Feasibility and acceptability of a rural, pragmatic, telemedicine-delivered healthy lifestyle programme

Although not specifically involving the Amulet device, John Batsis and members of the Amulet team published a recent feasibility study involving the use of wearables, like Amulet, in support of health monitoring for older adults.

  • John A. Batsis, Auden C. McClure, Aaron B. Weintraub, David F. Kotz, Sivan Rotenberg, Summer B. Cook, Diane Gilbert-Diamond, Kevin Curtis, Courtney J. Stevens, Diane Sette, and Richard I. Rothstein. Feasibility and acceptability of a rural, pragmatic, telemedicine-delivered healthy lifestyle programmeObesity Science & Practice, 1-10, August 2019. DOI 10.1002/osp4.366.

Abstract: Background: The public health crisis of obesity leads to increasing morbidity that are even more profound in certain populations such as rural adults. Live, two-way video-conferencing is a modality that can potentially surmount geographic barriers and staffing shortages. Methods: Patients from the Dartmouth-Hitchcock Weight and Wellness Center were recruited into a pragmatic, single-arm, nonrandomized study of a remotely delivered 16-week evidence-based healthy lifestyle programme. Patients were provided hardware and appropriate software allowing for remote participation in all sessions, outside of the clinic setting. Our primary outcomes were feasibility and acceptability of the telemedicine intervention, as well as potential effectiveness on anthropometric and functional measures. Results: Of 62 participants approached, we enrolled 37, of which 27 completed at least 75% of the 16-week programme sessions (27% attrition). Mean age was 46.9 +/- 11.6 years (88.9% female), with a mean body mass index of 41.3 +/- 7.1 kg/m2 and mean waist circumference of 120.7 +/- 16.8 cm. Mean patient participant satisfaction regarding the telemedicine approach was favourable (4.48 +/- 0.58 on 1-5 Likert scale–low to high) and 67.6/75 on standardized questionnaire. Mean weight loss at 16 weeks was 2.22 +/- 3.18 kg representing a 2.1% change (P < .001), with a loss in waist circumference of 3.4% (P = .001). Fat mass and visceral fat were significantly lower at 16 weeks (2.9% and 12.5%; both P < .05), with marginal improvement in appendicular skeletal muscle mass (1.7%). In the 30-second sit-to-stand test, a mean improvement of 2.46 stands (P = .005) was observed. Conclusion: A telemedicine-delivered, intensive weight loss intervention is feasible, acceptable, and potentially effective in rural adults seeking weight loss.

This entry was posted in Publications and tagged , , , , by David Kotz. Bookmark the permalink.

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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