title: Feasibility of the Diabetes and Technology for Increased Activity (DaTA) Study: a pilot intervention in high-risk rural adults.
abstract: BACKGROUND
  Rural Canadians are at increased risk of metabolic syndrome. Physical inactivity is a primary target for preventing and reversing metabolic syndrome. Adherence to lifestyle interventions may be enhanced using cell phones and self-monitoring technologies. This study investigated the feasibility of a physical activity and self-monitoring intervention targeting high-risk adults in rural Ontario.
  
  
  METHODS
  Rural adults (n = 25, mean = 57.0 ± 8.7 years) with ≥ 2 criteria for metabolic syndrome participated in an 8-week stage-matched physical activity and self-monitoring intervention. Participants monitored blood glucose, blood pressure, weight, and physical activity using self-monitoring devices and Blackberry Smart phones. VO2max, stage of change, waist circumference, weight, blood lipids, and HbA1c were measured at weeks 1, 4, and 8.
  
  
  RESULTS
  Adherence to self-monitoring was > 94%. Participants' experiences and perceptions of the technology were positive. Mean stage of change increased 1 stage, physical activity increased 26%, and predicted VO2max increased 17% (P < .05). Significant changes in weight, waist circumference, diastolic blood pressure, LDL cholesterol, and total cholesterol were found.
  
  
  CONCLUSIONS
  This stage-matched technology intervention for increased physical activity was feasible and effective.
authors.affiliation: Dept of Health Sciences, University of Western Ontario, London, Ontario, Canada.
authors.forename: Emily
authors.initials: E
authors.lastname: Read
mesh_terms: D000328:Adult; D000368:Aged; D015190:Blood Glucose Self-Monitoring / Q000379:methods; D001794:Blood Pressure / Q000502:physiology; D002170:Canada; D040421:Cell Phone / Q000706:statistics & numerical data*; D002784:Cholesterol / Q000097:blood; D003920:Diabetes Mellitus / Q000517:prevention & control*; D005240:Feasibility Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000517:prevention & control; D008875:Middle Aged; D009042:Motivation; D009864:Ontario; D010101:Oxygen Consumption; D010349:Patient Compliance; D010865:Pilot Projects; D012424:Rural Population; D012648:Self Care / Q000379:methods*; D015431:Weight Loss
chemical_list: D002784:Cholesterol