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Actual Use of Multiple Health Monitors among Older Adults with Diabetes
ABSTRACT
Background:
Studies have reported older adults’ perceptions of using health monitors; however, no studies have examined the actual use of health monitors for lifestyle changes over time among older adults with diabetes.
Objective:
The primary aim of this study was to examine the actual use of multiple health monitors for lifestyle changes over 3 months among older adults with diabetes. The secondary aim was to examine changes in caloric intake and physical activity over 3 months.
Methods:
This was a single group study lasting 3 months. Participants were provided with a smart phone with the monitoring app Lose It! to record daily food intake, a Fitbit Alta for monitoring physical activity, a Bluetooth–enabled blood glucose meter, and a Bluetooth–enabled digital scale.
Results:
The sample (N=9) was White (n=8, 89%) and female (n=4, 44%), with mean 76±6 years of age (range: 69-89), 16±2 years of education, 33±3 kg/m2 for BMI and 7%±0.8 for HbA1c. Over the 84 days of self-monitoring, the mean % days of using the Lose It!, Fitbit, blood glucose meter, and scale were 82.7±17.6, 85.2±19.7, 65.3±30.1, and 53.0±34.5, respectively. The mean percent weight loss from baseline was 4.92%±0.25. The dose of oral hypoglycemic agents or insulin was reduced in 56% of participants.
Conclusions:
Older adults in our sample are able to engage with multiple health monitors to improve their lifestyle behaviors over 3 months. Clinical Trial: NCT03398590
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