ArticleJMIR mHealth and uHealth2020
Engagement, Acceptability, Usability, and Preliminary Efficacy of a Self-Monitoring Mobile Health Intervention to Reduce Sedentary Behavior in Belgian Older Adults: Mixed Methods Study.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04003324 (Users' Experiences and Preliminary Efficacy of a Self-monitoring Tool to Reduce Sedentary Behavior in Older Adults), which is not on this map. Cited by 19 papers, 4 of them syntheses that pooled 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.
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.
Users' Experiences and Preliminary Efficacy of a Self-monitoring Tool to Reduce Sedentary Behavior in Older Adults: a Mixed-methods Study
Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Using the Staircase Approach to increase movement: a systematic search and review to inform a novel sedentary behaviour intervention for older adults.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Pooled it
- Digital Health Interventions to Promote Physical Activity in Community-Dwelling Older Adults: A Systematic Review and Semiquantitative Analysis.International journal of public health · 2024Pooled it
- The Importance of Activating Factors in Physical Activity Interventions for Older Adults Using Information and Communication Technologies: Systematic Review.JMIR mHealth and uHealth · 2023Pooled it
- Mobile health applications for older adults: a systematic review of interface and persuasive feature design.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Smartphone-based educational and counseling interventions for women with high body mass index at Urmia's health centers.BMC women's health · 2024Trial
- Exploring Breaks in Sedentary Behavior of Older Adults Immediately After Receiving Personalized Haptic Feedback: Intervention Study.JMIR mHealth and uHealth · 2021Trial
- Understanding for whom, under which circumstances and how sedentary behaviour interventions for older adults work: a realist review.BMJ open · 2025Review
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- Theory-Based Social Media Intervention for Nonmedical Use of Prescription Opioids in Young Adults: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- CAREUP: An Integrated Care Platform with Intrinsic Capacity Monitoring and Prediction Capabilities.Sensors (Basel, Switzerland) · 2025Article
- Article
- Insights from older adults' lived experience of physical activity and exercise during the COVID-19 lockdown in England.Frontiers in sports and active living · 2024Article
- Effects of Mobile-Based Financial Incentive Interventions for Adults at Risk of Developing Hypertension: Feasibility Randomized Controlled Trial.JMIR formative research · 2023Article
- Digital Technologies for Health Promotion and Disease Prevention in Older People: Scoping Review.Journal of medical Internet research · 2023Article
- Older Adults' User Engagement With Mobile Health: A Systematic Review of Qualitative and Mixed-Methods Studies.Innovation in aging · 2023Review
- Usability evaluation of mHealth apps for elderly individuals: a scoping review.BMC medical informatics and decision making · 2022Article
- eHealth Platforms to Promote Autonomous Life and Active Aging: A Scoping Review.International journal of environmental research and public health · 2022Article
- Usability of Rapid Cholera Detection Device (OmniVis) for Water Quality Workers in Bangladesh: Iterative Convergent Mixed Methods Study.Journal of medical Internet research · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough healthy aging can be stimulated by the reduction of sedentary behavior, few interventions are available for older adults. Previous studies suggest that self-monitoring might be a promising behavior change technique to reduce older adults' sedentary behavior. However, little is known about older adults' experiences with a self-monitoring-based intervention aimed at the reduction of sedentary behavior.
objectiveThe aim of this study is to evaluate engagement, acceptability, usability, and preliminary efficacy of a self-monitoring-based mHealth intervention developed to reduce older adults' sedentary behavior.
methodsA mixed methods study was performed among 28 community-dwelling older adults living in Flanders, Belgium. The 3-week intervention consisted of general sedentary behavior information as well as visual and tactile feedback on participants' sedentary behavior. Semistructured interviews were conducted to explore engagement with, and acceptability and usability of, the intervention. Sitting time was measured using the thigh-worn activPAL (PAL Technologies) accelerometer before and after the intervention. System usage data of the app were recorded. Quantitative data were analyzed using descriptive statistics and paired-samples t tests; qualitative data were thematically analyzed and presented using pen profiles.
resultsParticipants mainly reported positive feelings regarding the intervention, referring to it as motivating, surprising, and interesting. They commonly reported that the intervention changed their thinking (ie, they became more aware of their sedentary behavior) but not their actual behavior. There were mixed opinions on the kind of feedback (ie, tactile vs visual) that they preferred. The intervention was considered easy to use, and the design was described as clear. Some problems were noticed regarding attaching and wearing the self-monitoring device. System usage data showed that the median frequency of consulting the app widely differed among participants, ranging from 0 to 20 times a day. No significant reductions were found in objectively measured sitting time.
conclusionsAlthough the intervention was well perceived by the majority of older adults, no reductions in sitting time were found. Possible explanations for the lack of reductions might be the short intervention duration or the fact that only bringing the habitual sedentary behavior into conscious awareness might not be sufficient to achieve behavior change.
trial registrationClinicalTrials.gov NCT04003324; https://tinyurl.com/y2p4g8hx.
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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.