Long-term Effectiveness of mHealth Physical Activity Interventions: Systematic Review and Meta-analysis of Randomized Controlled Trials

Autor: Kamila Ismailova, Lorainne Tudor Car, Annette Mönninghoff, Falk Müller-Riemenschneider, Jan Niklas Kramer, Tobias Kowatsch, Alexander Jan Hess, Gisbert W. Teepe
Přispěvatelé: University of Zurich, Mönninghoff, Annette
Jazyk: angličtina
Rok vydání: 2021
Předmět:
digital health interventions
020205 medical informatics
Psychological intervention
physical activity
computer science
02 engineering and technology
Review
Walking
Cochrane Library
law.invention
170 Ethics
0302 clinical medicine
Randomized controlled trial
systematic review
law
0202 electrical engineering
electronic engineering
information engineering
030212 general & internal medicine
mHealth
2718 Health Informatics
Randomized Controlled Trials as Topic
education.field_of_study
Middle Aged
Telemedicine
Systematic review
Meta-analysis
Female
meta-analysis
Public aspects of medicine
RA1-1270
social sciences
Adult
medicine.medical_specialty
Population
Computer applications to medicine. Medical informatics
R858-859.7
610 Medicine & health
Health Informatics
03 medical and health sciences
medicine
Humans
10237 Institute of Biomedical Engineering
education
long-term effects
Exercise
mobile phone
business.industry
health sciences
information management
Strictly standardized mean difference
Physical therapy
business
Zdroj: Journal of Medical Internet Research, Vol 23, Iss 4, p e26699 (2021)
Journal of Medical Internet Research
Journal of Medical Internet Research, 23 (4)
ISSN: 1438-8871
Popis: Background: mHealth interventions can increase physical activity (PA), but their long-term impact is not well understood. The increasing number of primary studies reporting long-term follow-up measurements supports a meta-analysis of this evidence. Objective: This systematic review and meta-analysis aimed to understand the immediate and long-term impact of mHealth interventions on PA. The secondary objective was to explore potential effect moderators (population type, intervention design, control group type). Methods: We performed this systematic review according to the Cochrane and PRISMA guidelines. We searched PubMed, the Cochrane Library, SCOPUS and PsychINFO in July 2020. Eligible studies included randomized-controlled trials of mHealth interventions targeting PA as a primary outcome in adults. Eligible outcome measures were walking, moderate to vigorous PA (MVPA), total PA (TPA), and energy expenditure (EE). Where reported, we extracted data for three time points (ie, end of intervention, follow-up ≤6 months, follow-up >6 months). To understand effect moderators, we performed subgroup analyses by population, intervention design, and control group type. Results were summarized using random-effects meta-analysis. Risk of bias was assessed using the Cochrane Collaboration’s tool. This review is registered with PROSPERO (CRD42019124716). Results: Of the 2 828 identified citations, 117 studies were included. These studies reported on 21 118 participants with a mean age of 52.03 years (SD 14.14), of whom 59% were female. mHealth interventions significantly increased PA across all four outcome measures at the end of intervention (walking standardized mean difference 0.46, 0.36 to 0.55; p
Journal of Medical Internet Research, 23 (4)
ISSN:1438-8871
Databáze: OpenAIRE
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