scholarly journals Physical Activity and Sedentary Behavior in Older Gastrointestinal Cancer Survivors: Need and Acceptability of Digital Health Interventions

2018 ◽  
Vol 50 (4) ◽  
pp. 703-708 ◽  
Author(s):  
Ashley B. Sanders ◽  
David E. Conroy ◽  
Kathryn H. Schmitz ◽  
Niraj Gusani
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Sedentary Behavior ◽  
Gastrointestinal Cancer ◽  
Digital Health ◽  
Health Interventions

scholarly journals Associations Between Digital Health Intervention Engagement, Physical Activity, and Sedentary Behavior: Systematic Review and Meta-analysis

10.2196/23180 ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. e23180
Author(s):  
Matthew Mclaughlin ◽  
Tessa Delaney ◽  
Alix Hall ◽  
Judith Byaruhanga ◽  
Paul Mackie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Subjective Experience ◽  
Digital Health ◽  
Meta Analysis ◽  
Grey Literature ◽  
Positive Association ◽  
Health Intervention ◽  
Health Interventions ◽  
Vote Counting

Background The effectiveness of digital health interventions is commonly assumed to be related to the level of user engagement with the digital health intervention, including measures of both digital health intervention use and users’ subjective experience. However, little is known about the relationships between the measures of digital health intervention engagement and physical activity or sedentary behavior. Objective This study aims to describe the direction and strength of the association between engagement with digital health interventions and physical activity or sedentary behavior in adults and explore whether the direction of association of digital health intervention engagement with physical activity or sedentary behavior varies with the type of engagement with the digital health intervention (ie, subjective experience, activities completed, time, and logins). Methods Four databases were searched from inception to December 2019. Grey literature and reference lists of key systematic reviews and journals were also searched. Studies were eligible for inclusion if they examined a quantitative association between a measure of engagement with a digital health intervention targeting physical activity and a measure of physical activity or sedentary behavior in adults (aged ≥18 years). Studies that purposely sampled or recruited individuals on the basis of pre-existing health-related conditions were excluded. In addition, studies were excluded if the individual engaging with the digital health intervention was not the target of the physical activity intervention, the study had a non–digital health intervention component, or the digital health interventions targeted multiple health behaviors. A random effects meta-analysis and direction of association vote counting (for studies not included in meta-analysis) were used to address objective 1. Objective 2 used vote counting on the direction of the association. Results Overall, 10,653 unique citations were identified and 375 full texts were reviewed. Of these, 19 studies (26 associations) were included in the review, with no studies reporting a measure of sedentary behavior. A meta-analysis of 11 studies indicated a small statistically significant positive association between digital health engagement (based on all usage measures) and physical activity (0.08, 95% CI 0.01-0.14, SD 0.11). Heterogeneity was high, with 77% of the variation in the point estimates explained by the between-study heterogeneity. Vote counting indicated that the relationship between physical activity and digital health intervention engagement was consistently positive for three measures: subjective experience measures (2 of 3 associations), activities completed (5 of 8 associations), and logins (6 of 10 associations). However, the direction of associations between physical activity and time-based measures of usage (time spent using the intervention) were mixed (2 of 5 associations supported the hypothesis, 2 were inconclusive, and 1 rejected the hypothesis). Conclusions The findings indicate a weak but consistent positive association between engagement with a physical activity digital health intervention and physical activity outcomes. No studies have targeted sedentary behavior outcomes. The findings were consistent across most constructs of engagement; however, the associations were weak.

scholarly journals Associations Between Digital Health Intervention Engagement, Physical Activity, and Sedentary Behavior: Systematic Review and Meta-analysis (Preprint)

2020 ◽  
Author(s):  
Matthew Mclaughlin ◽  
Tessa Delaney ◽  
Alix Hall ◽  
Judith Byaruhanga ◽  
Paul Mackie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Sedentary Behavior ◽  
Subjective Experience ◽  
Digital Health ◽  
Meta Analysis ◽  
Grey Literature ◽  
Positive Association ◽  
Health Intervention ◽  
Health Interventions ◽  
Vote Counting

BACKGROUND The effectiveness of digital health interventions is commonly assumed to be related to the level of user engagement with the digital health intervention, including measures of both digital health intervention use and users’ subjective experience. However, little is known about the relationships between the measures of digital health intervention engagement and physical activity or sedentary behavior. OBJECTIVE This study aims to describe the direction and strength of the association between engagement with digital health interventions and physical activity or sedentary behavior in adults and explore whether the direction of association of digital health intervention engagement with physical activity or sedentary behavior varies with the type of engagement with the digital health intervention (ie, subjective experience, activities completed, time, and logins). METHODS Four databases were searched from inception to December 2019. Grey literature and reference lists of key systematic reviews and journals were also searched. Studies were eligible for inclusion if they examined a quantitative association between a measure of engagement with a digital health intervention targeting physical activity and a measure of physical activity or sedentary behavior in adults (aged ≥18 years). Studies that purposely sampled or recruited individuals on the basis of pre-existing health-related conditions were excluded. In addition, studies were excluded if the individual engaging with the digital health intervention was not the target of the physical activity intervention, the study had a non–digital health intervention component, or the digital health interventions targeted multiple health behaviors. A random effects meta-analysis and direction of association vote counting (for studies not included in meta-analysis) were used to address objective 1. Objective 2 used vote counting on the direction of the association. RESULTS Overall, 10,653 unique citations were identified and 375 full texts were reviewed. Of these, 19 studies (26 associations) were included in the review, with no studies reporting a measure of sedentary behavior. A meta-analysis of 11 studies indicated a small statistically significant positive association between digital health engagement (based on all usage measures) and physical activity (0.08, 95% CI 0.01-0.14, SD 0.11). Heterogeneity was high, with 77% of the variation in the point estimates explained by the between-study heterogeneity. Vote counting indicated that the relationship between physical activity and digital health intervention engagement was consistently positive for three measures: subjective experience measures (2 of 3 associations), activities completed (5 of 8 associations), and logins (6 of 10 associations). However, the direction of associations between physical activity and time-based measures of usage (time spent using the intervention) were mixed (2 of 5 associations supported the hypothesis, 2 were inconclusive, and 1 rejected the hypothesis). CONCLUSIONS The findings indicate a weak but consistent positive association between engagement with a physical activity digital health intervention and physical activity outcomes. No studies have targeted sedentary behavior outcomes. The findings were consistent across most constructs of engagement; however, the associations were weak.

scholarly journals mHealth Interventions to Address Physical Activity and Sedentary Behavior in Cancer Survivors: A Systematic Review

2021 ◽  
Vol 18 (11) ◽  
pp. 5798
Author(s):  
Selina Khoo ◽  
Najihah Mohbin ◽  
Payam Ansari ◽  
Mahfoodha Al-Kitani ◽  
Andre Matthias Müller
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Sedentary Behavior ◽  
Total Activity ◽  
Personal Contact ◽  
Future Research ◽  
Controlled Trials ◽  
Cancer Types ◽  
Study Participants ◽  
Multicomponent Interventions

This review aimed to identify, evaluate, and synthesize the scientific literature on mobile health (mHealth) interventions to promote physical activity (PA) or reduce sedentary behavior (SB) in cancer survivors. We searched six databases from 2000 to 13 April 2020 for controlled and non-controlled trials published in any language. We conducted best evidence syntheses on controlled trials to assess the strength of the evidence. All 31 interventions included in this review measured PA outcomes, with 10 of them also evaluating SB outcomes. Most study participants were adults/older adults with various cancer types. The majority (n = 25) of studies implemented multicomponent interventions, with activity trackers being the most commonly used mHealth technology. There is strong evidence for mHealth interventions, including personal contact components, in increasing moderate-to-vigorous intensity PA among cancer survivors. However, there is inconclusive evidence to support mHealth interventions in increasing total activity and step counts. There is inconclusive evidence on SB potentially due to the limited number of studies. mHealth interventions that include personal contact components are likely more effective in increasing PA than mHealth interventions without such components. Future research should address social factors in mHealth interventions for PA and SB in cancer survivors.

scholarly journals Correction: Associations Between Digital Health Intervention Engagement, Physical Activity, and Sedentary Behavior: Systematic Review and Meta-analysis (Preprint)

2021 ◽  
Author(s):  
Matthew Mclaughlin ◽  
Tessa Delaney ◽  
Alix Hall ◽  
Judith Byaruhanga ◽  
Paul Mackie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Sedentary Behavior ◽  
Digital Health ◽  
Meta Analysis ◽  
Health Intervention

UNSTRUCTURED REMOVE

scholarly journals Physical Activity and Sedentary Behavior of Cancer Survivors and Non-Cancer Individuals: Results from a National Survey

PLoS ONE ◽  
2013 ◽  
Vol 8 (3) ◽  
pp. e57598 ◽  
Author(s):  
Roy B. Kim ◽  
Allison Phillips ◽  
Kirsten Herrick ◽  
Marieka Helou ◽  
Carlin Rafie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cancer Survivors ◽  
Sedentary Behavior ◽  
National Survey

scholarly journals Physical Activity, Mental Health and Technology Preferences for Support during COVID-19: A Cross-Sectional Report of Cancer Survivors (Preprint)

2020 ◽  
Author(s):  
Jamie M Faro ◽  
Kristin M Mattocks ◽  
Catherine S Nagawa ◽  
Stephenie C Lemon ◽  
Bo Wang ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Support ◽  
Cancer Survivors ◽  
Text Messaging ◽  
Sedentary Time ◽  
Digital Health ◽  
Anxiety And Depression ◽  
Phone Calls ◽  
Physical Activity Programs

BACKGROUND COVID-19 has had significant health and behavioral impacts on populations worldwide. Cancer survivors are at particular risk of changes in behavioral patterns, as they were encouraged to be more vigilant and observe stricter social distancing guidelines. OBJECTIVE We explored 1) changes in physical activity/sedentary behaviors since COVID-19, and mental health status, 2) alternative strategies to support the survivors’ physical activity and social support during and after COVID-19 including the role of digital health. METHODS A survey was distributed to cancer survivors participating (currently or in the past) in a community-based physical activity program, LIVESTRONG at the Y. Questions addressed pre-COVID vs. current changes in physical activity and sedentary time. Anxiety and depression were assessed using the GAD-2 and PHQ-2 with scores ≥3 classified as clinically diagnosed anxiety/depression. Digital health preferences were assessed using closed ended questions. Descriptive statistics were calculated. Open-ended responses addressing other preferences for physical activity programs and social support were analyzed, coded and categorized into themes. RESULTS Of the 61 participants, (mean age=62 ± 10.4; female=83.6%), 67.2% reported performing less physical activity and 67.2% reported sitting more since COVID-19 began. For the GAD-2 and PHQ-2, 24.6% and 26.2% met the criteria for clinical anxiety and depression, respectively. All participants (100%) reported having a cellphone; 90% had a smartphone. Preferences reported for physical activity programming (n=28) included three themes: 1) Use of digital/remote platforms (Zoom, online, videos), 2) Specific activities and locations (e.g. outdoors, walking, gardening, biking, YMCA, senior centers) and 3) Social support is important regardless of the type of activity (e.g. family, friends, peers and coaches). Participants reported a mean score of 71.8 ± 21.4 (scale 0-100) for importance of social support during physical activity programs. Social support preferences (n=15) included three themes: 1) Support from remote platforms (e.g. text messaging, Zoom, phone calls, emails and Facebook), 2) Tangible support in person (YMCA, Senior Center), and 3) Social support with no specific platform (e.g. small groups and family/friend visits). CONCLUSIONS Since the start of COVID-19, cancer survivors in our study have experienced decreased physical activity and increased sedentary time. Depression and anxiety were reported by one-quarter of respondents. Both physical activity and mental health are critical factors in survivor’s quality of life, and interventions tailored to survivors’ preferences for activity are necessary. Digital remote physical activity programs with added social support may be a promising way to address ongoing needs during and after the pandemic.

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