Clinical trial NCT03041831: MOWI Qualitative Assessment
Official title: Mobile Health Obesity Wellness Intervention in Rural Older Adults (MOWI): Qualitative Assessment
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Obesity
Keywords: frail elderly
telemedicine
obesity
rural health
health promotion
Lead sponsor: Dartmouth-Hitchcock Medical Center
Sponsor class: OTHER
Collaborators: name: National Institute on Aging (NIA)
First posted: 2017-02-03
Enrollment: 40
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Older adult participants screened and recruited primarily in local primary care setting (Department of Community and Family Medicine at Dartmouth Hitchcock Medical Center), as well as through other marketing channels such as posters and radio advertising. Community leaders and clinicians recruited by invitation from the principal investigator.

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.

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.

Eligibility criteria: 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

Primary outcomes:
measure: Technology use in older adults
timeFrame: Up to one year from interview or focus group
Secondary outcomes:
measure: Determinants of obesity in older adults
timeFrame: Up to one year from interview or focus group
Other outcomes:
Locations:
city: Lebanon
country: United States
facility: Dartmouth-Hitchcock Medical Center
state: New Hampshire
Study officials:
affiliation: Dartmouth-Hitchcock Medical Center / Dartmouth Medical School
name: John A Batsis, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Batsis JA, Dokko R, Naslund JA, Zagaria AB, Kotz D, Bartels SJ, Carpenter-Song E. Opportunities to Improve a Mobile Obesity Wellness Intervention for Rural Older Adults with Obesity. J Community Health. 2020 Feb;45(1):194-200. doi: 10.1007/s10900-019-00720-y.
citation: Batsis JA, Zagaria AB, Halter RJ, Boateng GG, Proctor P, Bartels SJ, Kotz D. Use of Amulet in behavioral change for geriatric obesity management. Digit Health. 2019 Jun 21;5:2055207619858564. doi: 10.1177/2055207619858564. eCollection 2019 Jan-Dec.
citation: Batsis JA, Zagaria A, Kotz DF, Bartels SJ, Boateng GG, Proctor PO, Halter RJ, Carpenter-Song EA. Usability Evaluation for the Amulet Wearable Device in Rural Older Adults with Obesity. Gerontechnology. 2018 Sep;17(3):151-159. doi: 10.4017/gt.2018.17.3.003.00.
citation: Batsis JA, Naslund JA, Zagaria AB, Kotz D, Dokko R, Bartels SJ, Carpenter-Song E. Technology for Behavioral Change in Rural Older Adults with Obesity. J Nutr Gerontol Geriatr. 2019 Apr-Jun;38(2):130-148. doi: 10.1080/21551197.2019.1600097. Epub 2019 Apr 11.