Low-Income, Older African Americans' Engagement in and Perceptions of a Smartphone-Based Ecological Momentary Assessment Study of Physical Activity and Sedentary Behavior

Laurie Kennedy-Malone; Derek J Hevel; Kourtney B Sappenfield; Heidi Scheer; Christine Zecca; Jaclyn P Maher

doi:10.1093/geroni/igab056

Low-Income, Older African Americans' Engagement in and Perceptions of a Smartphone-Based Ecological Momentary Assessment Study of Physical Activity and Sedentary Behavior

Innov Aging. 2021 Dec 23;6(1):igab056. doi: 10.1093/geroni/igab056. eCollection 2022.

Authors

Laurie Kennedy-Malone¹, Derek J Hevel², Kourtney B Sappenfield², Heidi Scheer³, Christine Zecca⁴, Jaclyn P Maher²

Affiliations

¹ School of Nursing, University of North Carolina at Greensboro, Greensboro, North Carolina, USA.
² Department of Kinesiology, University of North Carolina at Greensboro, Greensboro, North Carolina, USA.
³ Duke Clinical Research Institute, Durham, North Carolina, USA.
⁴ Alzheimer's Association of Western Carolina Chapter, Charlotte, North Carolina, USA.

Abstract

Background and objectives: Smartphone-based ecological momentary assessment (EMA) methods can provide novel insights into modeling and predicting activity-related behaviors, yet many racial and ethnic minority groups report barriers to participating in mobile health research. We aim to (a) report on strategies used to successfully recruit and retain minority older adults in a smartphone-based physical activity and sedentary behavior EMA study and (b) report on participants' perceptions of study acceptability.

Research design and methods: Researchers partnered with trusted individuals and community organizations serving older adults to facilitate recruitment for an 8-day EMA study of minority older adults' physical activity and sedentary behavior. Additional strategies such as having experienced, culturally competent team members and available technical support were employed to further recruitment and retention efforts. A poststudy questionnaire assessed participants' perceptions of study acceptability.

Results: In total, 123 minority older adults were recruited, 102 met inclusion criteria, 91 completed the study, and 89 completed the poststudy questionnaire. The sample consisted of predominantly low-income African American women with an average age of 70 years. Responses to open-ended questions revealed that the most enjoyable aspects of study participation were the ability to learn more about themselves, contribute to science and/or their community, engage in a new activity, and receive financial compensation. Participants reported the least enjoyable aspects of the study included the frequency of EMA questionnaires, apprehension of missing EMA questionnaires, carrying the smartphone, and difficulty wearing the accelerometer. Most participants (97%) expressed interest in being contacted for future studies.

Discussion and implications: Low-income, older African Americans reported positive perceptions of a smartphone-based EMA study of physical activity and sedentary behavior. Findings suggest that applying demonstrated strategies to engage this population in technology-based health research can enhance recruitment and retention efforts; however, it is unclear which strategies are most effective in reducing participation barriers.

Keywords: Accelerometer; Exercise/physical activity; Race; Recruitment; Technology.