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- Creators: Barrett, The Honors College
Description
An increasingly sedentary population in the United States, specifically with adolescents, is putting youth at risk of future health related trauma and disease. This single-case design study, Walking Intervention Through Text Messaging for Adolescents (WalkIT-A), was used to intervene with a 12-year old, physically inactive male, in an attempt to test the efficacy of a 12-week physical activity program that may help reduce health risks by increasing number of steps walked per day. The components of the intervention consisted of a FitBit Zip pedometer, physical activity education, text messages, monetary incentives, and goal setting that adapted personally to the participant. Mean step count increased by 30% from baseline (mean = 3603 [sd = 1983]) to intervention (mean = 4693 [sd = 2112]); then increased slightly by 6.7% from intervention to withdrawal (mean = 5009 [sd = 2152]). Mean "very active minutes" increased by 45% from baseline (mean = 8.8 [sd = 8.9]) to intervention (mean = 12.8 [sd = 9.6]); then increased by 61.7% from intervention to withdrawal (mean = 20.7 [sd = 8.4]). Weight, BMI, and blood pressure all increased modestly from pre to post. Cardiovascular fitness (estimated VO2 max) improved by 12.5% from pre (25.5ml*kg-1*min-1) to post (28.7ml*kg-1*min-1). The intervention appeared to have a delayed and residual effect on the participant's daily steps and very active minutes. Although the idealistic ABA pattern did not occur, and the participant did not meet the target of 11,500 daily steps, a positive trend toward that target behavior in the latter 1/3rd of the intervention was observed. Results suggest the need for an extended intervention over a longer period of time and customized even further to the participant.
ContributorsLamb, Nicholas Reid (Author) / Adams, Marc (Thesis director) / Ainsworth, Barbara (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2014-12
Description
Over the last decade, the ability to track daily activity through step counting devices has undergone major changes. Advanced technologies have brought about new step counting devices and new form factors. The validity of these new devices is not fully known. The purpose of this study was to validate and compare the step counting accuracy of commercially available hip- and wrist-worn accelerometers. A total of 185 participants (18-64 years of age) were analyzed for this study, with the sample composed nearly evenly of each gender (53.5% female) and BMI classification (33% overweight, 31.9% obese). Each participant wore five devices including hip-worn Omron HJ-112 and Fitbit One, and wrist-worn Fitbit Flex, Nike Fuelband, and Jawbone UP. A range of activities (some constant among all participants, some randomly assigned) were then used to accumulate steps including walking on a hard surface for 400m, treadmill walking/running at 2mph, 3mph, and ≥5mph, walking up five flights of stairs, and walking down five flights of stairs. To validate the accuracy of each device, steps were also counted by direct observation. Results showed high concordance with directly observed steps for all devices (intraclass correlation coefficient range: 0.86 to 0.99), with hip-worn devices more accurate than wrist-worn devices. Absolute percent error values were lower among hip-worn devices and at faster walking/running speeds. Nike Fuelband consistently was the worst performing of all test devices. These results are important because as pedometers become more complex, it is important that they remain accurate throughout a variety of activities. Future directions for this research are to explore the validity of these devices in free-living settings and among younger and older populations.
ContributorsKramer, Cody Lee (Author) / Buman, Matthew (Thesis director) / Hoffner, Kristin (Committee member) / Marshall, Simon (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2014-05