Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 30054
Development and Usability Assessment of a Connected Resistance Exercise Band Application for Strength-Monitoring

Authors: J. A. Batsis, G. G. Boateng, L. M. Seo, C. L. Petersen, K. L. Fortuna, E. V. Wechsler, R. J. Peterson, S. B. Cook, D. Pidgeon, R. S. Dokko, R. J. Halter, D. F. Kotz

Abstract:

Resistance exercise bands are a core component of any physical activity strengthening program. Strength training can mitigate the development of sarcopenia, the loss of muscle mass or strength and function with aging. Yet, the adherence of such behavioral exercise strategies in a home-based setting are fraught with issues of monitoring and compliance. Our group developed a Bluetooth-enabled resistance exercise band capable of transmitting data to an open-source platform. In this work, we developed an application to capture this information in real-time, and conducted three usability studies in two mixed-aged groups of participants (n=6 each) and a group of older adults with obesity participating in a weight-loss intervention (n=20). The system was favorable, acceptable and provided iterative information that could assist in future deployment on ubiquitous platforms. Our formative work provides the foundation to deliver home-based monitoring interventions in a high-risk, older adult population.

Keywords: Application, mHealth, older adult, resistance exercise band, sarcopenia.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.2702725

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF

References:


[1] Studenski SA, Peters KW, Alley DE, Cawthon PM, McLean RR, Harris TB, et al. The FNIH sarcopenia project: rationale, study description, conference recommendations, and final estimates. J Gerontol A Biol Sci Med Sci. 2014;69:547-58.
[2] Batsis JA, Mackenzie TA, Emeny RT, Lopez-Jimenez F, Bartels SJ. Low Lean Mass With and Without Obesity, and Mortality. J Gerontol A Biol Sci Med Sci. 2017.
[3] Batsis JA, Mackenzie TA, Lopez-Jimenez F, Bartels SJ. Sarcopenia, sarcopenic obesity, and functional impairments in older adults: National Health and Nutrition Examination Surveys 1999-2004. Nutr Res. 2015;35:1031-9.
[4] Peterson MD, Rhea MR, Sen A, Gordon PM. Resistance exercise for muscular strength in older adults. Ageing Res Rev. 2010;9:226-37.
[5] Villareal DT, Aguirre L, Gurney AB, Waters DL, Sinacore DR, Colombo E, et al. Aerobic or Resistance Exercise, or Both in Dieting Obese Older Adults. N Engl J Med. 2017;376:1943-55.
[6] Rejeski WJ, Ambrosius WT, Burdette JH, Walkup MP, Marsh AP. Community Weight Loss to Combat Obesity and Disability in At-Risk Older Adults. J Gerontol A Biol Sci Med Sci. 2017.
[7] Mohr DC, Cuijpers P, Lehman K. Supportive accountability: a model for providing human support to enhance adherence to eHealth interventions. J Med Internet Res. 2011;13:e30.
[8] Noah B, Keller MS, Mosadeghi S, Stein L, Johl S, Delshad S, et al. Impact of remote patient monitoring on clinical outcomes: an updated meta-analysis of randomized controlled trials. npj Digital Medicine. 2018;1:20172.
[9] Anderson-Lewis C, Darville G, Mercado RE, Howell S, Di Maggio S. mHealth Technology Use and Implications in Historically Underserved and Minority Populations in the United States: Systematic Literature Review. JMIR Mhealth Uhealth. 2018;6:e128.
[10] Hester J, Lord S, Halter R, Kotz D, Sorber J, Peters T, et al. Amulet: An Energy-Efficient, Multi-Application Wearable Platform. Proceedings of the 14th ACM Conference on Embedded Network Sensor Systems CD-ROM - SenSys '162016. p. 216-29.
[11] Wechsler EV, Batsis JA, Kotz DF, Skinner J, Zagaria AB, Peterson RA, et al. Development of a 'Smart' TheraBand to Assess Strength. J Am Geriatr Soc. 2017;65:S218-S.
[12] Wechsler EV. Development of a Smart Resistance Exercise Band to Assess Strength. Hanover, NH: Dartmouth College; 2018.
[13] Samaras GM, Horst RL. A systems engineering perspective on the human-centered design of health information systems.J Biomed Inform.2005;38:61-74.
[14] Creswell JW, Fetters MD, Ivankova NV. Designing a mixed methods study in primary care. Ann Fam Med. 2004;2:7-12.
[15] Shenhar AJ, Bonen Z. The new taxonomy of systems: toward an adaptive systems engineering framework. IEEE Transactions on Systems, Man, and Cybernetics - Part A: Systems and Humans. 1997;27:137-45.
[16] Uchida MC, Nishida MM, Sampaio RAC, Moritani T, Arai H. Thera-band® elastic band tension: reference values for physical activity. J Phys Therapy Science. 2016;28:1266-71.
[17] Guex K, Daucourt C, Borloz S. Validity and reliability of maximal-strength assessment of knee flexors and extensors using elastic bands. J Sport Rehabil. 2015;24:151-5.
[18] Andersen LL, Vinstrup J, Jakobsen MD, Sundstrup E. Validity and reliability of elastic resistance bands for measuring shoulder muscle strength. Scand J Med Sci Sports. 2016.
[19] Aging Ao. Internet Usage and Online Activities of Older Adults. Administration on Aging; 2013.
[20] Batsis JA, Naslund JA, Gill LE, Masutani RK, Agarwal N, Bartels SJ. Use of a Wearable Activity Device in Rural Older Obese Adults: A Pilot Study. Gerontol Geriatr Med. 2016;2:2333721416678076.
[21] Larizza MF, Zukerman I, Bohnert F, Busija L, Bentley SA, Russell RA, et al. In-home monitoring of older adults with vision impairment: exploring patients', caregivers' and professionals' views. J Am Med Inform Assoc. 2014;21:56-63.
[22] Ball C, Franco A, Tyrrell J, Couturie P. Videoconferencing and the hard of hearing. J Telemed Telecare. 1998;4:57-9.
[23] Mitzner TL, Boron JB, Fausset CB, Adams AE, Charness N, Czaja SJ, et al. Older Adults Talk Technology: Technology Usage and Attitudes. Comput Human Behav. 2010;26:1710-21.
[24] LiftUp. LiftUp: Strength training reimagined. In: Kickstarter, editor.2018.
[25] John J. XIaomi Launches the Move It Smart Exercise Resistance Band Priced at 549 Yuan (~$83). In: gizmochina, editor.2017.
[26] Rolyan Smart Handle. Performance Health2018. p. Rolyan Smart Handle.
[27] Petersen C, Weschler EV, Halter RJ, Boateng G, Proctor P, Kotz D, et al. Detection and Monitoring of Repetitions Using an mHealth Enabled Resistance Band. CHASE 2018: Third IEEE/ACM Conference on Connected Health: Applications, Systems and Engineering Technologies. Washington, DC2018.
[28] Batsis JA, Zagaria A, Kotz DF, Bartels SJ, Boateng GG, Proctor PO, et al. Usability evaluation for the Amulet Wearable Device in rural older adults with obesity. Gerontechnology. 2018;17:151-9.
[29] Samaras GM, Horst RL. A systems engineering perspective on the human-centered design of health information systems. Journal of Biomedical Informatics. 2005;38:61-74.
[30] Macefield R. How to Specify the Participant Group Size for Usability Studies: A Practitioner's Guide. Journal of Usability Studies. 2009;5:2009.
[31] Black AC, Serowik KL, Schensul JJ, Bowen AM, Rosen MI. Build a better mouse: directly-observed issues in computer use for adults with SMI. Psychiatr Q. 2013;84:81-92.
[32] Prochnow JA, Meiers SJ, Scheckel MM. Improving Patient and Caregiver New Medication Education Using an Innovative Teach-back Toolkit. J Nurs Care Qual. 2018.
[33] Brooke J. System Usability Scale: A Retrospective. Journal of Usability Studies. 2013;8:29-40.
[34] F JR. Psychometric Evaluation of the Post-Study System Usability Questionnaire: The PSSUQ. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 1992;36:1259-60.
[35] Batsis JA, Barre LK, Mackenzie TA, Pratt SI, Lopez-Jimenez F, Bartels SJ. Variation in the prevalence of sarcopenia and sarcopenic obesity in older adults associated with different research definitions: dual-energy X-ray absorptiometry data from the National Health and Nutrition Examination Survey 1999-2004. J Am Geriatr Soc. 2013;61:974-80.
[36] Gamm LD, Hutchison LL, Dabney BJ, Dorsey AM. Rural Health People 2010: A Companion Document to Health People 2010. College Station, Texas: The Texas A&M University System Health Science Center, School of Rural Public Health, Southwest Rural Health Research Center; 2003.