BibTeX for a paper by David Kotz at Dartmouth College.
For more information about this paper, visit this web page:
https://www.cs.dartmouth.edu/~kotz/research/batsis-rural/index.html

@Article{batsis:rural,
  author =        {John A. Batsis and Curtis L. Petersen and Matthew M. Clark and Summer B. Cook and David Kotz and Tyler L. Gooding and Meredith N. Roderka and Rima I. Al-Nimr and Dawna Pidgeon and Ann Haedrich and K.C. Wright and Christina Aquila and Todd A. Mackenzie},
  title =         {{Feasibility and acceptability of a technology-based, rural weight management intervention in older adults with obesity}},
  journal =       {BMC Geriatrics},
  year =          2021,
  month =         {January},
  volume =        21,
  articleno =     44,
  numpages =      13,
  publisher =     {BioMed Central},
  copyright =     {the authors},
  DOI =           {10.1186/s12877-020-01978-x},
  PMID =          33435877,
  URL =           {https://www.cs.dartmouth.edu/~kotz/research/batsis-rural/index.html},
  abstract =      {\emph{Background:} Older adults with obesity residing in rural areas have reduced access to weight management programs. We determined the feasibility, acceptability and preliminary outcomes of an integrated technology-based health promotion intervention in rural-living, older adults using remote monitoring and synchronous video-based technology.  \par  \emph{Methods:} A 6-month, non-randomized, non-blinded, single-arm study was conducted from October 2018 to May 2020 at a community-based aging center of adults aged {$\geq$}65 years with a body mass index (BMI) {$\geq$}30 kg/m2. Weekly dietitian visits focusing on behavior therapy and caloric restriction and twice-weekly physical therapist-led group strength, flexibility and balance training classes were delivered using video-conferencing to participants in their homes. Participants used a Fitbit Alta HR for remote monitoring with data feedback provided by the interventionists. An aerobic activity prescription was provided and monitored.  \par  \emph{Results:} Mean age was 72.9{$\pm$}3.9 years (82\% female). Baseline anthropometric measures of weight, BMI, and waist circumference were 97.8{$\pm$}16.3 kg, 36.5{$\pm$}5.2 kg/m2, and 115.5{$\pm$}13.0 cm, respectively. A total of 142 participants were screened (n{$=$}27 ineligible), and 53 consented. There were nine dropouts (17\%). Overall satisfaction with the trial (4.7+0.6, scale: 1 (low) to 5 (high)) and with Fitbit (4.2+0.9) were high. Fitbit was worn an average of 81.7{$\pm$}19.3\% of intervention days. In completers, mean weight loss was 4.6{$\pm$}3.5 kg or 4.7{$\pm$}3.5\% (p{$<$}0.001). Physical function measures of 30-s sit-to-stand repetitions increased from 13.5{$\pm$}5.7 to 16.7{$\pm$}5.9 (p{$<$}0.001), 6-min walk improved by 42.0{$\pm$}77.3 m (p{$=$}0.005) but no differences were observed in gait speed or grip strength. Subjective measures of late-life function improved (3.4{$\pm$}4.7 points, p{$<$}0.001).  \par  \emph{Conclusions:} A technology-based obesity intervention is feasible and acceptable to older adults with obesity and may lead to weight loss and improved physical function.},
}