Increasing physical activity in older adults using STARFISH, an interactive smartphone application (app); a pilot study

Lorna Paul, Stephen Brewster, Sally Wyke, Angus K. McFadyen, Naveed Sattar, Jason M.R. Gill, Aleksandra Dybus, Cindy M. Gray

Research output: Contribution to journalArticle

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Abstract

Background: Increasing physical activity (PA) in older adults has preventative and therapeutic health benefits. We have developed STARFISH, a smartphone application, to increase PA. This paper describes the features of STARFISH, presents the views of older users on the acceptability and usability of the app and reports the results of a six week pilot study of the STARFISH app in older adults.

Methods: The operationalisation of the behaviour change techniques (BCTs) within the STARFISH app was mapped against Michie et al’s (2013) BCT Taxonomy. Sixteen healthy older adults (8 women and 8 men; age 71.1 ± 5.2 years) used the app, in groups of four, for six weeks. Focus groups explored the user experience and objective measure of steps per day recorded.

Results: Participants were very positive about using the STARFISH app, in particular the embedded BCTs of self-monitoring, feedback and social support (in the form of group rewards). Objective step data, available for 8 participants, showed that step counts increased by an average of 14% (p=0.077, d=0.56).

Conclusion: The STARFISH app was acceptable and straightforward to use for older adults. STARFISH has potential to increase PA in older adults, however a fully powered randomised control trial is required.
Original languageEnglish
Number of pages10
JournalJournal of Rehabilitation and Assistive Technologies Engineering
Volume4
Early online date5 Apr 2017
DOIs
Publication statusPublished - 2017

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Exercise
Insurance Benefits
Focus Groups
Reward
Social Support
Smartphone
Therapeutics

Keywords

  • physical activity
  • older adults
  • STARFISH
  • smartphone app
  • telehealth
  • patient behaviour monitoring devices
  • design requirements
  • assistive technology
  • ageing

Cite this

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title = "Increasing physical activity in older adults using STARFISH, an interactive smartphone application (app); a pilot study",
abstract = "Background: Increasing physical activity (PA) in older adults has preventative and therapeutic health benefits. We have developed STARFISH, a smartphone application, to increase PA. This paper describes the features of STARFISH, presents the views of older users on the acceptability and usability of the app and reports the results of a six week pilot study of the STARFISH app in older adults.Methods: The operationalisation of the behaviour change techniques (BCTs) within the STARFISH app was mapped against Michie et al’s (2013) BCT Taxonomy. Sixteen healthy older adults (8 women and 8 men; age 71.1 ± 5.2 years) used the app, in groups of four, for six weeks. Focus groups explored the user experience and objective measure of steps per day recorded.Results: Participants were very positive about using the STARFISH app, in particular the embedded BCTs of self-monitoring, feedback and social support (in the form of group rewards). Objective step data, available for 8 participants, showed that step counts increased by an average of 14{\%} (p=0.077, d=0.56). Conclusion: The STARFISH app was acceptable and straightforward to use for older adults. STARFISH has potential to increase PA in older adults, however a fully powered randomised control trial is required.",
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author = "Lorna Paul and Stephen Brewster and Sally Wyke and McFadyen, {Angus K.} and Naveed Sattar and Gill, {Jason M.R.} and Aleksandra Dybus and Gray, {Cindy M.}",
note = "Acceptance email: in SAN AAM: uploaded by author (Word); as article is OA (CC-BY-NC) uploaded VoR - ET Funding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Bupa Foundation (grant number TBF-PPW11-021F).",
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Increasing physical activity in older adults using STARFISH, an interactive smartphone application (app); a pilot study. / Paul, Lorna; Brewster, Stephen ; Wyke, Sally; McFadyen, Angus K.; Sattar, Naveed; Gill, Jason M.R.; Dybus, Aleksandra; Gray, Cindy M.

In: Journal of Rehabilitation and Assistive Technologies Engineering, Vol. 4, 2017.

Research output: Contribution to journalArticle

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T1 - Increasing physical activity in older adults using STARFISH, an interactive smartphone application (app); a pilot study

AU - Paul, Lorna

AU - Brewster, Stephen

AU - Wyke, Sally

AU - McFadyen, Angus K.

AU - Sattar, Naveed

AU - Gill, Jason M.R.

AU - Dybus, Aleksandra

AU - Gray, Cindy M.

N1 - Acceptance email: in SAN AAM: uploaded by author (Word); as article is OA (CC-BY-NC) uploaded VoR - ET Funding: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Bupa Foundation (grant number TBF-PPW11-021F).

PY - 2017

Y1 - 2017

N2 - Background: Increasing physical activity (PA) in older adults has preventative and therapeutic health benefits. We have developed STARFISH, a smartphone application, to increase PA. This paper describes the features of STARFISH, presents the views of older users on the acceptability and usability of the app and reports the results of a six week pilot study of the STARFISH app in older adults.Methods: The operationalisation of the behaviour change techniques (BCTs) within the STARFISH app was mapped against Michie et al’s (2013) BCT Taxonomy. Sixteen healthy older adults (8 women and 8 men; age 71.1 ± 5.2 years) used the app, in groups of four, for six weeks. Focus groups explored the user experience and objective measure of steps per day recorded.Results: Participants were very positive about using the STARFISH app, in particular the embedded BCTs of self-monitoring, feedback and social support (in the form of group rewards). Objective step data, available for 8 participants, showed that step counts increased by an average of 14% (p=0.077, d=0.56). Conclusion: The STARFISH app was acceptable and straightforward to use for older adults. STARFISH has potential to increase PA in older adults, however a fully powered randomised control trial is required.

AB - Background: Increasing physical activity (PA) in older adults has preventative and therapeutic health benefits. We have developed STARFISH, a smartphone application, to increase PA. This paper describes the features of STARFISH, presents the views of older users on the acceptability and usability of the app and reports the results of a six week pilot study of the STARFISH app in older adults.Methods: The operationalisation of the behaviour change techniques (BCTs) within the STARFISH app was mapped against Michie et al’s (2013) BCT Taxonomy. Sixteen healthy older adults (8 women and 8 men; age 71.1 ± 5.2 years) used the app, in groups of four, for six weeks. Focus groups explored the user experience and objective measure of steps per day recorded.Results: Participants were very positive about using the STARFISH app, in particular the embedded BCTs of self-monitoring, feedback and social support (in the form of group rewards). Objective step data, available for 8 participants, showed that step counts increased by an average of 14% (p=0.077, d=0.56). Conclusion: The STARFISH app was acceptable and straightforward to use for older adults. STARFISH has potential to increase PA in older adults, however a fully powered randomised control trial is required.

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KW - telehealth

KW - patient behaviour monitoring devices

KW - design requirements

KW - assistive technology

KW - ageing

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JO - Journal of Rehabilitation and Assistive Technologies Engineering

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