Skip to main content

The Use of a Tablet to Increase Older Adults’ Exercise Adherence

  • Conference paper
  • First Online:
Persuasive Technology (PERSUASIVE 2021)

Part of the book series: Lecture Notes in Computer Science ((LNISA,volume 12684))

Included in the following conference series:

Abstract

Sufficient physical activity can prolong the ability of older adults to live independently. Community-based exercise programs can be enhanced by regularly performing exercises at home. To support such a home-based exercise program, a blended intervention was developed that combined the use of a tablet application with a personal coach. The purpose of the current study was to explore to which extent tablet engagement predicted exercise adherence and physical activity. The results show that older adults (n = 133; M = 71 years of age) that participated 6 months in a randomized controlled trial, performed at average 12 home-based exercised per week and exercised on average 3 days per week, thereby meeting WHO guidelines. They used the tablet app on average 7 times per week. Multiple linear regressions revealed that the use of the app predicted the number of exercises that were performed and the number of exercise days. We conclude that engagement with a tablet can contribute to sustained exercise behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Walston, J., et al.: Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American geriatrics society/national institute on aging research conference on frailty in older adults. J. Am. Geriatr. Soc. 54(6), 991–1001 (2006). https://doi.org/10.1111/j.1532-5415.2006.00745.x

    Article  Google Scholar 

  2. de Vries, N.M., et al.: Effects of physical exercise therapy on mobility, physical functioning, physical activity and quality of life in community-dwelling older adults with impaired mobility, physical disability and/or multi-morbidity: a meta-analysis. Ageing Res. Rev. 11, 136–149 (2012). https://doi.org/10.1016/j.arr.2011.11.002

    Article  Google Scholar 

  3. Fried, L.P., et al.: Frailty in older adults: evidence for a phenotype. J. Gerontol. Ser. A Biol. Sci. Med. Sci. 56, M146–M157 (2001). https://doi.org/10.1093/gerona/56.3.M146

  4. Warburton, D.E.R., Nicol, C.W., Bredin, S.S.D.: Health benefits of physical activity: the evidence. Can. Med. Assoc. J. 174, 801–809 (2006). https://doi.org/10.1503/cmaj.051351

    Article  Google Scholar 

  5. Taylor, A.H., Cable, N.T., Faulkner, G., Hillsdon, M., Narici, M., Van Der Bij, A.K.: Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J. Sports Sci. 22(8), 703–725 (2004). https://doi.org/10.1080/02640410410001712421

    Article  Google Scholar 

  6. King, A.C.: Interventions to promote physical activity by older adults. J. Gerontol. Ser. A Biol. Sci. Med. Sci. 56(Supplement 2), 36–46 (2001). https://doi.org/10.1093/gerona/56.suppl_2.36

    Article  Google Scholar 

  7. King, A.C., Rejeski, W.J., Buchner, D.M.: Physical activity interventions targeting older adults: a critical review and recommendations. Am. J. Prev. Med. 15(6), 316–333 (1998). https://doi.org/10.1016/S0749-3797(98)00085-3

    Article  Google Scholar 

  8. Nelson, M.E., et al.: Physical activity and public health in older adults: recommendation from the American college of sports medicine and the American heart association. Med. Sci. Sports Exerc. 39, 1435–1445 (2007). https://doi.org/10.1249/mss.0b013e3180616aa2

    Article  Google Scholar 

  9. Chodzko-Zajko, W.J., et al.: Exercise and physical activity for older adults. Med. Sci. Sports Exerc. 41(7), 1510–1530 (2009). https://doi.org/10.1249/MSS.0b013e3181a0c95c

  10. Stiggelbout, M.: Once a week is not enough: effects of a widely implemented group based exercise programme for older adults; a randomised controlled trial. J. Epidemiol. Community Heal. 58, 83–88 (2004). https://doi.org/10.1136/jech.58.2.83

    Article  Google Scholar 

  11. World Health Organization: Global Recommendations on Physical Activity for Health (2010)

    Google Scholar 

  12. Schutzer, K.A.K.A., Graves, B.S.S.: Barriers and motivations to exercise in older adults. Prev. Med. (Baltim) 39, 1056–1061 (2004). https://doi.org/10.1016/j.ypmed.2004.04.003

    Article  Google Scholar 

  13. Muellmann, S., Forberger, S., Möllers, T., Bröring, E., Zeeb, H., Pischke, C.R.: Effectiveness of eHealth interventions for the promotion of physical activity in older adults: a systematic review. Prev. Med. (Baltim) 108, 93–110 (2018). https://doi.org/10.1016/J.YPMED.2017.12.026

    Article  Google Scholar 

  14. Müller, A.M., Khoo, S.: Non-face-to-face physical activity interventions in older adults: a systematic review. Int. J. Behav. Nutr. Phys. Act. 11, 35 (2014). https://doi.org/10.1186/1479-5868-11-35

    Article  Google Scholar 

  15. Yerrakalva, D., Yerrakalva, D., Hajna, S., Griffin, S.: Effects of mobile health app interventions on sedentary time, physical activity, and fitness in older adults: systematic review and meta-analysis. J. Med. Internet Res. 21(11), e14343 (2019). https://doi.org/10.2196/14343

  16. Kwan, R.Y.C., et al.: The effect of e-health interventions promoting physical activity in older people: A systematic review and meta-analysis. Eur. Rev. Aging Phys. Act. 17, 1–17 (2020). https://doi.org/10.1186/s11556-020-00239-5

    Article  Google Scholar 

  17. Stockwell, S., et al.: Digital behavior change interventions to promote physical activity and/or reduce sedentary behavior in older adults: a systematic review and meta-analysis, Exp. Gerontol. 120, 68–87 (2019). https://doi.org/10.1016/j.exger.2019.02.020

  18. Robbins, T.D., Lim Choi Keung, S.N., Arvanitis, T.N.: E-health for active ageing; a systematic review. Maturitas. 114, 34–40 (2018). https://doi.org/10.1016/j.maturitas.2018.05.008

  19. Elavsky, S., Knapova, L., Klocek, A., Smahel, D.: Mobile health interventions for physical activity, sedentary behavior, and sleep in adults aged 50 years and older: a systematic literature review. J. Aging Phys. Act. 27, 565–593 (2019). https://doi.org/10.1123/japa.2017-0410

    Article  Google Scholar 

  20. Mehra, S., et al.: Attitudes of older adults in a group-based exercise program toward a blended intervention; a focus-group study. Front. Psychol. 7, 1827 (2016). https://doi.org/10.3389/fpsyg.2016.01827

  21. Mehra, S., et al.: Supporting older adults in exercising with a tablet: a usability study. J. Med. Internet Res.21, e11598 (2019). https://doi.org/10.2196/11598

  22. Mehra, S., et al.: Translating behavior change principles into a blended exercise intervention for older adults: design study. JMIR Res. Protoc. 7, e117 (2018). https://doi.org/10.2196/resprot.9244

    Article  Google Scholar 

  23. van den Helder, J., et al.: A digitally supported home-based exercise training program and dietary protein intervention for community dwelling older adults: protocol of the cluster randomised controlled VITAMIN trial. BMC Geriatr. 18, 183 (2018). https://doi.org/10.1186/s12877-018-0863-7

    Article  Google Scholar 

  24. Helder, J., et al.: Blended home-based exercise and dietary protein in community-dwelling older adults: a cluster randomized controlled trial. J. Cachexia Sarcopenia Muscle. 11(6), 1590–1602 (2020). https://doi.org/10.1002/jcsm.12634. jcsm.12634

    Article  Google Scholar 

  25. Markland, D., Tobin, V.: A modification to the behavioural regulation in exercise questionnaire to include an assessment of a motivation. J. Sport Exerc. Psychol. 26, 191–196 (2004). https://doi.org/10.1123/jsep.26.2.191

    Article  Google Scholar 

  26. Ryan, R.M., Connell, J.P.: Perceived locus of causality and internalization: examining reasons for acting in two domains. J. Pers. Soc. Psychol. 57, 749–761 (1989). https://doi.org/10.1037/0022-3514.57.5.749

    Article  Google Scholar 

  27. Mehra, S., van den Helder, J., Visser, B., Engelbert, R.H.H., Weijs, P.J.M., Kröse, B.J.A.: Evaluation of a blended physical activity intervention for older adults: mixed methods study. J. Med. Internet Res. 22(7), e16380 (2020). https://doi.org/10.2196/16380

    Article  Google Scholar 

  28. Mehra, S., Helder, J. van den, Kröse, B.J.A., Engelbert, R.H.H., Weijs, P.J.M., Visser, B.: Predicting Exercise Adherence and Physical Activity in Older Adults Based on Tablet Engagement: A Post-hoc Study. (2021). arXiv:2101.10140 [cs.HC]

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sumit Mehra .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Mehra, S., van den Helder, J., Kröse, B.J.A., Engelbert, R.H.H., Weijs, P.J.M., Visser, B. (2021). The Use of a Tablet to Increase Older Adults’ Exercise Adherence. In: Ali, R., Lugrin, B., Charles, F. (eds) Persuasive Technology. PERSUASIVE 2021. Lecture Notes in Computer Science(), vol 12684. Springer, Cham. https://doi.org/10.1007/978-3-030-79460-6_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-79460-6_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-79459-0

  • Online ISBN: 978-3-030-79460-6

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics