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“You’re Going to Have to Think a Little Bit Different” Barriers and Facilitators to Using mHealth to Increase Physical Activity among Older, Rural Cancer Survivors

Author

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  • Tamar Ginossar

    (Department of Communication and Journalism, University of New Mexico, Albuquerque, NM 87131, USA
    University of New Mexico Comprehensive Cancer Center, Albuquerque, NM 87102, USA)

  • Heidi Rishel Brakey

    (Clinical and Translational Science Center, Health Sciences, University of New Mexico, Albuquerque, NM 87131, USA)

  • Andrew L. Sussman

    (University of New Mexico Comprehensive Cancer Center, Albuquerque, NM 87102, USA
    Department of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131, USA)

  • Brittany Price

    (Gillings School of Global Public Health, University of North Carolina-Chapel Hill, Chapel Hill, NC 27599, USA)

  • Miria Kano

    (University of New Mexico Comprehensive Cancer Center, Albuquerque, NM 87102, USA
    Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87131, USA)

  • Sally Davis

    (Department of Pediatrics, University of New Mexico, Albuquerque, NM 87131, USA
    University of New Mexico Prevention Research Center, Albuquerque, NM 87131, USA)

  • Cindy K. Blair

    (University of New Mexico Comprehensive Cancer Center, Albuquerque, NM 87102, USA
    Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87131, USA)

Abstract

Wearable activity trackers (WATs) hold great promise in increasing physical activity among older cancer survivors. However, older cancer survivors who reside in rural regions are at increased risk of being digitally marginalized. The goal of this study was to learn about WATs adoption motivation and needs of rural older cancer survivors who live in New Mexico, one of the most rural states with the lowest broadband Internet connectivity in the United States. We conducted six key informant interviews and recruited 31 older cancer survivors from rural counties statewide who participated in interviews and focus groups. Our results show great interest in using WATs as part of an intervention to alleviate barriers associated with the digital divide. Participants were offered diverse modalities to support them in adoption of the trackers. These results will be used to inform future interventions and policies focusing on increasing physical activity in older cancer survivors who reside in rural communities.

Suggested Citation

  • Tamar Ginossar & Heidi Rishel Brakey & Andrew L. Sussman & Brittany Price & Miria Kano & Sally Davis & Cindy K. Blair, 2021. "“You’re Going to Have to Think a Little Bit Different” Barriers and Facilitators to Using mHealth to Increase Physical Activity among Older, Rural Cancer Survivors," IJERPH, MDPI, vol. 18(17), pages 1-15, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8929-:d:621346
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    References listed on IDEAS

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    1. Selina Khoo & Najihah Mohbin & Payam Ansari & Mahfoodha Al-Kitani & Andre Matthias Müller, 2021. "mHealth Interventions to Address Physical Activity and Sedentary Behavior in Cancer Survivors: A Systematic Review," IJERPH, MDPI, vol. 18(11), pages 1-20, May.
    2. Lauren J. Frensham & Gaynor Parfitt & Rebecca Stanley & James Dollman, 2018. "Perceived Facilitators and Barriers in Response to a Walking Intervention in Rural Cancer Survivors: A Qualitative Exploration," IJERPH, MDPI, vol. 15(12), pages 1-13, December.
    3. Jyoti Choudrie & Sutee Pheeraphuttranghkoon & Soheil Davari, 2020. "The Digital Divide and Older Adult Population Adoption, Use and Diffusion of Mobile Phones: a Quantitative Study," Information Systems Frontiers, Springer, vol. 22(3), pages 673-695, June.
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