title: Leveraging technology: creating and sustaining changes for health.
abstract: OBJECTIVE
  The rapid growth and evolution of health-related technology capabilities are driving an established presence in the marketplace and are opening up tremendous potential to minimize and/or mitigate barriers associated with achieving optimal health, performance, and readiness. This article summarizes technology-based strategies that promote healthy habits related to physical activity, nutrition, and sleep.
  
  
  METHODS
  The Telemedicine and Advanced Technology Research Center convened a workshop titled "Leveraging Technology: Creating & Sustaining Changes for Health" (May 29-30, 2013, Fort Detrick, MD). Participants included experts from academia (n=3), government (n=33), and industry (n=16). A modified Delphi method was used to establish expert consensus in six topic areas: (1) physical activity, (2) nutrition, (3) sleep, (4) incentives for behavior change, (5) usability/interoperability, and (6) mobile health/open platform.
  
  
  RESULTS
  Overall, 162 technology features, constructs, and best practices were reviewed and prioritized for physical activity monitors (n=29), nutrition monitors (n=35), sleep monitors (n=24), incentives for change (n=36), usability and interoperability (n=25), and open data (n=13).
  
  
  CONCLUSIONS
  Leading practices, gaps, and research needs for technology-based strategies were identified and prioritized. This information can be used to provide a research and development road map for (1) leveraging technology to minimize barriers to enhancing health and (2) facilitating evidence-based techniques to create and sustain healthy behaviors.
authors: 1 Telemedicine and Advanced Technology Research Center, U.S. Army Medical Research and Materiel Command , Fort Detrick, Maryland.
authors: Deydre S
authors: DS
authors: Teyhen
authors: Matt
authors: M
authors: Aldag
authors: Elton
authors: E
authors: Edinborough
authors: Jason D
authors: JD
authors: Ghannadian
authors: Andrea
authors: A
authors: Haught
authors: Julie
authors: J
authors: Kinn
authors: Kevin J
authors: KJ
authors: Kunkler
authors: Betty
authors: B
authors: Levine
authors: James
authors: J
authors: McClain
authors: David
authors: D
authors: Neal
authors: Tiffany
authors: T
authors: Stewart
authors: Frances P
authors: FP
authors: Thorndike
authors: Valerie
authors: V
authors: Trabosh
authors: Nancy
authors: N
authors: Wesensten
authors: David J
authors: DJ
authors: Parramore
mesh_terms: D003697:Delphi Technique; D004059:Diffusion of Innovation; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D008991:Monitoring, Physiologic / Q000639:trends*; D009042:Motivation; D017216:Telemedicine / Q000639:trends*
keywords: activity; nutrition; sleep