Evidence map›Paper›PMID 30971189›Full record

ArticleJournal of nutrition in gerontology and geriatrics

Technology for Behavioral Change in Rural Older Adults with Obesity.

John A Batsis, John A Naslund, Alexandra B Zagaria, David Kotz, Rachel Dokko, Stephen J Bartels, Elizabeth Carpenter-Song

Registry-linked trialAbstract read
In one paragraph

Article in Journal of nutrition in gerontology and geriatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03041831 (Mobile Health Obesity Wellness Intervention in Rural Older Adults), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03041831 completednot on this map

Mobile Health Obesity Wellness Intervention in Rural Older Adults (MOWI): Qualitative Assessment

TypeobservationalSponsorDartmouth-Hitchcock Medical CenterRan2016 to 2020Enrolled40ConditionsObesity
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Weight status underestimation and weight management goals among adults in the rural South of the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
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  7. Article
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  10. Adapting natural language processing and sentiment analysis methods for an intervention in older adults: Positive perceptions of health and technology.Gerontechnology : international journal on the fundamental aspects of technology to serve the ageing society · 2023
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  11. Review
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  13. Observational
  14. The Use and Meaning of the Term Obesity in Rural Older Adults: A Qualitative Study.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2021
    Article
  15. Article
  16. A Weight Loss Intervention Augmented by a Wearable Device in Rural Older Adults With Obesity: A Feasibility Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021
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  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John A Batsisa Section of General Internal Medicine , Dartmouth-Hitchcock Medical Center , Lebanon , NH , USA.ORCID 0000-0002-0845-4416
John A Naslundb Geisel School of Medicine at Dartmouth , Hanover , NH , USA.
Alexandra B Zagariab Geisel School of Medicine at Dartmouth , Hanover , NH , USA.
David Kotzg Center for Technology and Behavioral Health , Dartmouth College , Hanover , NH , USA.
Rachel Dokkoi Department of Biology , Dartmouth College , Hanover NH , USA.
Stephen J Bartelsb Geisel School of Medicine at Dartmouth , Hanover , NH , USA.
Elizabeth Carpenter-Songb Geisel School of Medicine at Dartmouth , Hanover , NH , USA.

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Training Geriatric Mental Health Services ResearchersT32MH073553 · NIMH · DARTMOUTH-HITCHCOCK CLINIC · PI BRUCE, MARTHA L · 2005 to 2019
$6.4M
Health Promotion and Fitness for Younger and Older Adults With SMIR01MH078052 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2007 to 2012
$3.5M
Statewide Intervention to Reduce Early Mortality in Persons with Mental IllnessR01MH089811 · NIMH · DARTMOUTH COLLEGE · PI BARTELS, STEPHEN J · 2010 to 2014
$2.7M
Mobile Health Obesity Wellness Intervention in Rural Older Adults_Res1K23AG051681 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BATSIS, JOHN A. · 2016 to 2022
$1.1M
ACL HHS U48DP005018NCCDPHP CDC HHS U48 DP005018NIA NIH HHS K23 AG051681NIDA NIH HHS P30 DA029926NIMH NIH HHS R01 MH078052NIMH NIH HHS R01 MH089811NIMH NIH HHS T32 MH073553
6 · The paper itself

Abstract

backgroundMobile 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.

methodsWe 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.

resultsAll 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.

conclusionsOlder rural adults with obesity expressed excitement about the use of mHealth technologies to improve their health, yet barriers to implementation exist.

Indexed as

Health BehaviorRural PopulationAdultAgedFemaleFocus GroupsHealth Services AccessibilityHumansMaleMiddle AgedObesityQualitative ResearchSurveys and QuestionnairesTelemedicineAgingmixed-methodsqualitativetechnology

Identifiers

PMID30971189
PMCPMC6999857

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.