Telemed J E Health - Feasibility of popular m-health technologies for activity tracking among individuals with serious mental illness.

Tópicos

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Resumo

Obesity prevalence is nearly double among individuals with serious mental illness (SMI), including schizophrenia spectrum disorders, bipolar disorder, or major depressive disorder, compared with the general population. Emerging mobile health (m-health) technologies are increasingly available and offer the potential to support lifestyle interventions targeting weight loss, yet the practical feasibility of using these technologies in this high-risk group has not been established. We evaluated the feasibility and acceptability of popular m-health technologies for activity tracking among overweight and obese individuals with SMI. We provided wearable activity monitoring devices (FitBit [San Francisco, CA] Zip? or Nike Inc. [Beaverton, OR] FuelBand) and smartphones (Apple [Cupertino, CA] iPhone(?) 4S) for accessing the smartphone application for each device to participants with SMI enrolled in a weight loss program. Feasibility of these devices was measured by the frequency of use over time. Acceptability was measured through qualitative follow-up interviews with participants. Ten participants with SMI wore the devices for a mean of 89% (standard deviation=13%) of the days in the study. Five participants wore the devices 100% of the time. Participants reported high satisfaction, stating the devices were easy to use, helpful for setting goals, motivational, and useful for self-monitoring. Several participants liked the social connectivity feature of the devices where they could see each other's progress on the smartphone application, noting that "friendly" competition increased motivation to be more physically active. This study supports using popular m-health technologies for activity tracking among individuals with SMI. These findings can inform the design of weight loss interventions targeting this vulnerable patient population.

Resumo Limpo

obes preval near doubl among individu serious mental ill smi includ schizophrenia spectrum disord bipolar disord major depress disord compar general popul emerg mobil health mhealth technolog increas avail offer potenti support lifestyl intervent target weight loss yet practic feasibl use technolog highrisk group establish evalu feasibl accept popular mhealth technolog activ track among overweight obes individu smi provid wearabl activ monitor devic fitbit san francisco ca zip nike inc beaverton fuelband smartphon appl cupertino ca iphon s access smartphon applic devic particip smi enrol weight loss program feasibl devic measur frequenc use time accept measur qualit followup interview particip ten particip smi wore devic mean standard deviat day studi five particip wore devic time particip report high satisfact state devic easi use help set goal motiv use selfmonitor sever particip like social connect featur devic see other progress smartphon applic note friend competit increas motiv physic activ studi support use popular mhealth technolog activ track among individu smi find can inform design weight loss intervent target vulner patient popul

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