1. Health behaviour change and activation in e-health weight loss intervention for elderly: a randomised clinical trial.
- Author
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Santos, Maíra Mendes dos, De Marchi, Ana Carolina Bertoletti, de Leon, Elisa Brosina, and Roque, Licinio Gomes
- Subjects
OBESITY treatment ,MOBILE apps ,PSYCHOTHERAPY ,WEIGHT loss ,HEALTH literacy ,MOTIVATIONAL interviewing ,SCALE analysis (Psychology) ,SELF-efficacy ,SELF-management (Psychology) ,BEHAVIOR modification ,HEALTH attitudes ,BODY mass index ,T-test (Statistics) ,RESEARCH funding ,EVALUATION of human services programs ,STATISTICAL sampling ,BODY weight ,INTERVIEWING ,QUESTIONNAIRES ,FISHER exact test ,SOCIOECONOMIC status ,TELEPSYCHIATRY ,GROUP psychotherapy ,BEHAVIOR ,RANDOMIZED controlled trials ,INFORMATION technology ,DESCRIPTIVE statistics ,PSYCHOEDUCATION ,PHYSICAL education ,CONFIDENCE ,ANXIETY ,PRE-tests & post-tests ,WAIST circumference ,HEALTH behavior ,METROPOLITAN areas ,RESEARCH methodology ,ANALYSIS of variance ,HEALTH promotion ,SOCIAL support ,COGNITIVE therapy ,DATA analysis software ,ANTHROPOMETRY ,NUTRITION education ,MENTAL depression ,SOCIAL classes - Abstract
Patient activation is associated with treatment adherence, self-accountability for healthcare and a healthy lifestyle change. Mobile health (m-Health) apps can lead to greater patient treatment adherence and health behaviour change. This study aimed to evaluate the health behaviour change of elderly people through a healthcare programme focused on activation with the support of technology. Three phases were conducted: (1) pre-intervention – design of the intervention protocol and the app, (2) intervention – randomised clinical trial with 41 overweight/obese elderly people. m-Health app-supported group psychotherapy was compared with group psychotherapy only and individual psychotherapy (control) and (3) post-intervention – statistical analysis, intervention's assistant interviews and app heuristics evaluation. By crossing the results, the study has shown that there was no significant difference in the activation level before and after intervention between groups. However, there was a significant increase from the initial mean score to the final one when considering the three groups together. Group therapy, whether with or without the support of the app, was more effective for behaviour change measured by the achievement of the goals, than individual psychotherapy. The lack of impact on group therapy with app support calls into question which and how much technology support is useful. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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