The Effects of a Mobile Health Intervention and Health Coach Text Messaging on Cardiovascular Risk of Older Adults

This study, "Fitness Intensive Therapy (Get FIT) to Promote Healthy Living in Older Adults",
will test 2 behavioral interventions in community-dwelling older adults (age ≥ 60 years) at
intermediate and high risk of cardiovascular disease.

1. Get FIT: use of a Fitbit activity tracker, smartphone application to track daily food
intake, one 45 minute counseling session to create personal goals and provide patient
education by a health coach; vs.

2. Get FIT+: use of a Fitbit activity tracker, smartphone application to track daily food
intake, one 45 minute counseling session to create personal goals and provide patient
education by a health coach, and personalized push-only text messages from the health
coach based on participant's progress as monitored electronically in the application.

Each intervention lasts 3 months, with outcomes measured at baseline, 3 months, and 6 months.

Inclusion Criteria:

- aged 60 or greater

- at intermediate (10-20%) or high risk (>20%) of developing cardiovascular disease (as
measured by Framingham Risk Assessment Tool)

- poor eating behaviors (as measured by Block Fruit/Vegetable/Fiber Screener)

- reduced physical activity (as measured by Block Adult Physical Activity Screener)

Exclusion Criteria:

- cognitive impairment (as measured by Mini-Cog) that impairs ability to understand
consent process, surveys, or use of mobile health devices

- chronic drug use

- end stage renal, liver, or pulmonary disease

- current active cancer (i.e., undergoing active treatment for cancer)

- gastrointestinal disease which requires a special diet (e.g. Crohn's, celiac, etc).