activity in older adults.  Pilot testing of an iPod-touch application based in the wellness motivation theory supports application clarity, internal consistency, content validity, prototype accuracy and acceptability.
Keywords:
Older Adults; Fall prevention; Wellness Motivation Intervention; iPod-touch
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
5132
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleINTEGRATING TECHNOLOGY INTO A WELLNESS MOTIVATION INTERVENTION: THEORY-BASED DESIGNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211454-
dc.description.abstractPurpose: To describe procedures for pilot testing an iPod-touch application delivering critical content in a theory-based Wellness Motivation Intervention (WMI) designed to promote motivation for physical activity among older adults at risk for falls.  iPod-touch applications have been used to track physical activity in older adults, however few interface with older adults from a theoretical perspective. Rationale: The growing number of falls and related injuries among older adults continues to have a negative impact on quality of life and health care cost.  Physical activity is a proven fall-preventive strategy, yet the majority of older adults have sedentary lifestyles.  Intervention research that integrates the biomechanical benefits of physical activity with behavioral change elements is needed to stem the devastating effects of falls.  The WMI is designed to enhance motivation for physical activity that reduces fall risk by targeting the social contextual resources and behavioral change processes central to fall-preventive physical activity. The WMI is delivered through critical content designed to promote awareness of social contextual resources, self-knowledge, motivation appraisal, and self-regulation.  The interactive capacity and feedback mechanisms of the iPod-touch application allow for real time delivery of theoretically relevant critical content.  The accelerometer sensor within the iPod-touch allows evaluation of physical activity behavior. Methods: A software application was developed as an interdisciplinary collaborative effort to: (a) accurately measure physical activity; and (b) deliver theoretically relevant critical content of the WMI.  Motivational content was developed for each of the critical areas and linked to behavior change techniques.  Nine adults aged 60-79 years constituted a panel of content experts for evaluating the: (a) clarity of motivational content; (b) internal consistency of  content within each motivational frame; (c) content validity; and (d) prototype usability and acceptability.  Four volunteers evaluated the iPod-touch over the course of seven days for real time acceptability and accuracy of the accelerometer function. Results: The expert panel found the iPod-touch to be usable and acceptable. The majority (66.7 %) indicated that abstract, aesthetic, and positive images were easy to understand and the most appealing. The motivational content was clearly worded. Content within each motivational frame was internally consistent. Ten of twelve motivational statements had acceptable content validity; one item was revised and another developed based on panel recommendations. Implications: The high cost of falls among older adults and sedentary lifestyle makes interventions designed to promote motivation for physical activity essential.  Theory guided iPod-touch applications may be a promising adjunct to promoting motivation for physical activity in older adults.  Pilot testing of an iPod-touch application based in the wellness motivation theory supports application clarity, internal consistency, content validity, prototype accuracy and acceptability.en_GB
dc.subjectOlder Adultsen_GB
dc.subjectFall preventionen_GB
dc.subjectWellness Motivation Interventionen_GB
dc.subjectiPod-touchen_GB
dc.date.available2012-02-20T11:56:02Z-
dc.date.issued2012-02-20T11:56:02Z-
dc.date.accessioned2012-02-20T11:56:02Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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