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MOWI Qualitative Assessment

Sponsor
Dartmouth-Hitchcock Medical Center (Other)
Overall Status
Completed
CT.gov ID
NCT03041831
Collaborator
National Institute on Aging (NIA) (NIH)
40
Enrollment
1
Location
44.4
Actual Duration (Months)
0.9
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This qualitative study seeks to assess whether mobile health technologies are helpful for older adults. It is the first in a series of four studies whose overarching goal is to conduct a program of pilot research aimed at developing and evaluating a technology-assisted wellness intervention for older adults with obesity who may or may not live in a rural area.

Condition or Disease Intervention/Treatment Phase

    Detailed Description

    This study is designed and conducted as a series of eighteen individual semi-structured interviews and four focus group discussions. There are three participant groups: 1) older adults (age ≥ 65 years) with diagnosed obesity, 2) primary care clinicians who care for older adults, and 3) community leaders. Focus group discussions are conducted with the older adult cohort only.

    Study Design

    Study Type:
    Observational
    Actual Enrollment :
    40 participants
    Observational Model:
    Other
    Time Perspective:
    Cross-Sectional
    Official Title:
    Mobile Health Obesity Wellness Intervention in Rural Older Adults (MOWI): Qualitative Assessment
    Actual Study Start Date :
    Aug 15, 2016
    Actual Primary Completion Date :
    Apr 28, 2017
    Actual Study Completion Date :
    Apr 28, 2020

    Arms and Interventions

    Arm Intervention/Treatment
    Older adult individual interviews

    The investigators will conduct 8 semi-structured 60-minute interviews with patient participants.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
    Clinician individual interviews

    The investigators will conduct 6 semi-structured 60-minute interviews with primary care clinicians who care for older adult populations.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
    Community leader individual interviews

    The investigators will conduct 4 semi-structured 60-minute interviews with community leaders.The goal of these interviews is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.
    Focus group discussions

    The investigators will lead four 90-minute focus group discussions consisting of 6-8 older adult participants each. The goal of these focus groups is to determine the acceptability, utility, and perceived value of mobile health (mHealth) in helping older adults overcome barriers to health behavior change.

    Outcome Measures

    Primary Outcome Measures

    1. Technology use in older adults [Up to one year from interview or focus group]

      The investigators will record and transcribe each interview and focus group discussion for post-hoc evaluation. The investigators will then use the transcripts to identify themes on perceptions and experience with technology use in older adults.

    Secondary Outcome Measures

    1. Determinants of obesity in older adults [Up to one year from interview or focus group]

      The investigators will record and transcribe each interview and focus group discussion for post-hoc evaluation. The investigators will then use the transcripts to identify themes related to the secondary outcome. Themes may include (but are not limited to) barriers and facilitators experienced by older adults when they want to lose weight or eat healthier, barriers and facilitators to joining wellness programs, and general availability of options and support.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    65 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:

    • Age ≥65 years;

    • Body Mass Index (BMI) ≥ 30kg/m^2;

    • Waist circumference ≥88cm in females or ≥102cm in males

    Exclusion Criteria:

    • Severe mental or life-threatening illness

    • Dementia

    • Substance use

    • History of bariatric surgery

    • Suicidal ideation

    • Unable to perform measures

    • Reside in a nursing home

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Dartmouth-Hitchcock Medical Center Lebanon New Hampshire United States 03766

    Sponsors and Collaborators

    • Dartmouth-Hitchcock Medical Center
    • National Institute on Aging (NIA)

    Investigators

    • Principal Investigator: John A Batsis, MD, Dartmouth-Hitchcock Medical Center / Dartmouth Medical School

    Study Documents (Full-Text)

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    John A. Batsis, MD, Associate Professor of Medicine and of The Dartmouth Institute Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center
    ClinicalTrials.gov Identifier:
    NCT03041831
    Other Study ID Numbers:
    • D16182_1a
    • K23AG051681
    First Posted:
    Feb 3, 2017
    Last Update Posted:
    Apr 29, 2020
    Last Verified:
    Apr 1, 2020
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by John A. Batsis, MD, Associate Professor of Medicine and of The Dartmouth Institute Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center
    frail elderly
    telemedicine
    obesity
    rural health
    health promotion
    Additional relevant MeSH terms:
    Obesity

    Study Results

    No Results Posted as of Apr 29, 2020