Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.

Older adults who are frail are likely to be sedentary. Prior interventions to reduce sedentary time in older adults have not been effective as there is little research about the context of sedentary behaviour (posture, location, purpose, social environment). Moreover, there is limited evidence on fe...

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Main Authors: Isabel B Rodrigues, Suleman Tariq, Alexa Kouroukis, Rachel Swance, Jonathan Adachi, Steven Bray, Qiyin Fang, George Ioannidis, Dylan Kobsar, Alexander Rabinovich, Alexandra Papaioannou, Rong Zheng
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290197&type=printable
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author Isabel B Rodrigues
Suleman Tariq
Alexa Kouroukis
Rachel Swance
Jonathan Adachi
Steven Bray
Qiyin Fang
George Ioannidis
Dylan Kobsar
Alexander Rabinovich
Alexandra Papaioannou
Rong Zheng
author_facet Isabel B Rodrigues
Suleman Tariq
Alexa Kouroukis
Rachel Swance
Jonathan Adachi
Steven Bray
Qiyin Fang
George Ioannidis
Dylan Kobsar
Alexander Rabinovich
Alexandra Papaioannou
Rong Zheng
author_sort Isabel B Rodrigues
collection DOAJ
description Older adults who are frail are likely to be sedentary. Prior interventions to reduce sedentary time in older adults have not been effective as there is little research about the context of sedentary behaviour (posture, location, purpose, social environment). Moreover, there is limited evidence on feasible measures to assess context of sedentary behaviour in older adults. The aim of our study was to determine the feasibility of measuring context of sedentary behaviour in older adults with pre-frailty or frailty using a combination of objective and self-report measures. We defined "feasibility process" using recruitment (20 participants within two-months), retention (85%), and refusal (20%) rates and "feasibility resource" if the measures capture context and can be linked (e.g., sitting-kitchen-eating-alone) and are all participants willing to use the measures. Context was assessed using a wearable sensor to assess posture, a smart home monitoring system for location, and an electronic or hard-copy diary for purpose and social context over three days in winter and spring. We approached 80 potential individuals, and 58 expressed interest; of the 58 individuals, 37 did not enroll due to lack of interest or medical mistrust (64% refusal). We recruited 21 older adults (72±7.3 years, 13 females, 13 frail) within two months and experienced two dropouts due to medical mistrust or worsening health (90% retention). The wearable sensor, indoor positioning system, and electronic diary accurately captured one domain of context, but the hard copy was often not completed with enough detail, so it was challenging to link it to the other devices. Although not all participants were willing to use the wearable sensor, indoor positioning system, or electronic diary, we were able to triage the measures of those who did. The use of wearable sensors and electronic diaries may be a feasible method to assess context of sedentary behaviour, but more research is needed with device-based measures in diverse groups.
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spelling doaj-art-2a8069607c9145ac9b726e7b672dd7262025-01-08T05:33:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01195e029019710.1371/journal.pone.0290197Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.Isabel B RodriguesSuleman TariqAlexa KouroukisRachel SwanceJonathan AdachiSteven BrayQiyin FangGeorge IoannidisDylan KobsarAlexander RabinovichAlexandra PapaioannouRong ZhengOlder adults who are frail are likely to be sedentary. Prior interventions to reduce sedentary time in older adults have not been effective as there is little research about the context of sedentary behaviour (posture, location, purpose, social environment). Moreover, there is limited evidence on feasible measures to assess context of sedentary behaviour in older adults. The aim of our study was to determine the feasibility of measuring context of sedentary behaviour in older adults with pre-frailty or frailty using a combination of objective and self-report measures. We defined "feasibility process" using recruitment (20 participants within two-months), retention (85%), and refusal (20%) rates and "feasibility resource" if the measures capture context and can be linked (e.g., sitting-kitchen-eating-alone) and are all participants willing to use the measures. Context was assessed using a wearable sensor to assess posture, a smart home monitoring system for location, and an electronic or hard-copy diary for purpose and social context over three days in winter and spring. We approached 80 potential individuals, and 58 expressed interest; of the 58 individuals, 37 did not enroll due to lack of interest or medical mistrust (64% refusal). We recruited 21 older adults (72±7.3 years, 13 females, 13 frail) within two months and experienced two dropouts due to medical mistrust or worsening health (90% retention). The wearable sensor, indoor positioning system, and electronic diary accurately captured one domain of context, but the hard copy was often not completed with enough detail, so it was challenging to link it to the other devices. Although not all participants were willing to use the wearable sensor, indoor positioning system, or electronic diary, we were able to triage the measures of those who did. The use of wearable sensors and electronic diaries may be a feasible method to assess context of sedentary behaviour, but more research is needed with device-based measures in diverse groups.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290197&type=printable
spellingShingle Isabel B Rodrigues
Suleman Tariq
Alexa Kouroukis
Rachel Swance
Jonathan Adachi
Steven Bray
Qiyin Fang
George Ioannidis
Dylan Kobsar
Alexander Rabinovich
Alexandra Papaioannou
Rong Zheng
Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
PLoS ONE
title Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
title_full Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
title_fullStr Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
title_full_unstemmed Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
title_short Mapping sedentary behaviour (MAPS-B) in winter and spring using wearable sensors, indoor positioning systems, and diaries in older adults who are pre-frail and frail: A feasibility longitudinal study.
title_sort mapping sedentary behaviour maps b in winter and spring using wearable sensors indoor positioning systems and diaries in older adults who are pre frail and frail a feasibility longitudinal study
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0290197&type=printable
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