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, especia...

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Main Authors: Verna Stavric (Author), Nicola M. Kayes (Author), Usman Rashid (Author), Nicola L. Saywell (Author)
Format: Book
Published: Frontiers Media S.A., 2022-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Verna Stavric  |e author 
700 1 0 |a Verna Stavric  |e author 
700 1 0 |a Nicola M. Kayes  |e author 
700 1 0 |a Usman Rashid  |e author 
700 1 0 |a Nicola L. Saywell  |e author 
245 0 0 |a 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 
260 |b Frontiers Media S.A.,   |c 2022-06-01T00:00:00Z. 
500 |a 2673-6861 
500 |a 10.3389/fresc.2022.925620 
520 |a 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. 
546 |a EN 
690 |a physical activity 
690 |a exercise 
690 |a behavioral strategies 
690 |a digital 
690 |a self-guided 
690 |a chronic conditions 
690 |a Other systems of medicine 
690 |a RZ201-999 
690 |a Medical technology 
690 |a R855-855.5 
655 7 |a article  |2 local 
786 0 |n Frontiers in Rehabilitation Sciences, Vol 3 (2022) 
787 0 |n https://www.frontiersin.org/articles/10.3389/fresc.2022.925620/full 
787 0 |n https://doaj.org/toc/2673-6861 
856 4 1 |u https://doaj.org/article/008aebffa98f44f69fbc6fd8c1eb49b1  |z Connect to this object online.