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Remote and web 2.0 interventions for promoting physical activity.

Charles Foster1, Justin Richards, Margaret Thorogood

  • 1British Heart Foundation Health Promotion Research Group, Nuffield Department of Population Health, University of Oxford, Old Road Campus, Headington, Oxford, UK, OX3 7LF.

The Cochrane Database of Systematic Reviews
|October 3, 2013
PubMed
Summary
This summary is machine-generated.

Remote and web 2.0 interventions effectively promote physical activity (PA) and improve cardio-respiratory fitness in adults. These digital health strategies show moderate, positive effects at 12 months, offering a promising approach to public health.

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Area of Science:

  • Digital Health
  • Public Health Interventions
  • Behavioral Science

Background:

  • Remote and web 2.0 interventions are increasingly popular for promoting physical activity (PA).
  • Their long-term effectiveness in promoting sustained behavior change remains largely unknown.
  • Community-dwelling adults aged 16 and above are the primary target population.

Purpose of the Study:

  • To compare the effectiveness of remote and web 2.0 interventions for PA promotion.
  • To assess these interventions against a control group receiving placebo, no intervention, or minimal intervention.
  • To evaluate long-term changes in physical activity and fitness.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs).
  • Searched multiple databases (CENTRAL, MEDLINE, EMBASE, CINAHL) up to October 2012.
  • Included studies with at least 12 months follow-up and intention-to-treat analysis.

Main Results:

  • 11 RCTs (5862 participants) from high-income countries met inclusion criteria.
  • Moderate, positive effects on cardiovascular fitness at 1 year (SMD 0.40) and self-reported PA at 1 year (SMD 0.20).
  • Low risk of bias studies showed increased effectiveness (SMD 0.28); tailored approaches and telephone feedback were most effective.

Conclusions:

  • Consistent evidence supports the effectiveness of remote and web 2.0 interventions for promoting PA.
  • These interventions demonstrate positive, moderate effects on PA and fitness at 12 months.
  • Further research is needed on cost-effectiveness, diverse populations, and specific intervention components.