■尽管有证据表明,老年人有规律的身体活动(PA)可带来许多健康和功能益处,PA参与率很低。使用市售的可穿戴PA监视器(PAM)是增强PA推广努力的一种方式。然而,尽管存在针对PAM所有权开始时所需的特定信息的专家建议,以及对支持必要技术故障排除的结构的普遍持续需求,缺少有关类型的信息,频率,以及在初始和长期所有权期间所需的援助模式。
本文描述了参与社区PA试验的18个月中使用PAMs的老年人报告的问题和获得的技术援助:ReadySteady3.0(RS3)。
■这是对过程变量的临时纵向分析,这些变量代表了113名RS3研究参与者在定向PAM后的18个月内报告的技术问题和获得的帮助。变量包括联系日期,报告的问题,技术援助模式,以及设备是否被更换。描述性分析包括不同接触者的频率和发生率,问题的类型,技术援助模式。
■平均而言,参与者年龄为77岁(SD5.2).大多数确定为女性(n=87,77%),报告使用智能手机的经验(n=92,81.4%),并在2至18个月之间使用PAM。82名参与者(72.6%)报告了使用PAMs的1至9个问题,总共有150个技术援助联系人,平均1.3个(SD1.3)联系人。新的发病率,从2018年到2021年,技术援助的不同联系人为每年每100人99人。最常见的问题是佩戴PAM(n=43,28.7%),读取其显示(n=23,15.3%),登录其应用程序(n=20,13.3%),充电(n=18,12%),并将其同步到应用程序(n=16,10.7%)。技术援助的方式是亲自提供的(n=53,35.3%),通过电话(n=51,34%),通过电子邮件(n=25,16.7%),和邮政邮件(n=21,14%)。
■一般来说,这项研究的结果表明,在接受PAMs的定向后,问题,如不舒服的腕带,使用PAM或其相关应用程序的困难,RS3参与者偶尔会报告获取或解释相关个人数据.训练有素的工作人员主要亲自或通过电话帮助参与者排除故障并解决这些技术问题。结果还强调了让老年人参与设计的重要性,可用性测试,和支持性材料开发过程,以防止初始和持续使用PAMs的技术问题。临床医生和研究人员应进一步评估老年人所需的技术援助,考虑PAM型号和磨损时间的变化,在调查额外援助策略时,例如主动支持,简短的GIF视频,和视频通话。
Despite evidence that regular physical activity (PA) among older adults confers numerous health and functional benefits, PA participation rates are low. Using commercially available wearable PA monitors (PAMs) is one way to augment PA promotion efforts. However, while expert recommendations exist for the specific information needed at the beginning of PAM ownership and the general ongoing need for structures that support as-needed technical troubleshooting, information is lacking about the type, frequency, and modes of assistance needed during initial and long-term ownership.
This paper describes problems reported and technical assistance received by older adults who used PAMs during the 18 months they participated in a community-based PA trial: Ready Steady 3.0 (RS3).
This was an ad-hoc longitudinal analysis of process variables representing technical problems reported and assistance received by 113 RS3 study participants in the 18 months after their orientation to PAMs. Variables included date of contact, problem(s) reported, mode of technical assistance, and whether the equipment was replaced. The descriptive analysis included frequencies and incidence rates of distinct contacts, types of problems, and technical assistance modes.
On average, participants were aged 77 (SD 5.2) years. Most identified as female (n=87, 77%), reported experience using smartphones (n=92, 81.4%), and used the PAM between 2 and 18 months. Eighty-two participants (72.6%) reported between 1 to 9 problems with using PAMs, resulting in a total of 150 technical assistance contacts with a mean of 1.3 (SD 1.3) contacts. The incidence rate of new, distinct contacts for technical assistance was 99 per 100 persons per year from 2018 to 2021. The most common problems were wearing the PAM (n=43, 28.7%), reading its display (n=23, 15.3%), logging into its app (n=20, 13.3%), charging it (n=18, 12%), and synchronizing it to the app (n=16, 10.7%). The modalities of technical assistance were in person (n=53, 35.3%), by telephone (n=51, 34%), by email (n=25, 16.7%), and by postal mail (n=21, 14%).
In general, the results of this study show that after receiving orientation to PAMs, problems such as uncomfortable wristbands, difficulty using the PAM or its related app, and obtaining or interpreting relevant personal data were occasionally reported by participants in RS3. Trained staff helped participants troubleshoot and solve these technical problems primarily in person or by phone. Results also underscore the importance of involving older adults in the design, usability testing, and supportive material development processes to prevent technical problems for the initial and ongoing use of PAMs. Clinicians and researchers should further assess technical assistance needed by older adults, accounting for variations in PAM models and wear time, while investigating additional assistance strategies, such as proactive support, short GIF videos, and video calls.