Walking and Daily Affect Among Sedentary Older Adults Measured Using the StepMATE App: Pilot Randomized Controlled Trial.
Study Goal
The researchers aimed to test the efficacy of the StepMATE app for increasing daily walking in inactive adults and examine the relationship between walking and self-reported mood and energy.
Results Summary
Both groups significantly increased their daily steps during the 4-week study compared to baseline, with no difference between the basic and supported app versions. Walking was associated with better mood and higher energy levels, particularly for women and older participants.
Population
Middle-aged and older adults aged ≥50 years (mean 61.64, SD 7.67 years).
Effective Dosage
Participants set and adjusted their own daily walking goals.
Duration
4 weeks
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
StepMATE app (basic, pedometer-like version) | increase | steps | inactive adults aged ≥50 years | γ=0.24; P<.001 | took significantly more steps | #1 |
StepMATE app (version with supports) | increase | steps | inactive adults aged ≥50 years | γ=0.24; P<.001 | took significantly more steps | #2 |
StepMATE app (both groups) | increase | steps per day | inactive adults aged ≥50 years | 5248 steps per day compared with an average of 3753 steps per day during the baseline week | averaged | #3 |
StepMATE app (both groups) | no change | step increases | inactive adults aged ≥50 years | - | no differences in step increases | #4 |
StepMATE app (both groups) | increase | cognition | inactive adults aged ≥50 years | γ=0.17; P=.02 | significantly improved | #5 |
walking (taking more steps than average) | increase | mood and energy levels | inactive adults aged ≥50 years | - | reported better mood and higher energy levels | #6 |
walking (taking more steps than average) | increase | mood | inactive adults aged ≥50 years | - | reported better mood | #7 |
walking | increase | positive mood and energy levels | women | - | had benefits for positive mood and energy levels | #8 |
walking | increase | positive mood and energy levels | older participants (those aged ≥62 years) | - | had benefits for positive mood and energy levels | #9 |
BACKGROUND: Although fitness technology can track and encourage increases in physical activity, few smartphone apps are based on behavior change theories. Apps that do include behavioral components tend to be costly and often do not include strategies to help those who are unsure of how to increase their physical activity. OBJECTIVE: The aim of this pilot study is to test the efficacy of a new app, StepMATE, for increasing daily walking in a sample of inactive adults and to examine daily relationships between walking and self-reported mood and energy. METHODS: The participants were middle-aged and older adults aged ≥50 years (mean 61.64, SD 7.67 years). They were randomly assigned to receive either a basic, pedometer-like version of the app or a version with supports to help them determine where, when, and with whom to walk. Of the 96 participants randomized to 1 of 2 conditions, 87 (91%) completed pretest assessments and 81 (84%) successfully downloaded the app. Upon downloading the app, step data from the week prior were automatically recorded. The participants in both groups were asked to set a daily walking goal, which they could change at any point during the intervention. They were asked to use the app as much as possible over the next 4 weeks. Twice per day, pop-up notifications assessed mood and energy levels. RESULTS: Although one group had access to additional app features, both groups used the app in a similar way, mainly using just the walk-tracking feature. Multilevel models revealed that both groups took significantly more steps during the 4-week study than during the week before downloading the app (γ=0.24; P<.001). During the study, the participants in both groups averaged 5248 steps per day compared with an average of 3753 steps per day during the baseline week. Contrary to predictions, there were no differences in step increases between the two conditions. Cognition significantly improved from pre- to posttest (γ=0.17; P=.02). Across conditions, on days in which the participants took more steps than average, they reported better mood and higher energy levels on the same day and better mood on the subsequent day. Daily associations among walking, mood, and energy were significant for women but not for men and were stronger for older participants (those aged ≥62 years) than for the younger participants. CONCLUSIONS: Both groups increased their steps to a similar extent, suggesting that setting and monitoring daily walking goals was sufficient for an initial increase and maintenance of steps. Across conditions, walking had benefits for positive mood and energy levels, particularly for women and older participants. Further investigations should identify other motivating factors that could lead to greater and more sustained increases in physical activity. TRIAL REGISTRATION: ClinicalTrials.gov NCT03124537; https://clinicaltrials.gov/ct2/show/NCT03124537.