BackgroundPhysical activity can prevent or delay age-related impairments and prolong the ability of older adults to live independently. Community-based programs typically offer classes where older adults can exercise only once a week under the guidance of an instructor. The health benefits of such programs vary. Exercise frequency and the duration of the program play a key role in realizing effectiveness. An auxiliary home-based exercise program can provide older adults the opportunity to exercise more regularly over a prolonged period of time in the convenience of their own homes. Furthermore, mobile electronic devices can be used to motivate and remotely guide older adults to exercise in a safe manner. Such a blended intervention, where technology is combined with personal guidance, needs to incorporate behavior change principles to ensure effectiveness.ObjectiveThe aim of this study was to identify theory-based components of a blended intervention that supports older adults to exercise at home.MethodsThe Medical Research Council framework was used to develop the blended intervention. Insights from focus group, expert panels, and literature were combined into leading design considerations.ResultsA client-server system had been developed that combined a tablet app with a database in the cloud and a Web-based dashboard that can be used by a personal coach to remotely monitor and guide older adults. The app contains several components that facilitate behavior change—an interactive module for goal setting, the ability to draw up a personal training schedule from a library containing over 50 exercise videos, progress monitoring, and possibilities to receive remote feedback and guidance of a personal coach.ConclusionsAn evidence-based blended intervention was designed to promote physical activity among older adults. The underlying design choices were underpinned by behavior change techniques that are rooted in self-regulation. Key components of the tablet-supported intervention were a tailored program that accommodates individual needs, demonstrations of functional exercises, monitoring, and remote feedback. The blended approach combines the convenience of a home-based exercise program for older adults with the strengths of mobile health and personal guidance.
The current western agrifood system is highly successful in providing for human needs. However, the dominant agricultural approach of up-scaling and specialisation is put under pressure by a number of developments in the global landscape. Global developments such as population growth, pollution, soil degradation and climate change, in which agriculture plays a crucial role, make the need for a transition towards a paradigm with a broader range of values evident. Niche initiatives often develop as a reaction to needs not fulfilled by the regime. Therefore, certain niches may have the potential of driving a necessary transition. This research aims to determine if permaculture, being a niche, has this potential. The main question for this research was formulated as follows: How can a production system based on permaculture principles contribute to the agrifood transition? To answer this question, relevant current trends and global developments were used as a basis for developing a future scenario. Empirical qualitative data on permaculture businesses in the Netherlands was gathered as well, of which the results were used for a determination of permaculture’s performance in this future scenario. This was done by comparing a standardised permaculture system with a conventional potato system. As a result of this comparison, the Unique Selling Points of permaculture were identified, which determine the future potential of permaculture.
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