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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Acceptability of a sitting reduction intervention for older adults with obesity

Authors: Theresa E. Matson, Anne D. Renz, Michelle L. Takemoto, Jennifer B. McClure, Dori E. Rosenberg

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Older adults spend more time sitting than any other age group, contributing to poor health outcomes. Effective behavioral interventions are needed to encourage less sitting among older adults, specifically those with obesity, but these programs must be acceptable to the target population. We explored participant acceptance of a theory-based and technology-enhanced sitting reduction intervention designed for older adults (I-STAND).

Methods

The 12-week I-STAND intervention consisted of 6 health coaching contacts, a study workbook, a Jawbone UP band to remind participants to take breaks from sitting, and feedback on sitting behaviors (generated from wearing an activPAL device for 7 days at the beginning and mid-point of the study). Semi-structured interviews were conducted with 22 participants after they completed the intervention. Interview transcripts were iteratively coded by a team, and thematic analysis was used to identify and refine emerging themes.

Results

Overall, participants were satisfied with the I-STAND intervention, thought the sedentary behavior goals of the intervention were easy to incorporate, and found the technologies to be helpful additions to (but not substitutes for) health coaching. Barriers to standing more included poor health, ingrained sedentary habits, lack of motivation to change sedentary behavior, and social norms that dictate when it is appropriate to sit/stand. Facilitators to standing more included increased awareness of sitting, a sense of accountability, daily activities that involved standing, social support, and changing ways of interacting in the home environment. Participants reported that the intervention improved physical health, increased energy, increased readiness to engage in physical activity, improved mood, and reduced stress.

Conclusions

The technology-enhanced sedentary behavior reduction intervention was acceptable, easy to incorporate, and had a positive perceived health impact on older adults with obesity.

Trial registration

The I-STAND study was registered at clinicaltrials.​gov (ID: NCT02692560) February 2016.
Appendix
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Literature
1.
Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP. Amount of time spent in sedentary behaviors in the United States, 2003-2004. Am J Epidemiol. 2008;167(7):875–81.CrossRefPubMedPubMedCentral
2.
3.
THI F, Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of Obesity among Older Adults in the United States, 2007–2010. In: NCHS Data Brief vol. 106. Hyattsville: National Center for Health Statistics; 2012.
4.
Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999-2008. JAMA. 2010;303(3):235–41.CrossRefPubMed
5.
Yates T, Wilmot EG, Davies MJ, Gorely T, Edwardson C, Biddle S, Khunti K. Sedentary behavior: what's in a definition? Am J Prev Med. 2011;40(6):e33–4. author reply e34CrossRefPubMed
6.
Dogra S, Stathokostas L. Sedentary behavior and physical activity are independent predictors of successful aging in middle-aged and older adults. J Aging Res. 2012;2012:190654.CrossRefPubMedPubMedCentral
7.
Hamilton MT, Healy GN, Dunstan DW, Zderic TW, Owen N. Too little exercise and too much sitting: inactivity physiology and the need for new recommendations on sedentary behavior. Curr Cardiovasc Risk Rep. 2008;2(4):292–8.CrossRefPubMedPubMedCentral
8.
Hamilton MT, Hamilton DG, Zderic TW. Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes. 2007;56(11):2655–67.CrossRefPubMed
9.
Booth FW, Chakravarthy MV. Cost and Consequences of Sedentary Living. New battleground for an old enemy. In: Research Digest vol 3: President's Council on Physical Fitness and Sports, vol. 2012. p. 8.
10.
Lewis LK, Rowlands AV, Gardiner PA, Standage M, English C, Olds T. Small steps. Preliminary effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults. Maturitas. 2016;85:64–70.CrossRefPubMed
11.
Rosenberg DE, Gell NM, Jones SM, Renz A, Kerr J, Gardiner PA, Arterburn D. The feasibility of reducing sitting time in overweight and obese older adults. Health Educ Behav. 2015;42(5):669–76.CrossRefPubMedPubMedCentral
12.
Kerr J, Takemoto M, Bolling K, Atkin A, Carlson J, Rosenberg D, Crist K, Godbole S, Lewars B, Pena C, et al. Two-arm randomized pilot intervention trial to decrease sitting time and increase sit-to-stand transitions in working and non-working older adults. PLoS One. 2016;11(1):e0145427.CrossRefPubMedPubMedCentral
13.
Gardiner PA, Eakin EG, Healy GN, Owen N. Feasibility of reducing older adults’ sedentary time. Am J Prev Med. 2011;41(2):174–7.CrossRefPubMed
14.
Fitzsimons CF, Kirk A, Baker G, Michie F, Kane C, Mutrie N. Using an individualised consultation and activPAL feedback to reduce sedentary time in older Scottish adults: results of a feasibility and pilot study. Prev Med. 2013;57(5):718–20.CrossRefPubMed
15.
Maher JP, Sliwinski MJ, Conroy DE. Feasibility and preliminary efficacy of an intervention to reduce older adults’ sedentary behavior. Transl Behav Med. 2017;7(1):52–61.CrossRefPubMed
16.
Chang AK, Fritschi C, Kim MJ. Sedentary behavior, physical activity, and psychological health of Korean older adults with hypertension: effect of an empowerment intervention. Res Gerontol Nurs. 2013;6(2):81–8.CrossRefPubMed
17.
Leask CF, Sandlund M, Skelton DA, Tulle E, Chastin SF. Modifying older adults’ daily sedentary behaviour using an asset-based solution: views from older adults. AIMS Public Health. 2016;3(3):542–54.CrossRefPubMedPubMedCentral
18.
Greenwood-Hickman MA, Renz A, Rosenberg DE. Motivators and barriers to reducing sedentary behavior among overweight and obese older adults. Gerontologist. 2016;56(4):660–8.CrossRefPubMed
19.
Chastin SF, Fitzpatrick N, Andrews M, DiCroce N. Determinants of sedentary behavior, motivation, barriers and strategies to reduce sitting time in older women: a qualitative investigation. Int J Environ Res Public Health. 2014;11(1):773–91.CrossRefPubMedPubMedCentral
20.
Lally P, Wardle J, Gardner B. Experiences of habit formation: a qualitative study. Psychol Health Med. 2011;16(4):484–9.CrossRefPubMed
21.
Bandura A. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs: Prentice-Hall; 1986.
22.
Sallis JF, Owen N, Fisher EB. Ecological models of health behavior. In: Glanz K, Rimmer BK, Vinswanath K, editors. Health Behavior and Health Education. 4th ed. San Fransisco: Josey-Bass; 2008. p. 465–85.
23.
Rosenberg DE, Lee AK, Anderson M, Renz A, Matson TE, Kerr J, Arterburn D, McClure JB. Reducing sedentary time for obese older adults: protocol for a randomized controlled trial. JMIR Res Protoc. 2018;7(2):e23.CrossRefPubMedPubMedCentral
24.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
25.
Lyons EJ, Swartz MC, Lewis ZH, Martinez E, Jennings K. Feasibility and acceptability of a wearable technology physical activity intervention with telephone counseling for mid-aged and older adults: a randomized controlled pilot trial. JMIR Mhealth Uhealth. 2017;5(3):e28.CrossRefPubMedPubMedCentral
26.
27.
28.
Bethancourt HJ, Rosenberg DE, Beatty T, Arterburn DE. Barriers to and facilitators of physical activity program use among older adults. Clin Med Res. 2014;12(1–2):10–20.CrossRefPubMedPubMedCentral
29.
Schutzer KA, Graves BS. Barriers and motivations to exercise in older adults. Prev Med. 2004;39(5):1056–61.CrossRefPubMed
30.
Healy GN, Eakin EG, Owen N, Lamontagne AD, Moodie M, Winkler EA, Fjeldsoe BS, Wiesner G, Willenberg L, Dunstan DW. A cluster randomized controlled trial to reduce office Workers’ sitting time: effect on activity outcomes. Med Sci Sports Exerc. 2016;48(9):1787–97.CrossRefPubMed
Metadata
Title
Acceptability of a sitting reduction intervention for older adults with obesity
Authors
Theresa E. Matson
Anne D. Renz
Michelle L. Takemoto
Jennifer B. McClure
Dori E. Rosenberg
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5616-1

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