scholarly journals Assessing the Internal and External Validity of Mobile Health Physical Activity Promotion Interventions: A Systematic Literature Review Using the RE-AIM Framework

2013 ◽  
Vol 15 (10) ◽  
pp. e224 ◽  
Author(s):  
Kacie CA Blackman ◽  
Jamie Zoellner ◽  
Leanna M Berrey ◽  
Ramine Alexander ◽  
Jason Fanning ◽  
...  
2007 ◽  
Vol 19 (4) ◽  
pp. 420-435 ◽  
Author(s):  
David A. Rowe ◽  
Thomas D. Raedeke ◽  
Lenny D. Wiersma ◽  
Matthew T. Mahar

The purpose of the study was to investigate the measurement properties of questionnaires associated with the Youth Physical Activity Promotion (YPAP) model. Data were collected from 296 children in Grades 5–8 using several existing questionnaires corresponding to YPAP model components, a physical activity questionnaire, and 6 consecutive days of pedometer data. Internal validity of the questionnaires was tested using confirmatory factor analyses, and external validity was investigated via correlations with physical activity and body composition. Initial model fit of the questionnaires ranged from poor to very good. After item removal, all scales demonstrated good fit. Correlations with percentage body fat and objectively measured physical activity were low but in the theoretically predicted direction. The current study provides good internal validity evidence and acceptable external validity evidence for a brief set of questionnaire items to investigate the theoretical basis for the YPAP model.


2021 ◽  
Author(s):  
Saadjo Saw ◽  
Raquel Urena ◽  
Jean Charles Dufour

BACKGROUND Mobile and wireless technology utilization is expected to change the landscape of healthcare service delivery, especially given that there are more than 7 billion mobile telephone subscriptions around the world OBJECTIVE This systematic review aims to showcase existing mobile health (m-health) applications (apps) for cancer recovering populations, with a special focus on studies that have produced clinically proven results. METHODS We search the bibliographic database Pubmed (Medline) to identify studies that use mobile applications for cancer recovering patients. The search was limited to articles written in English published in the last 5 years. A search of the App Store for iOS devices and Google Play for Android devices was performed as well to find the apps identified in the included research articles. RESULTS In total 30 articles meting the inclusion criteria where identified. From them,/. n= 8 studies produced clinically proven results, with different health outcomes namely weight loss, physical activity promotion, symptoms management and reporting, pain management and physical recovery, and mindfulness and mental distress management. CONCLUSIONS There is a positive correlation between mobile health usage and an improvement of a variety of health outcomes including physical activity promotion and pain management among others. Thus, m-health apps serve as a means to bridge health services and access between physicians and their patients. However, most of the analyzed studies use apps designed for the general public and they are not adapted to be prescribed by a general practitioner. Therefore creating apps with cancer patients in mind would allow to tailor m-health solutions to being disease appropriate and to better suits this population.


2014 ◽  
Vol 62 (2) ◽  

In addition to the delivery of primary care services, recent changes to the NHS in the United Kingdom have placed increasing responsibility on GPs for the commissioning of the full range of health services from prevention through to clinical interventions and rehabilitation. Whilst historically there has always been an expectation that primary care professionals were ideally placed to provide support for prevention as well as treatment, their active engagement in the promotion of physical activity has remained largely superficial. With notable exceptions where individuals have a personal interest or commitment, the majority of health professionals tend to limit themselves to peremptory non-specific advice at best, or frequently don’t broach the subject at all. There are a number of reasons for this including increasing time pressures, a general lack of knowledge, limited evidence and concerns about litigation in the event of an adverse exercise induced event. However in the 1990s there was a surge of interest in the emerging “Exercise on Prescription” model where patients could be referred to community based exercise instructors for a structured “prescription” of exercise in community leisure centres. Despite the continuing popularity of the model there remain problems particularly in getting the active support of health professionals who generally cite the same barriers as previously identified. In an attempt to overcome some of these problems Wales established a national exercise referral scheme with an associated randomised controlled trial. The scheme evaluated well and had subsequently evolved with new developments including integration with secondary and tertiary care pathways, accredited training for exercise instructors and exit routes into alternative community based exercise opportunities.


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