Abstract

Objective: To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth). Design and Sample: Men in this 3-week pilot study used FitBit One® to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1–3 times daily. A purposive sample of 12 rural men (ages 40–67) was recruited by community leaders. Measures: (1) baseline heart rate, blood pressure, and BMI, (2) FitBit One® usage, (3) investigator-generated surveys on acceptability of mHealth, and (4) focus group on experience with mHealth. Results: Men were overweight (n = 3) or obese (n = 9) and 9 of 12 were hypertensive. Nine of twelve wore FitBit One® all 21 days. Eleven of 12 men logged food, with 9 of 12 doing this at least 15 of 21 days. Self-monitoring and daily text messaging increased awareness of energy intake and output. Companion app's food log needed targeting for rural foods. Rotating seasons (occupational, religious, recreational) and weak cellular signals created contextual barriers to self-monitoring eating and activity. Conclusions: FitBit One® and text messaging were perceived as useful among the rural men, while the companion apps require adaptation to reflect dietary norms.

Original languageEnglish (US)
Pages (from-to)138-146
Number of pages9
JournalPublic Health Nursing
Volume34
Issue number2
DOIs
StatePublished - Mar 1 2017

Fingerprint

Telemedicine
Eating
Text Messaging
Technology
Food
Energy Intake
Focus Groups
Heart Rate
Research Personnel
Exercise
Blood Pressure
Equipment and Supplies
Health

Keywords

  • eating
  • men's health
  • motor activity
  • rural health
  • telemedicine

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health

Cite this

@article{2c181e3bdc7148f1a088fa21f92ecbb8,
title = "Acceptability of mHealth Technology for Self-Monitoring Eating and Activity among Rural Men",
abstract = "Objective: To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth). Design and Sample: Men in this 3-week pilot study used FitBit One{\circledR} to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1–3 times daily. A purposive sample of 12 rural men (ages 40–67) was recruited by community leaders. Measures: (1) baseline heart rate, blood pressure, and BMI, (2) FitBit One{\circledR} usage, (3) investigator-generated surveys on acceptability of mHealth, and (4) focus group on experience with mHealth. Results: Men were overweight (n = 3) or obese (n = 9) and 9 of 12 were hypertensive. Nine of twelve wore FitBit One{\circledR} all 21 days. Eleven of 12 men logged food, with 9 of 12 doing this at least 15 of 21 days. Self-monitoring and daily text messaging increased awareness of energy intake and output. Companion app's food log needed targeting for rural foods. Rotating seasons (occupational, religious, recreational) and weak cellular signals created contextual barriers to self-monitoring eating and activity. Conclusions: FitBit One{\circledR} and text messaging were perceived as useful among the rural men, while the companion apps require adaptation to reflect dietary norms.",
keywords = "eating, men's health, motor activity, rural health, telemedicine",
author = "Eisenhauer, {Christine M} and Hageman, {Patricia Ann} and Rowland, {Sheri A} and Becker, {Betsy J} and Barnason, {Susan Ann} and Pullen, {Carol H}",
year = "2017",
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language = "English (US)",
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T1 - Acceptability of mHealth Technology for Self-Monitoring Eating and Activity among Rural Men

AU - Eisenhauer, Christine M

AU - Hageman, Patricia Ann

AU - Rowland, Sheri A

AU - Becker, Betsy J

AU - Barnason, Susan Ann

AU - Pullen, Carol H

PY - 2017/3/1

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N2 - Objective: To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth). Design and Sample: Men in this 3-week pilot study used FitBit One® to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1–3 times daily. A purposive sample of 12 rural men (ages 40–67) was recruited by community leaders. Measures: (1) baseline heart rate, blood pressure, and BMI, (2) FitBit One® usage, (3) investigator-generated surveys on acceptability of mHealth, and (4) focus group on experience with mHealth. Results: Men were overweight (n = 3) or obese (n = 9) and 9 of 12 were hypertensive. Nine of twelve wore FitBit One® all 21 days. Eleven of 12 men logged food, with 9 of 12 doing this at least 15 of 21 days. Self-monitoring and daily text messaging increased awareness of energy intake and output. Companion app's food log needed targeting for rural foods. Rotating seasons (occupational, religious, recreational) and weak cellular signals created contextual barriers to self-monitoring eating and activity. Conclusions: FitBit One® and text messaging were perceived as useful among the rural men, while the companion apps require adaptation to reflect dietary norms.

AB - Objective: To examine rural men's use and perceptions of mobile and wireless devices to self-monitor eating and physical activity (mHealth). Design and Sample: Men in this 3-week pilot study used FitBit One® to log daily food intake and monitor activity. A companion application (app) allowed activity monitoring of fellow participants. Health-related text messages were received 1–3 times daily. A purposive sample of 12 rural men (ages 40–67) was recruited by community leaders. Measures: (1) baseline heart rate, blood pressure, and BMI, (2) FitBit One® usage, (3) investigator-generated surveys on acceptability of mHealth, and (4) focus group on experience with mHealth. Results: Men were overweight (n = 3) or obese (n = 9) and 9 of 12 were hypertensive. Nine of twelve wore FitBit One® all 21 days. Eleven of 12 men logged food, with 9 of 12 doing this at least 15 of 21 days. Self-monitoring and daily text messaging increased awareness of energy intake and output. Companion app's food log needed targeting for rural foods. Rotating seasons (occupational, religious, recreational) and weak cellular signals created contextual barriers to self-monitoring eating and activity. Conclusions: FitBit One® and text messaging were perceived as useful among the rural men, while the companion apps require adaptation to reflect dietary norms.

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