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Background <p>This study examined the impact of a self-monitoring intervention on physical activity, health literacy, and health-related quality of life (HRQOL) in older adults receiving long-term care (LTC) in a non-randomized controlled trial (non-RCT).</p> Methods <p>This non-RCT included participants undergoing rehabilitation at a daycare center between January and April 2024. Inclusion criteria were age ≥ 65&#xa0;years, ambulatory status, and consent to participate. Those who did not meet LTC levels and those with dementia were excluded. Two-group comparisons at baseline were conducted using unpaired t-test, Mann–Whitney U test, or χ2 test. The effects of the intervention on step count, sedentary behavior, physical activity intensity, health literacy, and HRQOL were analyzed using a two-way mixed effects model with repeated measures with two factors: group (control, intervention) and time (baseline, 12-week follow-up), with 95% confidence intervals.</p> Results <p>There were no significant differences between the intervention group (<i>n</i> = 36) and the control group (<i>n</i> = 26) at baseline. Interaction effects were significant for the step count, sedentary behavior, and HRQOL in repeated measures two-way mixed ANOVA for group (intervention and control) and time (baseline, 12-week follow-up) (<i>p</i> &lt; 0.05).</p> Conclusion <p>The self-monitoring intervention to promote physical activity in a non-RCT was found to increase steps, decrease sedentary behavior, and improve HRQOL in older adults receiving LTC.</p>

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Self-Monitoring and Its Effects on Physical Activity, Health Literacy, and Health-Related Quality of Life in Older Adults Receiving Long-Term Care

  • 期刊论文

  • 发表日期：

    2025年12月1日

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  • Masahiro Kitamura,
  • Kazuhiro P Izawa,
  • Kyohei Kurihara,
  • Sayaka Yamamoto,
  • Satoshi Ozawa,
  • Erina Uchida,
  • Mohammad Javad Koohsari,
  • Koichiro Oka,
  • Junichi Umeo

摘要

Background

This study examined the impact of a self-monitoring intervention on physical activity, health literacy, and health-related quality of life (HRQOL) in older adults receiving long-term care (LTC) in a non-randomized controlled trial (non-RCT).

Methods

This non-RCT included participants undergoing rehabilitation at a daycare center between January and April 2024. Inclusion criteria were age ≥ 65 years, ambulatory status, and consent to participate. Those who did not meet LTC levels and those with dementia were excluded. Two-group comparisons at baseline were conducted using unpaired t-test, Mann–Whitney U test, or χ2 test. The effects of the intervention on step count, sedentary behavior, physical activity intensity, health literacy, and HRQOL were analyzed using a two-way mixed effects model with repeated measures with two factors: group (control, intervention) and time (baseline, 12-week follow-up), with 95% confidence intervals.

Results

There were no significant differences between the intervention group (n = 36) and the control group (n = 26) at baseline. Interaction effects were significant for the step count, sedentary behavior, and HRQOL in repeated measures two-way mixed ANOVA for group (intervention and control) and time (baseline, 12-week follow-up) (p < 0.05).

Conclusion

The self-monitoring intervention to promote physical activity in a non-RCT was found to increase steps, decrease sedentary behavior, and improve HRQOL in older adults receiving LTC.