The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis
ObjectiveThe aim of this systematic review was to determine the effectiveness of self-guided digital physical activity (PA) and exercise interventions to improve physical activity and exercise (PA&E) outcomes for people living with chronic health conditions. Digital health interventions, esp...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Rehabilitation Sciences |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fresc.2022.925620/full |
| _version_ | 1797968455052296192 |
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| author | Verna Stavric Verna Stavric Nicola M. Kayes Usman Rashid Nicola L. Saywell |
| author_facet | Verna Stavric Verna Stavric Nicola M. Kayes Usman Rashid Nicola L. Saywell |
| author_sort | Verna Stavric |
| collection | DOAJ |
| description | ObjectiveThe aim of this systematic review was to determine the effectiveness of self-guided digital physical activity (PA) and exercise interventions to improve physical activity and exercise (PA&E) outcomes for people living with chronic health conditions. Digital health interventions, especially those with minimal human contact, may offer a sustainable solution to accessing ongoing services and support for this population.MethodsA comprehensive and systematic search was conducted up to December 2021, through seven databases, for randomized trials that evaluated the effect of self-guided web- or internet-based PA interventions on physical activity or exercise outcomes. Included studies had to have interventions with minimal human contact and interaction with participants needed to be automatically generated. All studies were screened for eligibility and relevant data were extracted. Two independent reviewers assessed the risk of bias using the Cochrane risk of bias tool. Standardized mean differences and 95% confidence intervals (CI) were calculated. PA data were pooled, and forest plots were generated.ResultsSixteen studies met the eligibility criteria and included a total of 2,439 participants. There was wide variation in health conditions and intervention characteristics in mode and parameters of delivery, and in the application of theory and behavioral strategies. Self-reported PA in the intervention group was greater than controls at the end of the intervention [standardized mean difference (SMD) 0.2, 95% CI = 0.1, 0.3] and at follow up (SMD 0.3, 95% CI 0.2–0.5). The difference in objectively measured PA was small and non-significant (SMD 0.3, 95% CI −0.2 to 0.9). All interventions included behavioral strategies and ten of the sixteen were underpinned by theory.ConclusionsSelf-guided digital PA&E interventions provided a positive effect on PA immediately after the intervention. An unexpected and positive finding was a sustained increase in PA at follow-up, particularly for interventions where the behavioral strategies were underpinned by a theoretical framework. Interventions with minimal contact have the potential to support sustained PA engagement at least as well as interventions with supervision.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42019132464. |
| first_indexed | 2024-04-11T02:47:10Z |
| format | Article |
| id | doaj.art-008aebffa98f44f69fbc6fd8c1eb49b1 |
| institution | Directory Open Access Journal |
| issn | 2673-6861 |
| language | English |
| last_indexed | 2024-04-11T02:47:10Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Rehabilitation Sciences |
| spelling | doaj.art-008aebffa98f44f69fbc6fd8c1eb49b12023-01-02T17:32:05ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-06-01310.3389/fresc.2022.925620925620The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-AnalysisVerna Stavric0Verna Stavric1Nicola M. Kayes2Usman Rashid3Nicola L. Saywell4Rehabilitation Innovation Center, School of Clinical Sciences, Auckland University of Technology, Auckland, New ZealandCentre for Person-Centered Research, School of Clinical Sciences, Auckland University of Technology, Auckland, New ZealandCentre for Person-Centered Research, School of Clinical Sciences, Auckland University of Technology, Auckland, New ZealandRehabilitation Innovation Center, School of Clinical Sciences, Auckland University of Technology, Auckland, New ZealandRehabilitation Innovation Center, School of Clinical Sciences, Auckland University of Technology, Auckland, New ZealandObjectiveThe aim of this systematic review was to determine the effectiveness of self-guided digital physical activity (PA) and exercise interventions to improve physical activity and exercise (PA&E) outcomes for people living with chronic health conditions. Digital health interventions, especially those with minimal human contact, may offer a sustainable solution to accessing ongoing services and support for this population.MethodsA comprehensive and systematic search was conducted up to December 2021, through seven databases, for randomized trials that evaluated the effect of self-guided web- or internet-based PA interventions on physical activity or exercise outcomes. Included studies had to have interventions with minimal human contact and interaction with participants needed to be automatically generated. All studies were screened for eligibility and relevant data were extracted. Two independent reviewers assessed the risk of bias using the Cochrane risk of bias tool. Standardized mean differences and 95% confidence intervals (CI) were calculated. PA data were pooled, and forest plots were generated.ResultsSixteen studies met the eligibility criteria and included a total of 2,439 participants. There was wide variation in health conditions and intervention characteristics in mode and parameters of delivery, and in the application of theory and behavioral strategies. Self-reported PA in the intervention group was greater than controls at the end of the intervention [standardized mean difference (SMD) 0.2, 95% CI = 0.1, 0.3] and at follow up (SMD 0.3, 95% CI 0.2–0.5). The difference in objectively measured PA was small and non-significant (SMD 0.3, 95% CI −0.2 to 0.9). All interventions included behavioral strategies and ten of the sixteen were underpinned by theory.ConclusionsSelf-guided digital PA&E interventions provided a positive effect on PA immediately after the intervention. An unexpected and positive finding was a sustained increase in PA at follow-up, particularly for interventions where the behavioral strategies were underpinned by a theoretical framework. Interventions with minimal contact have the potential to support sustained PA engagement at least as well as interventions with supervision.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier: CRD42019132464.https://www.frontiersin.org/articles/10.3389/fresc.2022.925620/fullphysical activityexercisebehavioral strategiesdigitalself-guidedchronic conditions |
| spellingShingle | Verna Stavric Verna Stavric Nicola M. Kayes Usman Rashid Nicola L. Saywell The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis Frontiers in Rehabilitation Sciences physical activity exercise behavioral strategies digital self-guided chronic conditions |
| title | The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis |
| title_full | The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis |
| title_fullStr | The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis |
| title_short | The Effectiveness of Self-Guided Digital Interventions to Improve Physical Activity and Exercise Outcomes for People With Chronic Conditions: A Systematic Review and Meta-Analysis |
| title_sort | effectiveness of self guided digital interventions to improve physical activity and exercise outcomes for people with chronic conditions a systematic review and meta analysis |
| topic | physical activity exercise behavioral strategies digital self-guided chronic conditions |
| url | https://www.frontiersin.org/articles/10.3389/fresc.2022.925620/full |
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