[Digital Physical Activity-related Health Services: Effects, Quality, and Research Implications - An...

Digital physical activity-related health care services (dbVL) are becoming increasingly important in the German healthcare system, whilst quality requirements and criteria regarding efficacy are still undergoing a dynamic development process. The aim of this article is to provide a conceptual classification for dbVL and a systematic overview of the current state of their potential usage and quality requirements in healthcare practice.

To establish a conceptual classification, existing perspectives on physical activity-related health care and international classification systems for digital health interventions were taken into account. Legal frameworks and specific quality and effectiveness requirements for dbVL were systematically synthesized from available healthcare-related documents.

In all healthcare settings, the legal framework generally permits the use of dbVL. However, in some cases the analysis reveals significant healthcare sector-specific heterogeneity and fragmentation regarding quality and effectiveness requirements.

The analysis highlights the need for consistent, cross-contextual systematization, quality requirements, and evaluation criteria for dbVL. Key implications include the integration of physical activity-related expertise, user-centered development, and technology-appropriate evaluation approaches. The current sectoral fragmentation calls for consensus-based, cross-contextual concepts of evidence and benefits, as well as, a more coherent regulatory restructuring in the long term.