Opportunities to Improve a Mobile Obesity Wellness Intervention for Rural Older Adults with Obesity

A qualitative study to determine whether mHealth devices, like Amulet, could be useful in supporting rural-health interventions.

  • John Batsis, Stephen Bartels, Rachel Dokko, Alexandra Zagaria, John Naslund, Elizabeth Carpenter-Song, and David Kotz. Opportunities to Improve a Mobile Obesity Wellness Intervention for Rural Older Adults with Obesity. Journal of Community Health, September 2019. DOI 10.1007/s10900-019-00720-y.

Abstract: Older adults with obesity are at a high risk of decline, particularly in rural areas. Our study objective was to gain insights into how a potential Mobile Health Obesity Wellness Intervention (MOWI) in rural older adults with obesity, consisting of nutrition and exercise sessions, could be helpful to improve physical function. A qualitative methods study was conducted in a rural community, community-based aging center. Four community leaders, 7 clinicians and 29 patient participants underwent focus groups and semi-structured interviews. All participants had a favorable view of MOWI and saw its potential to improve health and create accountability. Participants noted that MOWI could overcome geographic barriers and provided feedback about components that could improve implementation. There was expressed enthusiasm over its potential to improve health. The use of technology in older adults with obesity in rural areas has considerable promise. There is potential that this intervention could potentially extend to distant areas in rural America that can surmount accessibility barriers. If successful, this intervention could potentially alter healthcare delivery by enhancing health promotion in a remote, geographically constrained communities. MOWI has the potential to reach older adults with obesity using novel methods in geographically isolated regions.

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About David Kotz

David Kotz is the Pat and John Rosenwald Professor in the Department of Computer Science at Dartmouth College. He previously served as Interim Provost, as Associate Dean of the Faculty for the Sciences, as the Executive Director of the Institute for Security Technology Studies, and on the US Healthcare IT Policy Committee. His research interests include security and privacy, pervasive computing for healthcare, and wireless networks. He has published over 230 refereed papers, obtained over $80m in grant funding, and mentored nearly 100 research students. He is a Fellow of the IEEE, a Distinguished Member of the ACM, a 2008 Fulbright Fellow to India, a 2019 Visiting Professor at ETH Zurich, and an elected member of Phi Beta Kappa. He received his AB in Computer Science and Physics from Dartmouth in 1986, and his PhD in Computer Science from Duke University in 1991.

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