Assessing acceptability and patient experience of a behavioral lifestyle intervention using fitbit technology in older adults to manage type 2 diabetes amid COVID-19 pandemic: A focus group study

Geriatr Nurs. 2021 Jan-Feb;42(1):57-64. doi: 10.1016/j.gerinurse.2020.11.007. Epub 2020 Nov 19.

Abstract

Type 2 diabetes (T2D) contributes to reduced quality of life in older adults, especially in those with comorbidities such as being overweight or obese. Personal fitness technology (Fitbit ®) has the potential to improve the management of T2D. Using a semi-structured interview guide, focus groups were conducted to explore participants' acceptability and experiences following a behavioral lifestyle intervention that integrated Fitbit in overweight/obese older adults with T2D amid the COVID-19 pandemic which began during the time of this study. Focus group transcripts were transcribed and analyzed using thematic analysis. Eighteen (18) of the 20 participants completed the program and focus group interviews. Overall, we observed high acceptability of the program, and participants reported favorable experiences such as increased knowledge of health behaviors, improved diabetes management, and improved quality of life following the behavioral lifestyle intervention, even under stressful life circumstances from COVID-19.

Keywords: Fitness technology; Focus group; Older adults, Fitbit; Qualitative research; Type 2 diabetes; Wearable; mHealth.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Behavior Therapy*
  • COVID-19 / epidemiology*
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / psychology*
  • Female
  • Fitness Trackers*
  • Focus Groups
  • Health Behavior
  • Humans
  • Life Style*
  • Male
  • Obesity / etiology
  • Obesity / psychology*
  • Obesity / therapy
  • Patient Acceptance of Health Care
  • Patient Satisfaction
  • Quality of Life