View in EDS HTML Full Text PDF Full Text

Feasibility Test of Personalized (N-of-1) Trials for Increasing Middle-Aged and Older Adults' Physical Activity.

Saved in:
Bibliographic Details
Title: Feasibility Test of Personalized (N-of-1) Trials for Increasing Middle-Aged and Older Adults' Physical Activity.
Authors: Friel, Ciarán P., Goodwin, Ashley M., Robles, Patrick L., Butler, Mark J., Pahlevan-Ibrekic, Challace, Duer-Hefele, Joan, Vicari, Frank, Gordon, Samantha, Chandereng, Thevaa, Cheung, Ying Kuen, Suls, Jerry, Davidson, Karina W.
Source: International Journal of Behavioral Medicine. Jun2025, Vol. 32 Issue 3, p394-404. 11p.
Subjects: Mobile apps, Research funding, Smartphones, Medical care, Pilot projects, Exercise therapy, Statistical sampling, Consumer attitudes, Internet, Behavior, Treatment effectiveness, Randomized controlled trials, Wearable technology, Descriptive statistics, Gait in humans, Telemedicine, Walking, Pre-tests & post-tests, Health behavior, Individualized medicine, Data analysis software, Physical activity, Behavior therapy, Customer satisfaction
Geographic Terms: New York (State)
Abstract: Purpose: To test the effectiveness and feasibility of a remotely delivered intervention to increase physical activity (walking) in middle-aged and older adults. Design: This study used a personalized (N-of-1) trial design. Setting: This study took place at a major healthcare system from November 2021 to February 2022. Subjects: Sixty adults (45–75 years, 92% female, 80% white) were recruited. Intervention: A 10-week study comprising a 2-week baseline, followed by four 2-week periods where four behavior change techniques (BCTs) — self-monitoring, goal setting, action planning, and feedback — were delivered one at a time in random order. Measures: Activity was measured by a Fitbit, and intervention components delivered by email/text. Average daily steps were compared between baseline and intervention. Participants completed satisfaction items derived from the System Usability Scale and reported attitudes and opinions about personalized trials. Results: Participants rated personalized trial components as feasible and acceptable. Changes in steps between baseline and intervention were not significant, but a large heterogeneity of treatment effects existed, suggesting some participants significantly increased walking while others significantly decreased. Conclusions: Our intervention was well-accepted but use of BCTs delivered individually did not result in a significant increase in steps. Feasibility and heterogeneity of treatment effects support adopting a personalized trial approach to optimize intervention results. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 185648570
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Feasibility Test of Personalized (N-of-1) Trials for Increasing Middle-Aged and Older Adults' Physical Activity.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Friel%2C+Ciarán+P%2E%22">Friel, Ciarán P.</searchLink><br /><searchLink fieldCode="AR" term="%22Goodwin%2C+Ashley+M%2E%22">Goodwin, Ashley M.</searchLink><br /><searchLink fieldCode="AR" term="%22Robles%2C+Patrick+L%2E%22">Robles, Patrick L.</searchLink><br /><searchLink fieldCode="AR" term="%22Butler%2C+Mark+J%2E%22">Butler, Mark J.</searchLink><br /><searchLink fieldCode="AR" term="%22Pahlevan-Ibrekic%2C+Challace%22">Pahlevan-Ibrekic, Challace</searchLink><br /><searchLink fieldCode="AR" term="%22Duer-Hefele%2C+Joan%22">Duer-Hefele, Joan</searchLink><br /><searchLink fieldCode="AR" term="%22Vicari%2C+Frank%22">Vicari, Frank</searchLink><br /><searchLink fieldCode="AR" term="%22Gordon%2C+Samantha%22">Gordon, Samantha</searchLink><br /><searchLink fieldCode="AR" term="%22Chandereng%2C+Thevaa%22">Chandereng, Thevaa</searchLink><br /><searchLink fieldCode="AR" term="%22Cheung%2C+Ying+Kuen%22">Cheung, Ying Kuen</searchLink><br /><searchLink fieldCode="AR" term="%22Suls%2C+Jerry%22">Suls, Jerry</searchLink><br /><searchLink fieldCode="AR" term="%22Davidson%2C+Karina+W%2E%22">Davidson, Karina W.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Behavioral+Medicine%22">International Journal of Behavioral Medicine</searchLink>. Jun2025, Vol. 32 Issue 3, p394-404. 11p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Mobile+apps%22">Mobile apps</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Smartphones%22">Smartphones</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Pilot+projects%22">Pilot projects</searchLink><br /><searchLink fieldCode="DE" term="%22Exercise+therapy%22">Exercise therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Consumer+attitudes%22">Consumer attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Internet%22">Internet</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior%22">Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Wearable+technology%22">Wearable technology</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Gait+in+humans%22">Gait in humans</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Walking%22">Walking</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Individualized+medicine%22">Individualized medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+activity%22">Physical activity</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+therapy%22">Behavior therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Customer+satisfaction%22">Customer satisfaction</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22New+York+%28State%29%22">New York (State)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: To test the effectiveness and feasibility of a remotely delivered intervention to increase physical activity (walking) in middle-aged and older adults. Design: This study used a personalized (N-of-1) trial design. Setting: This study took place at a major healthcare system from November 2021 to February 2022. Subjects: Sixty adults (45–75 years, 92% female, 80% white) were recruited. Intervention: A 10-week study comprising a 2-week baseline, followed by four 2-week periods where four behavior change techniques (BCTs) — self-monitoring, goal setting, action planning, and feedback — were delivered one at a time in random order. Measures: Activity was measured by a Fitbit, and intervention components delivered by email/text. Average daily steps were compared between baseline and intervention. Participants completed satisfaction items derived from the System Usability Scale and reported attitudes and opinions about personalized trials. Results: Participants rated personalized trial components as feasible and acceptable. Changes in steps between baseline and intervention were not significant, but a large heterogeneity of treatment effects existed, suggesting some participants significantly increased walking while others significantly decreased. Conclusions: Our intervention was well-accepted but use of BCTs delivered individually did not result in a significant increase in steps. Feasibility and heterogeneity of treatment effects support adopting a personalized trial approach to optimize intervention results. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=185648570
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s12529-024-10319-w
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 394
    Subjects:
      – SubjectFull: Mobile apps
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Smartphones
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Pilot projects
        Type: general
      – SubjectFull: Exercise therapy
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Consumer attitudes
        Type: general
      – SubjectFull: Internet
        Type: general
      – SubjectFull: Behavior
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Wearable technology
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Gait in humans
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Walking
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Individualized medicine
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Physical activity
        Type: general
      – SubjectFull: Behavior therapy
        Type: general
      – SubjectFull: Customer satisfaction
        Type: general
      – SubjectFull: New York (State)
        Type: general
    Titles:
      – TitleFull: Feasibility Test of Personalized (N-of-1) Trials for Increasing Middle-Aged and Older Adults' Physical Activity.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Friel, Ciarán P.
      – PersonEntity:
          Name:
            NameFull: Goodwin, Ashley M.
      – PersonEntity:
          Name:
            NameFull: Robles, Patrick L.
      – PersonEntity:
          Name:
            NameFull: Butler, Mark J.
      – PersonEntity:
          Name:
            NameFull: Pahlevan-Ibrekic, Challace
      – PersonEntity:
          Name:
            NameFull: Duer-Hefele, Joan
      – PersonEntity:
          Name:
            NameFull: Vicari, Frank
      – PersonEntity:
          Name:
            NameFull: Gordon, Samantha
      – PersonEntity:
          Name:
            NameFull: Chandereng, Thevaa
      – PersonEntity:
          Name:
            NameFull: Cheung, Ying Kuen
      – PersonEntity:
          Name:
            NameFull: Suls, Jerry
      – PersonEntity:
          Name:
            NameFull: Davidson, Karina W.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
          Identifiers:
            – Type: issn-print
              Value: 10705503
          Numbering:
            – Type: volume
              Value: 32
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: International Journal of Behavioral Medicine
              Type: main
ResultId 1