"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

Authors

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 M. 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

Document Type

Article

Publication Date

8-25-2021

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.

Publication Title

Int J Environ Res Public Health

ISSN

1660-4601

Volume

18

Issue

17

DOI

10.3390/ijerph18178929

Recommended Citation

Ginossar T, Rishel Brakey H, Sussman AL, Price B, Kano M, Davis S, Blair CK. "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. Int J Environ Res Public Health. 2021 Aug 25;18(17):8929. doi: 10.3390/ijerph18178929. PMID: 34501517; PMCID: PMC8430471.