05 February 2008

PDAs Prod Elderly to Exercise

In a study that appears in the February issue of the American Journal of Preventive Medicine, it was demonstrated that specially programmed PDAs, or personal digital assistants, can prod middle-aged and older Americans - the most sedentary segment of the U.S. population - into increasing their physical activity levels. The researchers invited the public to participate in this new study through local mass-media outlets, like the Palo Alto Daily News and the San Jose Mercury News. Out of 69 callers who were screened for eligibility, 37 were invited to be study participants and randomly assigned to an eight-week program in which they either received a Dell Axim X5 PDA, or traditional handouts related to physical activity. The Dell Axim X5, chosen for its large-sized, easy-to-read screen and good contrast, was fitted with a program that asked participants approximately three minutes' worth of questions. Among the questions: Where are you now? Who are you with? What barriers did you face in doing your physical activity routine? The device automatically beeped once in the afternoon and once in the evening; if participants ignored it the first time, it beeped three additional times at 30-minute intervals. During the second (evening) session, the device also asked participants about their goals for the next day.

With this program, participants could set goals, track their physical activity progress twice a day and get feedback on how well they were meeting their goals. After eight weeks, the researchers found that while participants assigned to the PDA group devoted approximately five hours each week to exercise, those in the control group spent only about two hours on physical activities-in other words, the PDA users were more than twice as active. One surprise was the participants' positive response to the program's persistence. The PDA users liked the three additional "reminder" beeps that went off if they failed to respond to the first one. In fact, almost half of them wound up responding to the PDA only after being beeped for the fourth time. The study targeted people interested in health changes, but with little if any knowledge of portable computer devices. During the eligibility screening, 93 percent said they had never used a PDA before. So there could have been difficulties in grasping the technology, or participants refusing to deal with it and giving up entirely. This, however, did not turn out to be a problem.

More information:

http://med.stanford.edu/news_releases/2008/february/PDA.html