J Telemed Telecare - A walking intervention for postmenopausal women using mobile phones and Interactive Voice Response.


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We conducted a feasibility study of a 12-week walking intervention administered through an Interactive Voice Response (IVR) system and mobile phones. We also examined the added benefit of a human coach. Post-menopausal women (n = 71) were given a daily-steps goal, which they monitored using a pedometer. Each day, they answered an automated call from the IVR system to their mobile phone and provided assessments of walking goals and mood. Every evening, they called the IVR system to report their steps, answered a brief questionnaire and received a message with a helpful hint. Participants took less time to complete a one-mile walk after the intervention, compared to baseline (0.77 min, SE = 0.22, P < 0.001). In addition, a significant loss in body weight (0.93 kg, SE = 0.31) and body-mass index (0.28 kg/m(2), SE = 0.11) were observed. The key psychometric measures of exercise goal setting (0.67 units, SE = 0.12) and exercise planning (0.48 units, SE = 0.09) also improved from baseline (both P < 0.001). However, results in the coach and no-coach conditions were not significantly different. The study suggests that mobile phones can be used to deliver an effective, low-cost walking intervention, irrespective of the addition of a human coach.

Resumo Limpo

conduct feasibl studi week walk intervent administ interact voic respons ivr system mobil phone also examin ad benefit human coach postmenopaus women n given dailystep goal monitor use pedomet day answer autom call ivr system mobil phone provid assess walk goal mood everi even call ivr system report step answer brief questionnair receiv messag help hint particip took less time complet onemil walk intervent compar baselin min se p addit signific loss bodi weight kg se bodymass index kgm se observ key psychometr measur exercis goal set unit se exercis plan unit se also improv baselin p howev result coach nocoach condit signific differ studi suggest mobil phone can use deliv effect lowcost walk intervent irrespect addit human coach

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