Feasibility and acceptability of a wearable technology physical activity intervention with telephone counseling for mid-aged and older adults: a randomized controlled pilot trial
Open accessAbstract
BACKGROUND: As adults age, their physical activity decreases and sedentary behavior increases, leading to increased risk of negative health outcomes. Wearable electronic activity monitors have shown promise for delivering effective behavior change techniques. However, little is known about the feasibility and acceptability of non-Fitbit wearables (Fitbit, Inc, San Francisco, California) combined with telephone counseling among adults aged more than 55 years. OBJECTIVE: The purpose of our study was to determine the feasibility, acceptability, and effect on physical activity of an intervention combining a wearable physical activity monitor, tablet device, and telephone counseling among adults aged 55-79 years. METHODS: Adults (N=40, aged 55-79 years, body mass index=25-35, <60 min of activity per week) were randomized to receive a 12-week intervention or to a wait list control. Intervention participants received a Jawbone Up24 monitor, a tablet with the Jawbone Up app installed, and brief weekly telephone counseling. Participants set daily and weekly step goals and used the monitor's idle alert to notify them when they were sedentary for more than 1 h. Interventionists provided brief counseling once per week by telephone. Feasibility was measured using observation and study records, and acceptability was measured by self-report using validated items. Physical activity and sedentary time were measured using ActivPAL monitors following standard protocols. Body composition was measured using dual-energy x-ray absorptiometry scans, and fitness was measured using a 6-min walk test. RESULTS: Participants were 61.48 years old (SD 5.60), 85% (34/40) female, 65% (26/40) white. Average activity monitor wear time was 81.85 (SD 3.73) of 90 days. Of the 20 Up24 monitors, 5 were reported broken and 1 lost. No related adverse events were reported. Acceptability items were rated at least 4 on a scale of 1-5. Effect sizes for most outcomes were small, including stepping time per day (d=0.35), steps per day (d=0.26), sitting time per day (d=0.21), body fat (d=0.17), and weight (d=0.33). CONCLUSIONS: The intervention was feasible and acceptable in this population. Effect sizes were similar to the sizes found using other wearable electronic activity monitors, indicating that when combined with telephone counseling, wearable activity monitors are a potentially effective tool for increasing physical activity and decreasing sedentary behavior. TRIAL REGISTRATION: Clinicaltrials.gov NCT01869348; https://clinicaltrials.gov/ct2/show/NCT01869348 (Archived by WebCite at http://www.webcitation.org/6odlIolqy).
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Less time was spent in sedentary behavior for those receiving a consumer-based wearable activity tracker intervention compared with control groups; however, the finding was not significant, and the quality of the evidence was graded as very low.
“Less time was spent in sedentary behavior for those receiving a consumer-based wearable activity tracker intervention compared with control groups; however, the finding was not significant, and the quality of the evidence was graded as very low [29,31-33,37-40].”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [40]
Split into 2 atoms — 1 confirmed, 0 partially supported, 0 disputed, 0 misattributed, 1 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured17 studies reported activity tracker adherence data, with 13 of these reporting activity tracker wear on at least 50% of the study intervention days.
“Moreover, 17 studies reported activity tracker adherence data [21,22,30,32,34,35, 37,38,40,41,43-45,50-52,54], with 13 of these studies [21,22,30,34,35,40,41,43,44,50-52,54] reporting activity tracker wear on at least 50% of the study intervention days.”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [40]
One other study utilized the idle alert feature of the consumer-based wearable activity tracker.
“One other study [40] utilized the idle alert feature of the consumer-based wearable activity tracker.”
From Consumer-based wearable activity trackers increase physical activity participation: systematic review and meta-analysis (2019) · cites this paper as [40]
Previous studies have reported a greater effect of longer interventions compared to shorter ones.
“Previous studies [39,40] have reported a greater effect of longer interventions compared to shorter ones [41].”
From Impact of a primary care-based mobile health intervention to ‘sit less and move more’ on HbA1c, blood pressure, and other clinical outcomes in office employees with type 2 diabetes: A randomized controlled trial (2025) · cites this paper as [40]
The Methods (Procedure; page unavailable) describe a 12-week intervention, and the Results report its effects at 12 weeks. Neither those passages nor the Discussion (Principal Findings; page unavailable) compares longer interventions with shorter ones. Searches for intervention duration and greater effects found no passage reporting the attributed comparison. (LLM, conf=0.75)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Self-efficacy: the exercise of control
(1997) · Choice Reviews Online · doi:10.5860/choice.35-1826 · Cited by 24,409 · see citing works
McAuley, E., Duncan, T., & Tammen, V. V. (1989) · Research Quarterly for Exercise and Sport · doi:10.1080/02701367.1989.10607413 · Cited by 2,694 · see citing works
Michie, S., Ashford, S., Sniehotta, F. F., Dombrowski, S. U., Bishop, A., & French, D. P. (2011) · Psychology & Health · doi:10.1080/08870446.2010.540664 · Cited by 1,756 · see citing works
How many steps/day are enough? For older adults and special populations
Tudor-Locke, C. E., Craig, C. L., Aoyagi, Y., Bell, R. C., Croteau, K. A., Bourdeaudhuij, I. D., Ewald, B. D., Gardner, A. W., Hatano, Y., Lutes, L. D., et al. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-80 · Cited by 1,080 · see citing works
Williams, S. L., & French, D. P. (2011) · Health Education Research · doi:10.1093/her/cyr005 · Cited by 690 · see citing works
Jakicic, J. M., Davis, K. K., Rogers, R. J., King, W. C., Marcus, M. D., Helsel, D., Rickman, A. D., Wahed, A. S., & Belle, S. H. (2016) · JAMA · doi:10.1001/jama.2016.12858 · Cited by 621 · see citing works
Hupin, D., Roche, F., Gremeaux, V., Chatard, J.-C., Oriol, M., Gaspoz, J.-M., Barthélémy, J.-C., & Edouard, P. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2014-094306 · Cited by 565 · see citing works
Lyons, E. J., Lewis, Z. H., Mayrsohn, B. G., & Rowland, J. L. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3469 · Cited by 547 · cited 8× · see citing works
“The BodyMedia monitor was substantially different from Fitbit and Jawbone in terms of behavior change techniques available in the app [15], which may partially explain this different result.”
InfluentialRandomized Trial of a Fitbit-Based Physical Activity Intervention for Women
Cadmus-Bertram, L. A., Marcus, B. H., Patterson, R. E., Parker, B. A., & Morey, B. L. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2015.01.020 · Cited by 469 · see citing works
Mercer, K., Giangregorio, L., Schneider, E., Chilana, P., Li, M., & Grindrod, K. (2016) · JMIR mHealth and uHealth · doi:10.2196/mhealth.4225 · Cited by 419 · see citing works
Ekelund, U., Ward, H. A., Norat, T., Luan, J., May, A. M., Weiderpass, E., Sharp, S. J., Overvad, K., Østergaard, J. N., Tjønneland, A., et al. (2015) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.114.100065 · Cited by 347 · cited 1× · see citing works
“Ample epidemiological evidence suggests that even small increases in physical activity among sedentary older adults can produce large health improvements [3,42].”
Association of sedentary time with mortality independent of moderate to vigorous physical activity
Koster, A., Caserotti, P., Patel, K. V., Matthews, C. E., Berrigan, D., Van Domelen, D. R., Brychta, R. J., Chen, K. Y., & Harris, T. B. (2012) · PLoS ONE · doi:10.1371/journal.pone.0037696 · Cited by 340 · see citing works
King, A. C., Hekler, E. B., Grieco, L. A., Winter, S. J., Sheats, J. L., Buman, M. P., Banerjee, B., Robinson, T. N., & Cirimele, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0062613 · Cited by 330 · see citing works
Wang, J. B., Cadmus-Bertram, L. A., Natarajan, L., White, M. M., Madanat, H., Nichols, J. F., Ayala, G. X., & Pierce, J. P. (2015) · Telemedicine and e-Health · doi:10.1089/tmj.2014.0176 · Cited by 308 · see citing works
A randomized controlled trial of an automated exercise coach for older adults
Bickmore, T. W., Silliman, R. A., Nelson, K., Cheng, D. M., Winter, M., Henault, L., & Paasche‐Orlow, M. K. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12449 · Cited by 305 · cited 2× · see citing works
“Following the procedures of Bickmore et al [34], we removed daily activity values less than the 5th percentile (0.”
InfluentialSedentary Behavior, Physical Activity, and Markers of Health in Older Adults
GENNUSO, K. P., GANGNON, R. E., MATTHEWS, C. E., THRAEN-BOROWSKI, K. M., & COLBERT, L. H. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318288a1e5 · Cited by 292 · see citing works
Recommendations to increase physical activity in communities
(2002) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(02)00433-6 · Cited by 291 · see citing works
Validity of Two Wearable Monitors to Estimate Breaks from Sedentary Time
Lyden, K. A., Keadle, S. K., STAUDENMAYER, J. W., & Freedson, P. S. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e318260c477 · Cited by 284 · see citing works
Hobbs, N., Godfrey, A., Lara, J., Errington, L., Meyer, T. D., Rochester, L., White, M. J., Mathers, J. C., & Sniehotta, F. F. (2013) · BMC Medicine · doi:10.1186/1741-7015-11-75 · Cited by 266 · see citing works
Using an electronic activity monitor system as an intervention modality: A systematic review
Lewis, Z. H., Lyons, E., Jarvis, J. M., & Baillargeon, J. (2015) · BMC Public Health · doi:10.1186/s12889-015-1947-3 · Cited by 183 · see citing works
Eliminating bias in randomized controlled trials: importance of allocation concealment and masking.
Viera, A. J., & Bangdiwala, S. I. (2007) · PubMed · Cited by 169 · see citing works
Liu, L., Shi, Y., Li, T., Qin, Q., Yin, J., Pang, S., Nie, S., & Wei, S. (2015) · British Journal of Sports Medicine · doi:10.1136/bjsports-2015-094728 · Cited by 159 · see citing works
Evaluation of Activity Monitors in Controlled and Free-Living Environments
FEITO, Y., BASSETT, D. R., & THOMPSON, D. L. (2012) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3182351913 · Cited by 159 · see citing works
Warburton, D. E. R., Gledhill, N., Jamnik, V. K., Bredin, S. S. D., McKenzie, D. C., Stone, J., Charlesworth, S., & Shephard, R. J. (2011) · Applied Physiology, Nutrition, and Metabolism · doi:10.1139/h11-062 · Cited by 156 · see citing works
McMahon, S., Lewis, B. A., Oakes, J. M., Guan, W., Wyman, J. F., & Rothman, A. J. (2016) · JMIR mhealth and uhealth · doi:10.2196/mhealth.5120 · Cited by 143 · see citing works
Vandelanotte, C. (2003) · Health Education Research · doi:10.1093/her/cyf027 · Cited by 132 · see citing works
The descriptive epidemiology of accelerometer-measured physical activity in older adults
Berkemeyer, K., Wijndaele, K., White, T., Cooper, A., Luben, R., Westgate, K. L., Griffin, S. J., Khaw, K., Wareham, N. J., & Brage, S. (2016) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-015-0316-z · Cited by 127 · see citing works
Shulver, W., Killington, M., Morris, C., & Crotty, M. (2016) · Health Expectations · doi:10.1111/hex.12443 · Cited by 101 · see citing works
Echouffo-Tcheugui, J. B., Butler, J., Yancy, C. W., & Fonarow, G. C. (2015) · Circulation: Heart Failure · doi:10.1161/circheartfailure.115.002070 · Cited by 64 · cited 1× · see citing works
“Increasing physical activity and decreasing sedentary behavior can reduce the risk of many negative health outcomes among older adults, including cardiovascular diseases, Type II diabetes, cancer, and all-cause mortality [1-4].”
Klenk, J., Dallmeier, D., Denkinger, M. D., Rapp, K., Koenig, W., Rothenbacher, D., & ActiFE Study Group (2016) · PLOS ONE · doi:10.1371/journal.pone.0153779 · Cited by 63 · see citing works
Hooker, S. P., Hutto, B., Zhu, W., Blair, S. N., Colabianchi, N., Vena, J. E., Rhodes, D., & Howard, V. J. (2015) · Journal of science and medicine in sport · doi:10.1016/j.jsams.2015.04.006 · Cited by 59 · see citing works
Acceptability and feasibility of an interactive computer-tailored fat intake intervention in Belgium
Vandelanotte, C. (2004) · Health Promotion International · doi:10.1093/heapro/dah408 · Cited by 57 · see citing works
Tikkanen, P., Nykänen, I., Lönnroos, E., Sipilä, S., Sulkava, R. O., & Hartikainen, S. A. (2012) · The Journals of Gerontology Series A · doi:10.1093/gerona/gls005 · Cited by 55 · see citing works
Bélanger‐Gravel, A., Godin, G., Vézina‐Im, L., Amireault, S., & Poirier, P. (2010) · Obesity Reviews · doi:10.1111/j.1467-789x.2010.00729.x · Cited by 53 · see citing works
Trajectories of Objectively Measured Physical Activity in Free-Living Older Men
Jefferis, B. J. M. H., Sartini, C., Ash, S., LENNON, L. T., Wannamethee, S. G., Lee, I.-M. M., & Whincup, P. H. (2014) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000000410 · Cited by 41 · see citing works
Cox-Martin, E., Basen-Engquist, K. M., Cox, M. G., Lyons, E., Carmack, C. L., Blalock, J. A., & Demark‐Wahnefried, W. (2016) · JMIR Cancer · doi:10.2196/cancer.5247 · Cited by 35 · see citing works
Huai, P., Han, H., Reilly, K. H., Guo, X., Zhang, J., & Xu, A. (2015) · Endocrine · doi:10.1007/s12020-015-0769-5 · Cited by 34 · see citing works
Kurti, A. N., Logan, H. L., Manini, T. M., & Dallery, J. (2014) · Telemedicine Journal and e-Health · doi:10.1089/tmj.2014.0034 · Cited by 24 · see citing works
A novel approach to the issue of physical inactivity in older age
Tiedemann, A., Hassett, L. M., & Sherrington, C. (2015) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2015.07.008 · Cited by 18 · see citing works
Watkins, I., & Xie, B. (2015) · Care management journals · doi:10.1891/1521-0987.16.1.2 · Cited by 12 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Brickwood, K.-J., Watson, G., O'Brien, J., & Williams, A. D. (2019) · JMIR mHealth and uHealth · doi:10.2196/11819 · Cited by 690 · see citing works
Gal, R., May, A. M., van Overmeeren, E. J., Simons, M., & Monninkhof, E. M. (2018) · Sports Medicine - Open · doi:10.1186/s40798-018-0157-9 · Cited by 257 · see citing works
Yerrakalva, D., Yerrakalva, D., Hajna, S., & Griffin, S. J. (2019) · Journal of Medical Internet Research · doi:10.2196/14343 · Cited by 276 · see citing works
Stockwell, S., Schofield, P., Fisher, A., Firth, J., Jackson, S. E., Stubbs, B., & Smith, L. (2019) · Experimental Gerontology · doi:10.1016/j.exger.2019.02.020 · Cited by 212 · see citing works
Chaudhry, U. A. R., Wahlich, C., Fortescue, R., Cook, D. G., Knightly, R., & Harris, T. (2020) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-020-01020-8 · Cited by 193 · see citing works
Compernolle, S., DeSmet, A., Poppe, L., Crombez, G., Bourdeaudhuij, I. D., Cardon, G., van der Ploeg, H. P., & Dyck, D. V. (2019) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-019-0824-3 · Cited by 189 · see citing works
Mönninghoff, A., Kramer, J.-N., Hess, A. J., Ismailova, K., Teepe, G. W., Car, L. T., Müller‐Riemenschneider, F., & Kowatsch, T. (2021) · Journal of Medical Internet Research · doi:10.2196/26699 · Cited by 187 · see citing works
Hadgraft, N. T., WINKLER, E. A. H., Climie, R. E., Grace, M. S., Romero, L., Owen, N. G., Dunstan, D. W., Healy, G. N., & Dempsey, P. C. (2020) · British Journal of Sports Medicine · doi:10.1136/bjsports-2019-101154 · Cited by 180 · see citing works
Puri, A., Kim, B. Y., Nguyen, O., Stolee, P., Tung, J. Y., & Lee, J. (2017) · JMIR mhealth and uhealth · doi:10.2196/mhealth.8211 · Cited by 167 · see citing works
Digital Technologies for Health Promotion and Disease Prevention in Older People: Scoping Review
Santis, K. K. D., Mergenthal, L., Christianson, L., Bußkamp, A., Vonstein, C., & Zeeb, H. (2023) · Journal of Medical Internet Research · doi:10.2196/43542 · Cited by 163 · see citing works
McGarrigle, L., & Todd, C. (2020) · Journal of Medical Internet Research · doi:10.2196/22201 · Cited by 154 · see citing works
Kwan, R. Y. C., Salihu, D., Lee, P. H., Tse, M. Y. M., Cheung, D. S. K., Roopsawang, I., & Choi, K. (2020) · European Review of Aging and Physical Activity · doi:10.1186/s11556-020-00239-5 · Cited by 133 · see citing works
Tang, M. S. S., Moore, K., McGavigan, A., Clark, R. A., & Ganesan, A. N. (2020) · JMIR mhealth and uhealth · doi:10.2196/15576 · Cited by 134 · see citing works
Ehn, M., Eriksson, L. C., Åkerberg, N., & Johansson, A. (2018) · JMIR mhealth and uhealth · doi:10.2196/mhealth.8345 · Cited by 123 · see citing works
Kirk, M., Amiri, M., Pirbaglou, M., & Ritvo, P. (2018) · American Journal of Health Promotion · doi:10.1177/0890117118816278 · Cited by 122 · see citing works
Interventions Using Wearable Physical Activity Trackers Among Adults With Cardiometabolic Conditions
Hodkinson, A., Kontopantelis, E., Adeniji, C., van Marwijk, H., McMillian, B., Bower, P., & Panagioti, M. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.16382 · Cited by 115 · see citing works
Nieste, I., Franssen, W. M. A., Spaas, J., Bruckers, L. M., Savelberg, H. H. C. M., & Eijnde, B. O. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106593 · Cited by 94 · see citing works
Interventions for reducing sedentary behaviour in community-dwelling older adults
CHASTIN, S. F. M., Gardiner, P. A., Harvey, J., Leask, C. F., Jerez‐Roig, J., Rosenberg, D. E., Ashe, M. C., Helbostad, J. L., & Skelton, D. A. (2021) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012784.pub2 · Cited by 91 · see citing works
Liu, J. Y. W., Kor, P. P. K., Chan, C. P.-Y., Kwan, R. Y. C., & Cheung, D. S. K. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104211 · Cited by 89 · see citing works
Wang, W., Cheng, J., Song, W., & Shen, Y. (2022) · JMIR mhealth and uhealth · doi:10.2196/32435 · Cited by 89 · see citing works
Yen, H., & Chiu, H. (2019) · Obesity Reviews · doi:10.1111/obr.12909 · Cited by 79 · see citing works
McDonough, D. J., Su, X., & Gao, Z. (2021) · British Journal of Sports Medicine · doi:10.1136/bjsports-2020-103594 · Cited by 79 · see citing works
Elavsky, S., Knapová, L., Klocek, A., & Šmahel, D. (2018) · Journal of Aging and Physical Activity · doi:10.1123/japa.2017-0410 · Cited by 80 · see citing works
Najm, A., Niculescu, A.-G., Grumezescu, A. M., & Beuran, M. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25084300 · Cited by 78 · see citing works
Jonkman, N. H., van Schooten, K. S., Maier, A. B., & Pijnappels, M. A. G. M. (2018) · Maturitas · doi:10.1016/j.maturitas.2018.04.010 · Cited by 77 · see citing works
Mair, J. L., Hayes, L. D., Campbell, A. K., Buchan, D. S., Easton, C., & Sculthorpe, N. F. (2022) · JMIR Formative Research · doi:10.2196/34662 · Cited by 75 · see citing works
Accuracy of wearable physical activity trackers in people with Parkinson’s disease
Lamont, R. M., Daniel, H. L., Payne, C. L., & Brauer, S. (2018) · Gait & Posture · doi:10.1016/j.gaitpost.2018.04.034 · Cited by 75 · see citing works
Wearables for Promoting Physical Activity
Strath, S. J., & Rowley, T. W. (2017) · Clinical Chemistry · doi:10.1373/clinchem.2017.272369 · Cited by 74 · see citing works
Wearable activity trackers for promoting physical activity: A systematic meta-analytic review
Li, C., Chen, X., & Bi, X. (2021) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2021.104487 · Cited by 73 · see citing works
The Promise of Artificial Intelligence in Supporting an Aging Population
Czaja, S. J., & Ceruso, M. (2022) · Journal of Cognitive Engineering and Decision Making · doi:10.1177/15553434221129914 · Cited by 82 · see citing works
A systematic review on the use of mHealth to increase physical activity in older people
Aslam, A. S., van Luenen, S., Aslam, S., van Bodegom, D., & Chavannes, N. H. (2020) · Clinical eHealth · doi:10.1016/j.ceh.2020.04.002 · Cited by 66 · see citing works
LI, L. C., Feehan, L. M., Xie, H., Lu, N., Shaw, C., Gromala, D., Zhu, S., Aviña-Zubieta, J. A., Hoens, A. M., Koehn, C. L., et al. (2020) · JMIR mhealth and uhealth · doi:10.2196/19116 · Cited by 69 · see citing works
Mackintosh, K. A., Chappel, S. E., Salmon, J., Timperio, A. F., Ball, K., Brown, H. L., Macfarlane, S., & Ridgers, N. D. (2019) · JMIR mhealth and uhealth · doi:10.2196/13858 · Cited by 69 · see citing works
Andersen, T. O., Langstrup, H., & Lomborg, S. (2020) · Journal of Medical Internet Research · doi:10.2196/15873 · Cited by 65 · see citing works
Paolillo, E. W., Lee, S. Y., VandeBunte, A. M., Djukic, N. A., Fonseca, C. S., Kramer, J. H., & Casaletto, K. B. (2022) · Frontiers in Digital Health · doi:10.3389/fdgth.2022.884208 · Cited by 64 · see citing works
Blair, C. K., Harding, E., Wiggins, C. L., Kang, H., Schwartz, M., Tarnower, A. C., Du, R., & Kinney, A. Y. (2021) · JMIR Cancer · doi:10.2196/18819 · Cited by 56 · see citing works
Müller, A. M., BLANDFORD, A. E., & Yardley, L. (2017) · mHealth · doi:10.21037/mhealth.2017.08.05 · Cited by 58 · see citing works
Yen, H. (2020) · Quality of Life Research · doi:10.1007/s11136-020-02680-6 · Cited by 57 · see citing works
Sanders, G. J., Boddy, L. M., Sparks, S. A., Curry, W. B., Roe, B. H., Kaehne, A., & Fairclough, S. J. (2018) · Journal of Sports Sciences · doi:10.1080/02640414.2018.1555904 · Cited by 56 · see citing works
Behavior Change Techniques Incorporated in Fitness Trackers: Content Analysis
Chia, G. L. C., Anderson, A., & McLean, L. A. (2019) · JMIR mHealth and uHealth · doi:10.2196/12768 · Cited by 50 · see citing works
Interventions for reducing sedentary behaviour in community-dwelling older adults
CHASTIN, S. F. M., Gardiner, P. A., Ashe, M. C., Harvey, J., Leask, C. F., Balogun, S. A., Helbostad, J. L., & Skelton, D. A. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd012784 · Cited by 50 · see citing works
Wu, S., Li, G., Du, L., Chen, S., Zhang, X., & He, Q. (2023) · Digital Health · doi:10.1177/20552076231176705 · Cited by 48 · see citing works
Wu, J., Ho, T., Chang, Y., Hsu, C., Tsai, C. J., Lai, F., & Lin, M. (2019) · JMIR mhealth and uhealth · doi:10.2196/11989 · Cited by 46 · see citing works
Li, J., Hodgson, N. A., Lyons, M. M., Chen, K.-C., Yu, F., & Gooneratne, N. S. (2019) · Geriatric Nursing · doi:10.1016/j.gerinurse.2019.11.011 · Cited by 47 · see citing works
Hardÿ, J., Veinot, T. C., Yan, X. “., Berrocal, V. J., Clarke, P. J., Goodspeed, R., Gomez-Lopez, I., Romero, D. M., & Vydiswaran, V. G. V. (2018) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2018.01.003 · Cited by 44 · see citing works
Domingos, C., Costa, P., Santos, N. C., & Pêgo, J. M. (2021) · Journal of Medical Internet Research · doi:10.2196/26652 · Cited by 47 · see citing works
Acceptability of a sitting reduction intervention for older adults with obesity
Matson, T. E., Renz, A. D., Takemoto, M. L., McClure, J. B., & Rosenberg, D. E. (2018) · BMC Public Health · doi:10.1186/s12889-018-5616-1 · Cited by 43 · see citing works
Hawkins, J. L., Charles, J. M., Edwards, A., Hallingberg, B., McConnon, L., Edwards, R. T., Jago, R., Kelson, M. J., Morgan, K., Murphy, S., et al. (2018) · Journal of Medical Internet Research · doi:10.2196/12374 · Cited by 43 · see citing works
Huhn, S., Matzke, I., Koch, M., Gunga, H., Maggioni, M. A., Sié, A., Boudo, V., Ouédraogo, W. A., Compaoré, G., Bunker, A., et al. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2022.972177 · Cited by 39 · see citing works
Supporting Older Adults in Exercising With a Tablet: A Usability Study
Mehra, S., Visser, B., Cila, N., van den Helder, J., Engelbert, R., Weijs, P. J. M., & Kröse, B. (2018) · JMIR Human Factors · doi:10.2196/11598 · Cited by 42 · see citing works
Evaluation of Digital Interventions for Physical Activity Promotion: Scoping Review
Santis, K. K. D., Jahnel, T., Matthias, K., Mergenthal, L., Khayyal, H. A., & Zeeb, H. (2022) · JMIR Public Health and Surveillance · doi:10.2196/37820 · Cited by 35 · see citing works
Liu, J. Y. W., Kwan, R. Y. C., Yin, Y., Lee, P. H., Siu, J. Y., & Bai, X. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910344 · Cited by 34 · see citing works
Chan, C., Sounderajah, V., Normahani, P., Acharya, A., Markar, S. R., Darzi, A. W., Bicknell, C. D., & Riga, C. (2021) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/j.ejvs.2020.11.044 · Cited by 36 · see citing works
Sun, Y., Chen, J., Ji, M., & Li, X. (2025) · Journal of Medical Internet Research · doi:10.2196/69077 · Cited by 38 · see citing works
Failing to encourage physical activity with wearable technology: what next?
Ellis, D. A., & Piwek, L. (2018) · Journal of the Royal Society of Medicine · doi:10.1177/0141076818788856 · Cited by 34 · see citing works
Janevic, M. R., Shute, V., Murphy, S. L., & Piette, J. D. (2019) · Pain Medicine · doi:10.1093/pm/pnz215 · Cited by 35 · see citing works
Stecher, C. D., Pfisterer, B., Harden, S. M., Epstein, D. R., Hirschmann, J. M., Wunsch, K., & Buman, M. P. (2023) · JMIR mhealth and uhealth · doi:10.2196/43162 · Cited by 35 · see citing works
Diet and Activity Assessments and Interventions Using Technology in Older Adults
Takemoto, M., Manini, T. M., Rosenberg, D. E., Lazar, A., Zlatar, Z. Z., Das, S. K., & Kerr, J. (2018) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2018.06.005 · Cited by 32 · see citing works
Auerswald, T., Meyer, J., von Holdt, K., & Voelcker‐Rehage, C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17186683 · Cited by 33 · see citing works
Byun, W., Lau, E. Y., & Brusseau, T. A. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15091821 · Cited by 32 · see citing works
Reducing Sitting Time in Obese Older Adults: The I-STAND Randomized Controlled Trial
Rosenberg, D. E., Anderson, M. L., Renz, A. D., Matson, T. E., Lee, A. K., Greenwood-Hickman, M. A., Arterburn, D. E., Gardiner, P. A., Kerr, J., & McClure, J. B. (2020) · Journal of Aging and Physical Activity · doi:10.1123/japa.2019-0470 · Cited by 32 · see citing works
Huh, U., Tak, Y. J., Song, S., Chung, S. W., Sung, S. M., Lee, C. W., Bae, M., & Ahn, H. Y. (2019) · JMIR mhealth and uhealth · doi:10.2196/13381 · Cited by 33 · see citing works
Cajamarca, G., Herskovic, V., & Rossel, P. O. (2020) · Sensors · doi:10.3390/s20154348 · Cited by 31 · see citing works
Irrelevant Gadgets or a Source of Worry
Vargemidis, D., Gerling, K., Abeele, V. V., Geurts, L., & Spiel, K. (2021) · ACM Transactions on Accessible Computing · doi:10.1145/3473463 · Cited by 29 · see citing works
Signal, N., McLaren, R., Rashid, U., Vandal, A. C., King, M., Almesfer, F., Henderson, J., & Taylor, D. (2020) · JMIR mhealth and uhealth · doi:10.2196/17036 · Cited by 28 · see citing works
Wong, S. H., Tan, Z. Y. A., Cheng, L. J., & Lau, S. T. (2021) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2021.104163 · Cited by 26 · see citing works
Yu, S., Chen, Z., & Wu, X. L. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010887 · Cited by 30 · see citing works
Li, R., Li, Y.-A., Wang, L., Li, L., Fu, C., Hu, D., & Wei, Q. (2025) · Journal of Medical Internet Research · doi:10.2196/59507 · Cited by 32 · see citing works
Exercise in Obesity—the Role of Technology in Health Services: Can This Approach Work?
Dobbie, L. J., Tahrani, A. A., Alam, U., James, J., Wilding, J. P. H., & Cuthbertson, D. J. (2021) · Current Obesity Reports · doi:10.1007/s13679-021-00461-x · Cited by 26 · see citing works
Yfantidou, S., Sermpezis, P., & Vakali, A. I. (2023) · ACM Transactions on Computing for Healthcare · doi:10.1145/3592621 · Cited by 33 · see citing works
Lewis, Z. H., Swartz, M. C., Martínez, E., & Lyons, E. (2019) · JMIR Aging · doi:10.2196/12496 · Cited by 25 · see citing works
Assessing a novel way to measure step count while walking using a custom mobile phone application
Hurt, C. P., Lein, D. H., Smith, C. R., Curtis, J. R., Westfall, A. O., Cortis, J., Rice, C., & Willig, J. H. (2018) · PLoS ONE · doi:10.1371/journal.pone.0206828 · Cited by 25 · see citing works
Duff, O., Walsh, D. M. J., Gill, S. M., McDermott, L., Furlong, B., O'Connor, N. E., Moran, K., & Woods, C. B. (2018) · JMIR Formative Research · doi:10.2196/formative.9550 · Cited by 24 · see citing works
Gondim, I. T. G. D. O., de Souza, C. D. C. B., Rodrigues, M. A. B., Azevedo, I. M., Coriolano, M. D. G. W. D. S., & Lins, O. G. (2020) · Archives of Gerontology and Geriatrics · doi:10.1016/j.archger.2020.104097 · Cited by 24 · see citing works
Alley, S., Schöeppe, S., To, Q. G., Parkinson, L., van Uffelen, J. G. Z., Hunt, S., Duncan, M. J., Schneiders, A. G., & Vandelanotte, C. (2023) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-023-01406-4 · Cited by 26 · see citing works
A feasibility study of a peer-facilitated physical activity intervention in methadone maintenance
Abrantes, A. M., Noppen, D. V., Bailey, G. L., Uebelacker, L. A., Buman, M. P., & Stein, M. D. (2021) · Mental health and physical activity · doi:10.1016/j.mhpa.2021.100419 · Cited by 23 · see citing works
Robertson, M. C., Green, C. E., Liao, Y., Durand, C. P., & Basen-Engquist, K. M. (2019) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-19-0907 · Cited by 21 · see citing works
Leskinen, T., Suorsa, K., Tuominen, M., Pulakka, A., Pentti, J., Löyttyniemi, E., HEINONEN, I. H. A., Vahtera, J., & Stenholm, S. (2021) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002627 · Cited by 23 · see citing works
Croff, R. L., Witter, P., Walker, M. L., Francois, E., Quinn, C., Riley, T., Sharma, N., & Kaye, J. A. (2018) · The Gerontologist · doi:10.1093/geront/gny069 · Cited by 22 · see citing works
Silva, A. G., Simões, P., Queirós, A., Rocha, N. P., & Rodrigues, M. J. F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17072251 · Cited by 22 · see citing works
Reducing Sedentary Time for Obese Older Adults: Protocol for a Randomized Controlled Trial
Rosenberg, D. E., Lee, A. K., Anderson, M. L., Renz, A. D., Matson, T. E., Kerr, J., Arterburn, D. E., & McClure, J. B. (2018) · JMIR Research Protocols · doi:10.2196/resprot.8883 · Cited by 20 · see citing works
Lee, S.-A., & Park, J.-H. (2025) · npj Digital Medicine · doi:10.1038/s41746-025-01827-4 · Cited by 22 · see citing works
McDarby, M., Llaneza, D. H., George, L. S., & Kozlov, E. (2020) · American Journal of Hospice and Palliative Medicine® · doi:10.1177/1049909120959057 · Cited by 20 · see citing works
Liao, J., Xiao, H.-Y., Li, X., Shu-hua, S., Liu, S., Yang, Y., & Xu, D. R. (2020) · JMIR mhealth and uhealth · doi:10.2196/14969 · Cited by 20 · see citing works
Aguiñaga, S., Marques, I. G., Kitsiou, S., Balbim, G. M., Gerber, B. S., Buchholz, S. W., Bustamante, E. E., & Márquez, D. X. (2021) · Health Education & Behavior · doi:10.1177/10901981211027517 · Cited by 19 · see citing works
Chen, P., Shen, Y., Li, Z., Sun, X., Feng, X. L., & Fisher, E. B. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2021.773293 · Cited by 19 · see citing works
Dennard, S., Patel, R., Garety, P. A., Edwards, C., & Gumley, A. I. (2024) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-024-02692-4 · Cited by 19 · see citing works
Health professionals’ attitudes to patients’ use of wearable technology
Watt, A., Swainston, K., & Wilson, G. (2019) · Digital Health · doi:10.1177/2055207619845544 · Cited by 19 · see citing works
Petersen, J. M., Kemps, E., Lewis, L. K., & Prichard, I. J. (2020) · Psychology of sport and exercise · doi:10.1016/j.psychsport.2020.101719 · Cited by 19 · see citing works
Tabira, K., Oguma, Y., Yoshihara, S., Shibuya, M., Nakamura, M., Doihara, N., Hirata, A., & Manabe, T. (2024) · JMIR Aging · doi:10.2196/56184 · Cited by 18 · see citing works
Rezvani, F., Heider, D., Härter, M. C., König, H., Bienert, F., Brinkmann, J., Herbarth, L., Kramer, E., Steinisch, P., Freudenstein, F., et al. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-032146 · Cited by 18 · see citing works
Compernolle, S., Dyck, D. V., Cardon, G., & Brondeel, R. (2021) · JMIR mhealth and uhealth · doi:10.2196/26387 · Cited by 18 · see citing works
Nurain, N., & Chung, C.-F. (2023) · Designing Interactive Systems Conference · doi:10.1145/3563657.3596083 · Cited by 17 · see citing works
Redefining Activity Tracking Through Older Adults' Reflections on Meaningful Activities
Wang, Y., Li, M., Kim, Y., Lee, B., Danilovich, M., Lazar, A., Conroy, D. E., Kacorri, H., & Choe, E. K. (2024) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642170 · Cited by 17 · see citing works
Small Data and Its Visualization for Diabetes Self-Management: Qualitative Study
Burford, S. J., Park, S., & Dawda, P. (2019) · JMIR Diabetes · doi:10.2196/10324 · Cited by 17 · see citing works
Electronic Wearable Device Use for Physical Activity in Older Adults: A Qualitative Study
Li, M., McPhillips, M., Szanton, S. L., Wenzel, J. A., & Li, J. (2022) · Work Aging and Retirement · doi:10.1093/workar/waac023 · Cited by 15 · see citing works
Shimokihara, S., Tabira, T., Maruta, M., Makizako, H., Han, G., Ikeda, Y., Kamasaki, T., Akasaki, Y., Hidaka, Y., Kumura, Y., et al. (2024) · Journal of Applied Gerontology · doi:10.1177/07334648241261885 · Cited by 16 · see citing works
Swartz, M. C., Lewis, Z. H., Swartz, M. D., Martínez, E., & Lyons, E. (2017) · Journal of Applied Gerontology · doi:10.1177/0733464817739350 · Cited by 16 · see citing works
Sypes, E. E., Newton, G. S., & Lewis, Z. H. (2019) · Journal of Physical Activity and Health · doi:10.1123/jpah.2017-0660 · Cited by 15 · see citing works
Smartphones within Psychological Science
Ellis, D. A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108671408 · Cited by 14 · see citing works
- Authors
- Lyons, E. J., Swartz, M. C., Lewis, Z. H., Martinez, E., & Jennings, K.
- Affiliations
- The University of Texas Medical Branch at Galveston (US)
- Corresponding author
- Lyons, Elizabeth J
- Venue
- JMIR mhealth and uhealth
- Publisher
- JMIR Publications Inc.
- Published
- 2017-03-06
- Volume
- 5
- Issue
- 3
- Pages
- e28
- ISSN
- 2291-5222 (ISSN-L)
- PMC
- PMC5359416
- OpenAlex
- W2592364118
- Cited by
- 220
- References
- 40
- Citations by year
- 2026: 8 · 2025: 30 · 2024: 21 · 2023: 22 · 2022: 23 · 2021: 32 · 2020: 39 · 2019: 17 · 2018: 22 · 2017: 6
- FWCI
- 16.98
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR mhealth and uhealth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Institute on Aging (P30AG024832)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Keywords
- wearable activity trackers, physical activity interventions, telephone counseling, sedentary behavior, step goals, feasibility and acceptability, body composition, weight loss, tablets, behaviour change techniques, 6-minute walk test, dual-energy X-ray absorptiometry, body mass index
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
