Journal of Physical Activity Research
ISSN (Print): 2576-1919 ISSN (Online): 2574-4437 Website: https://www.sciepub.com/journal/jpar Editor-in-chief: Peter Hart
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Journal of Physical Activity Research. 2019, 4(2), 137-143
DOI: 10.12691/jpar-4-2-10
Open AccessArticle

Impact of Wearable Technology on Physical Activity, Fitness, and Health Outcomes in College Students with Disabilities

Trista L. Olson1, , Kevin D. Dames2, E. Justin Page3, Michele Mahr4 and Brent M. Peterson5

1Department of Kinesiology, St. Cloud State University, St. Cloud, MN, USA

2Department of Kinesiology, State University of New York, Cortland, Cortland, NY, USA

3Department of Counseling, Psychology, and Special Education, Duquesne University, Pittsburgh, PA, USA

4Department of Graduate and Professional Studies, California State University, Sacramento, CA, USA

5Department of Kinesiology and Health Science, Biola University, La Mirada, CA, USA

Pub. Date: October 28, 2019

Cite this paper:
Trista L. Olson, Kevin D. Dames, E. Justin Page, Michele Mahr and Brent M. Peterson. Impact of Wearable Technology on Physical Activity, Fitness, and Health Outcomes in College Students with Disabilities. Journal of Physical Activity Research. 2019; 4(2):137-143. doi: 10.12691/jpar-4-2-10

Abstract

Physical activity (PA) in the United States progressively continues to decline despite research highlighting the importance of an active lifestyle. Particularly, recommended levels of PA are associated with reduced risk for a large number of negative, yet preventable health conditions in apparently healthy populations. Unfortunately, individuals who report having one or more disabilities perform far less PA than their apparently healthy counterparts. While technological advancements such as wearable devices to monitor PA have become popular, few studies have evaluated the effectiveness of wearable technology-based interventions on increasing PA levels and improving health outcomes in college students and individuals with disabilities. Thus, the purposes of this investigation were (1) to evaluate if providing a Fitbit PA tracking device to college students with disabilities would increase PA and improve health outcomes such as cardiovascular (CV) fitness and body composition, and (2) to investigate whether the addition of health education sessions would provide additional benefits. A total of 24 participants (27 ± 7 years) were given a Fitbit and had their PA monitored over twelve weeks. Group randomization was conducted where one group received only the Fitbit (FO) and a second group where participants also received health education sessions (E+F). Pre and post physiological assessments were also conducted. No significant group*time interactions were observed. Significant increases in mean treadmill duration and VO2peak occurred from pre to post. Mean daily steps in the E+F group were significantly higher than the FO group (8134 ± 441 vs. 7581 ± 577, respectively). Twelve weeks of Fitbit usage was effective in increasing CV fitness in individuals who identified as having one or more disabilities. Considering the lack of a significant improvement in health outcomes by the addition of educational programming the use of a Fitbit alone may be sufficient to improve CV fitness in this population.

Keywords:
physical activity disabilities activity tracking college-age students health disparities

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Physical Activity Guidelines for Americans, 2nd Edition., U.S.D.o.H.a.H. Services, Editor. 2018: Washington, DC: US.
 
[2]  Healthy People 2020, U.S.D.o.H.a.H.S.O.o.D.P.a.H. Promotion, Editor. 2010: Washington, DC: US.
 
[3]  Plotnikoff, R.C., Costigan, S.A., Williams, R.L., Hutchesson, M.J., Kennedy, S.G., Robards, S.L., Allen, J., Collins, C.E., Callister, R., and Germov, J., "Effectiveness of Interventions Targeting Physical Activity, Nutrition and Healthy Weight for University and College Students: A Systematic Review and Meta-Analysis", International Journal of Behavioral Nutrition and Physical Activity, 12(1). 45. 2015.
 
[4]  Sparling, P.B. and Snow, T.K., “Physical Activity Patterns in Recent College Alumni”, Research quarterly for exercise and sport, 73(2). 200-205. 2002.
 
[5]  Fish, C. and Nies, M.A., “Health Promotion Needs of Students in a College Environment”, Public Health Nursing, 13(2). 104-111. 1996.
 
[6]  Calfas, K., Sallis, J., Lovato, C., and Campbell, J., “Physical Activity and Its Determinants before and after College Graduation”, Medicine, Exercise, Nutrition, and Health, 3(323-334). 1994.
 
[7]  Erickson, W., Lee, C., and von Schrader, S., "Disability Statistics from the 2008 American Community Survey (Acs)", Ithaca, NY: Cornell University Rehabilitation Research and Training Center on Disability Demographics and Statistics (StatsRRTC). 2010.
 
[8]  Bombardier, C.H., Ehde, D.M., Stoelb, B., and Molton, I.R., “The Relationship of Age-Related Factors to Psychological Functioning among People with Disabilities”, Physical Medicine and Rehabilitation Clinics, 21(2). 281-297. 2010.
 
[9]  Mitchell, J.M., Adkins, R.H., and Kemp, B.J., “The Effects of Aging on Employment of People with and without Disabilities”, Rehabilitation Counseling Bulletin, 49(3). 157-165. 2006.
 
[10]  Young, H.-J., Erickson, M.L., Johnson, K.B., Johnson, M.A., and McCully, K.K., "A Wellness Program for Individuals with Disabilities: Using a Student Wellness Coach Approach", Disability and Health Journal, 8(3). 345-352. 2015.
 
[11]  Wang, J.B., Cadmus-Bertram, L.A., Natarajan, L., White, M.M., Madanat, H., Nichols, J.F., Ayala, G.X., and Pierce, J.P., “Wearable Sensor/Device (Fitbit One) and Sms Text-Messaging Prompts to Increase Physical Activity in Overweight and Obese Adults: A Randomized Controlled Trial”, Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association, 21(10). 782-792. 2015.
 
[12]  Lyons, E.J., Lewis, Z.H., Mayrsohn, B.G., and Rowland, J.L., "Behavior Change Techniques Implemented in Electronic Lifestyle Activity Monitors: A Systematic Content Analysis", Journal of Medical Internet Research, 16(8). 2014.
 
[13]  Kurti, A.N. and Dallery, J., "Internet-Based Contingency Management Increases Walking in Sedentary Adults", Journal of Applied Behavior Analysis, 46(3). 568-581. 2013.
 
[14]  Burke, L.E., Ma, J., Azar, K.M., Bennett, G.G., Peterson, E.D., Zheng, Y., Riley, W., Stephens, J., Shah, S.H., and Suffoletto, B., "Current Science on Consumer Use of Mobile Health for Cardiovascular Disease Prevention: A Scientific Statement from the American Heart Association", Circulation, 132(12). 1157-1213. 2015.
 
[15]  Kim, Y., Lumpkin, A., Lochbaum, M., Stegemeier, S., and Kitten, K., “Promoting Physical Activity Using a Wearable Activity Tracker in College Students: A Cluster Randomized Controlled Trial”, Journal of Sports Sciences, 36(16). 1889-1896. 2018.
 
[16]  Thompson, W.R., “Worldwide Survey of Fitness Trends for 2016: 10th Anniversary Edition”, ACSM's Health & Fitness Journal, 19(6). 9-18. 2015.
 
[17]  Thompson, W.R., “Worldwide Survey of Fitness Trends for 2019”, ACSM's Health & Fitness Journal, 22(6). 10-17. 2018.
 
[18]  Farnell, G. and Barkley, J., "The Effect of a Wearable Physical Activity Monitor (Fitbit One) on Physical Activity Behaviour in Women: A Pilot Study". Journal of Human Sport and Exercise. 2017.
 
[19]  Schaben, J.A. and Furness, S., “Investing in College Students: The Role of the Fitness Tracker”, Digital Health, 4. 2018.
 
[20]  Leslie, E., Sparling, P.B., and Owen, N., “University Campus Settings and the Promotion of Physical Activity in Young Adults: Lessons from Research in Australia and the USA”, Health Education, 101(3). 116-125. 2001.
 
[21]  Nelson, M.C., Story, M., Larson, N.I., Neumark-Sztainer, D., and Lytle, L.A., “Emerging Adulthood and College-Aged Youth: An Overlooked Age for Weight-Related Behavior Change”, Obesity (Silver Spring), 16(10). 2205-11. 2008.
 
[22]  VanKim, N.A., Laska, M.N., Ehlinger, E., Lust, K., and Story, M., “Understanding Young Adult Physical Activity, Alcohol and Tobacco Use in Community Colleges and 4-Year Post-Secondary Institutions: A Cross-Sectional Analysis of Epidemiological Surveillance Data”, BMC Public Health, 10(1). 208. 2010.
 
[23]  West, D.S., Monroe, C.M., Turner-McGrievy, G., Sundstrom, B., Larsen, C., Magradey, K., Wilcox, S., and Brandt, H.M., “A Technology-Mediated Behavioral Weight Gain Prevention Intervention for College Students: Controlled, Quasi-Experimental Study”, Journal of Medical Internet Research, 18(6). e133. 2016.
 
[24]  Fox, M.H., Witten, M.H., and Lullo, C., “Reducing Obesity among People with Disabilities”, Journal of Disability Policy studies, 25(3). 175-185. 2014.
 
[25]  Grim, M., Hortz, B., and Petosa, R., “Impact Evaluation of a Pilot Web-Based Intervention to Increase Physical Activity”, American Journal of Health Promotion, 25(4). 227-230. 2011.
 
[26]  Magoc, D., Tomaka, J., and Bridges-Arzaga, A., “Using the Web to Increase Physical Activity in College Students”, American Journal of Health Behavior, 35(2). 142-154. 2011.
 
[27]  Naslund, J.A., Aschbrenner, K.A., and Bartels, S.J., "Wearable Devices and Smartphones for Activity Tracking among People with Serious Mental Illness", Mental Health and Physical Activity, 10. 10-17. 2016.
 
[28]  Pollock, M.L., Bohannon, R.L., Cooper, K.H., Ayres, J.J., Ward, A., White, S.R., and Linnerud, A., "A Comparative Analysis of Four Protocols for Maximal Treadmill Stress Testing", American Heart Journal, 92(1). 39-46. 1976.
 
[29]  Evenson, K.R., Goto, M.M., and Furberg, R.D., “Systematic Review of the Validity and Reliability of Consumer-Wearable Activity Trackers”, International Journal of Behavioral Nutrition and Physical Activity, 12(1). 159. 2015.
 
[30]  Ferguson, T., Rowlands, A.V., Olds, T., and Maher, C., “The Validity of Consumer-Level, Activity Monitors in Healthy Adults Worn in Free-Living Conditions: A Cross-Sectional Study”, International Journal of Behavioral Nutrition and Physical Activity, 12(1). 42. 2015.
 
[31]  Cadmus-Bertram, L., Marcus, B.H., Patterson, R.E., Parker, B.A., and Morey, B.L., “Use of the Fitbit to Measure Adherence to a Physical Activity Intervention among Overweight or Obese, Postmenopausal Women: Self-Monitoring Trajectory During 16 Weeks”, JMIR mHealth and uHealth, 3(4). 2015.
 
[32]  Gell, N.M., Grover, K.W., Humble, M., Sexton, M., and Dittus, K., “Efficacy, Feasibility, and Acceptability of a Novel Technology-Based Intervention to Support Physical Activity in Cancer Survivors”, Supportive Care in Cancer, 25(4). 1291-1300. 2017.
 
[33]  Hartman, S.J., Nelson, S.H., and Weiner, L.S., “Patterns of Fitbit Use and Activity Levels Throughout a Physical Activity Intervention: Exploratory Analysis from a Randomized Controlled Trial”, JMIR Mhealth Uhealth, 6(2). e29. 2018.
 
[34]  van den Berg-Emons, R.J., L'Ortye, A.A., Buffart, L.M., Nieuwenhuijsen, C., Nooijen, C.F., Bergen, M.P., Stam, H.J., and Bussmann, J.B., “Validation of the Physical Activity Scale for Individuals with Physical Disabilities”, Archives of Physical Medicine and Rehabilitation, 92(6). 923-928. 2011.
 
[35]  Washburn, R.A., Zhu, W., McAuley, E., Frogley, M., and Figoni, S.F., “The Physical Activity Scale for Individuals with Physical Disabilities: Development and Evaluation”, Archives of Physical Medicine and Rehabilitation, 83(2). 193-200. 2002.
 
[36]  Finkelstein, E.A., Haaland, B.A., Bilger, M., Sahasranaman, A., Sloan, R.A., Nang, E.E.K., and Evenson, K.R., “Effectiveness of Activity Trackers with and without Incentives to Increase Physical Activity (Trippa): A Randomised Controlled Trial”, The Lancet Diabetes & Endocrinology, 4(12). 983-995. 2016.
 
[37]  Adams, M.M. and Freleng, C., “Effects of Brief Fitbit Use on Physical Activity & Cardiometabolic Risk”, Journal of Physical Activity Research, 3(2). 82-88. 2018.
 
[38]  Cadmus-Bertram, L.A., Marcus, B.H., Patterson, R.E., Parker, B.A., and Morey, B.L., “Randomized Trial of a Fitbit-Based Physical Activity Intervention for Women”, American Journal of Preventive Medicine, 49(3). 414-418. 2015.
 
[39]  Rote, A.E., “Physical Activity Intervention Using Fitbits in an Introductory College Health Course”, Health Education Journal, 76(3). 337-348. 2017.
 
[40]  Garber, C.E., Blissmer, B., Deschenes, M.R., Franklin, B.A., Lamonte, M.J., Lee, I.M., Nieman, D.C., and Swain, D.P., “American College of Sports Medicine Position Stand. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults: Guidance for Prescribing Exercise”, Medicine & Science in Sports & Exercise, 43(7). 1334-59. 2011.
 
[41]  Tudor-Locke, C., Craig, C.L., Brown, W.J., Clemes, S.A., De Cocker, K., Giles-Corti, B., Hatano, Y., Inoue, S., Matsudo, S.M., Mutrie, N., Oppert, J.-M., Rowe, D.A., Schmidt, M.D., Schofield, G.M., Spence, J.C., Teixeira, P.J., Tully, M.A., and Blair, S.N., “How Many Steps/Day Are Enough? For Adults”, The International Journal of Behavioral Nutrition and Physical Activity, 8. 79-79. 2011.
 
[42]  Kraus, W.E., Janz, K.F., Powell, K.E., Cambell, W.W., Jakicic, J.M., Troiano, R.P., Sprow, K., Torres, A., and Piercy, K.L., “Daily Step Counts for Measuring Physical Activity Exposure and Its Relation to Health”, Medicine & Science in Sports & Exercise, 51(6). 1206-1212. 2019.