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Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults.
Nutrients. 2018 Aug 10; 10(8)N

Abstract

Optimal diet quality and physical activity levels are essential for healthy ageing. This study evaluated the effects of a multi-component telemonitoring intervention on behavioural determinants of diet quality and physical activity in older adults, and assessed the mediating role of these determinants and two behaviour change techniques in the intervention's effects. A non-randomised controlled design was used including 214 participants (average age 80 years) who were allocated to the intervention or control group based on municipality. The six-month intervention consisted of self-measurements of nutritional outcomes and physical activity, education, and follow-up by a nurse. The control group received regular care. Measurements took place at baseline, after 4.5 months and at the end of the study. The intervention increased self-monitoring and improved knowledge and perceived behavioural control for physical activity. Increased self-monitoring mediated the intervention's effect on diet quality, fruit intake, and saturated fatty acids intake. Improved knowledge mediated the effect on protein intake. Concluding, this intervention led to improvements in behavioural determinants of diet quality and physical activity. The role of the hypothesised mediators was limited. Insight into these mechanisms of impact provides directions for future development of nutritional eHealth interventions for older adults, in which self-monitoring may be a promising behaviour change technique. More research is necessary into how behaviour change is established in telemonitoring interventions for older adults.

Authors+Show Affiliations

Division of Human Nutrition and Health, Wageningen University and Research, P.O. Box 17, 6700 AA Wageningen, The Netherlands. marije.vandoorn@wur.nl.Division of Human Nutrition and Health, Wageningen University and Research, P.O. Box 17, 6700 AA Wageningen, The Netherlands. lisette.degroot@wur.nl.Division of Human Nutrition and Health, Wageningen University and Research, P.O. Box 17, 6700 AA Wageningen, The Netherlands. jeanne.devries@wur.nl.Strategic Communication Chair, Wageningen University and Research, P.O. Box 17, 6700 AA Wageningen, The Netherlands. annemien.haveman@wur.nl.

Pub Type(s)

Controlled Clinical Trial
Journal Article

Language

eng

PubMed ID

30103399

Citation

van Doorn-van Atten, Marije N., et al. "Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults." Nutrients, vol. 10, no. 8, 2018.
van Doorn-van Atten MN, de Groot LCPGM, de Vries JHM, et al. Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults. Nutrients. 2018;10(8).
van Doorn-van Atten, M. N., de Groot, L. C. P. G. M., de Vries, J. H. M., & Haveman-Nies, A. (2018). Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults. Nutrients, 10(8). https://doi.org/10.3390/nu10081062
van Doorn-van Atten MN, et al. Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults. Nutrients. 2018 Aug 10;10(8) PubMed PMID: 30103399.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Determinants of Behaviour Change in a Multi-Component Telemonitoring Intervention for Community-Dwelling Older Adults. AU - van Doorn-van Atten,Marije N, AU - de Groot,Lisette C P G M, AU - de Vries,Jeanne H M, AU - Haveman-Nies,Annemien, Y1 - 2018/08/10/ PY - 2018/07/05/received PY - 2018/08/06/revised PY - 2018/08/09/accepted PY - 2018/8/15/entrez PY - 2018/8/15/pubmed PY - 2018/11/27/medline KW - diet quality KW - lifestyle intervention KW - mechanisms of impact KW - mediation analyses KW - older adults KW - physical activity KW - telemonitoring JF - Nutrients JO - Nutrients VL - 10 IS - 8 N2 - Optimal diet quality and physical activity levels are essential for healthy ageing. This study evaluated the effects of a multi-component telemonitoring intervention on behavioural determinants of diet quality and physical activity in older adults, and assessed the mediating role of these determinants and two behaviour change techniques in the intervention's effects. A non-randomised controlled design was used including 214 participants (average age 80 years) who were allocated to the intervention or control group based on municipality. The six-month intervention consisted of self-measurements of nutritional outcomes and physical activity, education, and follow-up by a nurse. The control group received regular care. Measurements took place at baseline, after 4.5 months and at the end of the study. The intervention increased self-monitoring and improved knowledge and perceived behavioural control for physical activity. Increased self-monitoring mediated the intervention's effect on diet quality, fruit intake, and saturated fatty acids intake. Improved knowledge mediated the effect on protein intake. Concluding, this intervention led to improvements in behavioural determinants of diet quality and physical activity. The role of the hypothesised mediators was limited. Insight into these mechanisms of impact provides directions for future development of nutritional eHealth interventions for older adults, in which self-monitoring may be a promising behaviour change technique. More research is necessary into how behaviour change is established in telemonitoring interventions for older adults. SN - 2072-6643 UR - https://www.unboundmedicine.com/medline/citation/30103399/Determinants_of_Behaviour_Change_in_a_Multi_Component_Telemonitoring_Intervention_for_Community_Dwelling_Older_Adults_ L2 - https://www.mdpi.com/resolver?pii=nu10081062 DB - PRIME DP - Unbound Medicine ER -