Effect of Components and Delivery Modes of Digital Health Interventions Targeting Physical Activity in People With a Chronic Condition or Multimorbidity: A Systematic Review and Component Network Meta-Analysis of Randomized Controlled Trials.

IF 2.9 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of physical activity & health Pub Date : 2025-07-10 DOI:10.1123/jpah.2025-0014

Nikolaj Nøhr, Graziella Zangger, Frederik Buch Dalum, Søren T Skou, Carsten Juhl, Alessio Bricca

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引用次数: 0

Abstract

Background: Digital health interventions targeting physical activity in individuals with chronic conditions are increasingly common. However, the effectiveness of their components and delivery modes remains unclear. This review assessed the effects of intervention components to guide future approaches.

Methods: A systematic review and component network meta-analysis of randomized controlled trials was conducted. MEDLINE, Embase, CINAHL, and Cochrane Central Register of Controlled Trials were searched up to March 14, 2024. Random effects models, subgroup analyses, sensitivity analyses, and meta-regression were performed. The Confidence in Network Meta-Analysis framework was used to assess the certainty of the evidence.

Results: A total of 137 randomized controlled trials (18,443 participants) were included. Exercise combined with self-management was more effective than usual care (standardized mean differences [SMD]: 0.39; 95% CI, 0.20-0.58) and minimal self-management (SMD: 0.41; 95% CI, 0.23-0.60), as was self-management alone compared with usual care (SMD: 0.27; 95% CI, 0.17-0.37), and minimal self-management (SMD: 0.29; 95% CI, 0.17-0.42). Interventions using mixed technologies (eg, apps with phone calls or devices) (SMD: 0.35; 95% CI, 0.26-0.44), web/app platforms (SMD: 0.32; 95% CI, 0.18-0.45), and phone calls (SMD: 0.21; 95% CI, 0.07-0.36) were more effective than minimal or in-person controls. Type 2 diabetes patients showed the greatest increase in physical activity, while musculoskeletal conditions showed the least. Certainty of evidence was moderate for most comparisons, except for phone calls, which had low certainty.

Conclusions: The most effective digital health interventions for promoting physical activity in individuals with chronic conditions include exercise combined with self-management, delivered via mixed technologies, or web/app platforms.

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针对慢性疾病或多重疾病人群身体活动的数字健康干预措施的组成部分和传递模式的影响：随机对照试验的系统评价和组成网络荟萃分析

背景：针对慢性病患者身体活动的数字健康干预措施越来越普遍。然而，其组成部分和交付模式的有效性仍不清楚。本综述评估了干预成分的效果，以指导未来的方法。方法：对随机对照试验进行系统评价和成分网络荟萃分析。检索截止到2024年3月14日的MEDLINE、Embase、CINAHL和Cochrane Central Register of Controlled Trials。随机效应模型、亚组分析、敏感性分析和元回归分析。使用网络置信度元分析框架来评估证据的确定性。结果：共纳入137项随机对照试验（18,443名受试者）。运动结合自我管理比常规护理更有效(标准化平均差异[SMD]: 0.39；95% CI, 0.20-0.58)和最低限度的自我管理(SMD: 0.41；95% CI, 0.23-0.60)，与常规护理相比，自我管理本身也是如此(SMD: 0.27；95% CI, 0.17-0.37)和最低限度的自我管理(SMD: 0.29；95% ci, 0.17-0.42)。使用混合技术的干预措施（例如，带有电话或设备的应用程序）(SMD: 0.35；95% CI, 0.26-0.44)， web/app平台(SMD: 0.32；95% CI, 0.18-0.45)和电话(SMD: 0.21；95% CI, 0.07-0.36)比最小对照或亲自对照更有效。2型糖尿病患者的体力活动增加最多，而肌肉骨骼疾病患者的体力活动增加最少。除了电话之外，大多数比较的证据确定性都是中等的，电话的确定性较低。结论：促进慢性病患者身体活动的最有效的数字健康干预措施包括运动与自我管理相结合，通过混合技术或网络/应用程序平台提供。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of physical activity & health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

5.50

自引率

3.20%

发文量

100

期刊介绍： The Journal of Physical Activity and Health (JPAH) publishes original research and review papers examining the relationship between physical activity and health, studying physical activity as an exposure as well as an outcome. As an exposure, the journal publishes articles examining how physical activity influences all aspects of health. As an outcome, the journal invites papers that examine the behavioral, community, and environmental interventions that may affect physical activity on an individual and/or population basis. The JPAH is an interdisciplinary journal published for researchers in fields of chronic disease.