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. 2023 Aug 24:4:1225641.
doi: 10.3389/fresc.2023.1225641. eCollection 2023.

Using mobile health to encourage physical activity in individuals with intellectual disability: a pilot mixed methods feasibility study

Henriette Michalsen  1   2 , André Henriksen  3 , Gunn Pettersen  4 , Gunnar Hartvigsen  3 , Silje Wangberg  5 , Gyrd Thrane  4 , Reidun Jahnsen  6 , Audny Anke  1   2   6
Affiliations

Using mobile health to encourage physical activity in individuals with intellectual disability: a pilot mixed methods feasibility study

Henriette Michalsen et al. Front Rehabil Sci. .

Abstract

Background: Many individuals with intellectual disability (ID) have a sedentary lifestyle. Few interventions aimed at increasing their level of physical activity (PA) have shown lasting effects.

Aim: To assess the feasibility and acceptability of a pilot intervention study using innovative mobile health (mHealth) support systems to encourage PA in individuals with ID.

Methods: Nine individuals with ID and a low level of PA, aged 16-36 years, were included in the present convergent triangulation mixed method design. Two mHealth support systems (apps) were developed and tested. PA was measured with a Fitbit smartwatch, accelerometer, the International Physical Activity Questionnaire-Short Form (IPAQ-S), and Goal attainment scaling. Data were collected through online pre-, mid- (4 weeks), and post-intervention (12 weeks) questionnaires and activity trackers. Semi-structured qualitative interviews with participants and/or a family or staff member were held after the 12-week follow-up. Data were analyzed using conventional nonparametric statistics and thematic analyses.

Results: The response rate and retention to the trial were 16% and 100%, respectively. Data quality was high, except for missing data from Fitbit activity trackers of approximately 30% from the 4- and 12-week follow-up stages. The feasibility challenges with activity trackers include rashes, size, non-acceptance, and loss of motivation. Participants and family members/staff reported interest in the study theme and were pleased with the data collection method. All but one participant achieved their PA goals. Most participants reported being satisfied with the apps as they were enjoyable or provided a reminder for performing physical and other activities. Social support for PA among family members also increased. However, app support from staff and family members was needed, and apps were not used regularly. Two of nine participants (22%) had increased their PA measured as steps per day with Fitbit at the 12-week follow-up.

Conclusions: The acceptability and feasibility of using tailored mobile applications in natural settings to increase PA among adults with ID are promising. This study aligns with previous studies in showing the challenges to increasing PA, which requires the inclusion of family members, staff, and stakeholders. The intervention requires modifications before a randomized controlled trial can be conducted.

Keywords: activity trackers; intellectual disability; mixed methods; mobile health app; physical activity; technology.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Pilot mixed methods study design.
Figure 2
Figure 2
Interface options of the Active Leisure app: symbols only, easy-to-read text, or plain text. The app also has read-aloud capabilities.
Figure 3
Figure 3
The augmented reality app “Sorterius” (42).
See this image and copyright information in PMC

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