Work

Enhancing Psychological Health and Weight-Related Behaviors in Older Adults Through Digital Interventions: Findings from the Get FIT Randomized Pilot Trial

Year: 2026

Type: article

Study designs: Randomized Controlled Trial, Clinical Trial

Abstract: Objectives To evaluate the effects of two digital health interventions on anxiety symptoms, depressive symptoms, and health-related quality of life (HRQOL) in older adults at cardiovascular risk.Methods In this randomized pilot trial, older adults (n = 54; mean age 65.6 ± 5.8 years; 60% women; 66% Hispanic) with intermediate or high cardiovascular risk were assigned to Get FIT (n = 24) or Get FIT+ (n = 30). Get FIT included one counseling session, an activity tracker, and a nutrition app. Get FIT+ included these components, plus weekly personalized motivational text messages. Outcomes were assessed at baseline, three months, and six months.Results At 3 months, both groups showed small reductions in anxiety and slight improvements in HRQOL, with no significant differences between the groups. Depressive symptoms remained stable. By six months, anxiety trajectories differed: reductions were maintained in Get FIT+ but returned to baseline in Get FIT (p < .001). Both groups increased physical activity and reduced caloric intake. Weight loss occurred in both groups but was greater in Get FIT+ (all p < .001).Conclusions The improved intervention in this initial study was associated with sustained reductions in anxiety and with greater weight loss.Clinical Implications Customized digital programs support older adults at risk of heart issues by encouraging healthier habits and enhancing mental health.

Source: Clinical Gerontologist

DOI: 10.1080/07317115.2026.2663008