A systematic review on usability of smart devices and mobile health application for monitoring physical activity and weight management (Preprint)

Mapping Intimacies ◽

10.2196/preprints.25248 ◽

2020 ◽

Author(s):

Aisha Salamh Alshammari ◽

Sehar Un Nisa Hassan

Keyword(s):

Physical Activity ◽

Social Support ◽

Systematic Review ◽

Weight Management ◽

Goal Setting ◽

User Satisfaction ◽

Physical Activities ◽

Self Management ◽

Exclusion Criterion ◽

Smart Devices

BACKGROUND Decreased engagement in physical activities and obesity are global public health problems of modern age. At the same time, m-health interventions were introduced to support monitoring of physical activities to enhance weight control through self-management. There is lack of updated systematic review of studies on the usability, effectiveness and user satisfaction of these smart devices applications. OBJECTIVE This systematic review aims at synthesizing latest research findings about effectiveness of mobile applications in physical activity and weight management, and the level of usability and user satisfaction. METHODS Data was collected from four databases including IEEE, Scopus, Cochrane and PubMed. The inclusion criterion includes original research published between 2008-2018 focusing on the use of smart devices in physical activity and the significance of mobile-based applications in influencing user involvement in physical activities and weight management RESULTS We retrieved 2,553 published studies from the databases out of which (n=15) meet inclusion/exclusion criterion of this systematic review. Analysis of study findings revealed user’s perceptions regarding effectiveness, usability and acceptance of mobile-based apps associate with increased involvement in physical activities and weight management practices. Studies demonstrated factors such as social support, reinforcement and goal setting enhance self-monitoring and users’ motivation to gain new skills of engagement in physical activities and weight self-management. CONCLUSIONS This review validates the effectiveness of m-interventions for engagement in physical activities and weight self-management. Smartphones and devices features have been instrumental in monitoring physical activity with additional components such as social support, social connections, feedback, goal setting and tracking activity CLINICALTRIAL null

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Lifestyle behaviour change for preventing the progression of chronic kidney disease: a systematic review

BMJ Open ◽

10.1136/bmjopen-2019-031625 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031625 ◽

Cited By ~ 3

Author(s):

Nicole Evangelidis ◽

Jonathan Craig ◽

Adrian Bauman ◽

Karine Manera ◽

Valeria Saglimbene ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Systematic Review ◽

Chronic Kidney Disease ◽

Kidney Disease ◽

Goal Setting ◽

Behaviour Change ◽

Risk Of Bias ◽

Behaviour Change Techniques ◽

Lifestyle Behaviour

ObjectivesModifying lifestyle can prevent the progression of chronic kidney disease (CKD) but the specific elements which lead to favourable behaviour change are not well understood. We aimed to identify and evaluate behaviour change techniques and functions in lifestyle interventions for preventing the progression of CKD.DesignSystematic review.Data sourcesMEDLINE, EMBASE, CINAHL and PsycINFO.Eligibility criteriaTrials of lifestyle behaviour change interventions (including diet, physical activity, smoking and/or alcohol) published to September 2018 in adults with CKD stages 1–5.Data extraction and synthesisTrial characteristics including population, sample size, study setting, intervention, comparator, outcomes and study duration, were extracted. Study quality was independently assessed by two reviewers using the Cochrane risk of bias tool. The Behaviour Change Technique Taxonomy v1 was used to identify behaviour change techniques (eg, goal setting) and the Health Behaviour Change Wheel was used to identify intervention functions (eg, education). Both were independently assessed by three reviewers.ResultsIn total, 26 studies involving 4263 participants were included. Risk of bias was high or unclear in most studies. Interventions involved diet (11), physical activity (8) or general lifestyle (7). Education was the most frequently used function (21 interventions), followed by enablement (18), training (12), persuasion (4), environmental restructuring (4), modelling (2) and incentivisation (2). The most common behaviour change techniques were behavioural instruction (23 interventions), social support (16), behavioural demonstration (13), feedback on behaviour (12) and behavioural practice/rehearsal (12). Eighteen studies (69%) showed a significant improvement in at least one primary outcome, all of which included education, persuasion, modelling and incentivisation.ConclusionLifestyle behaviour change interventions for CKD patients frequently used education, goal setting, feedback, monitoring and social support. The most promising interventions included education and used a variety of intervention functions (persuasion, modelling and incentivisation).PROSPERO registration numberCRD42019106053.

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Motives, barriers and preferences to physical activity in people with obesity: a systematic review

10.31236/osf.io/rvaw3 ◽

2021 ◽

Author(s):

Aurelie Baillot ◽

Stéphanie Chenail ◽

Naiara Barros Polita ◽

Mylène Simoneau ◽

Mathilde Libourel ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Systematic Review ◽

Body Mass Index ◽

Weight Management ◽

Physical Inactivity ◽

Web Of Science ◽

Risk Of Bias ◽

Physical Discomfort ◽

Appraisal Tool

Background. Although the benefits of physical activity (PA) are well known, physical inactivity is high in people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population.Methods. Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched until June 2020 by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2. Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results. From 5,898 papers identiﬁed, 13 quantitative, 10 qualitative and 3 mixed studies were included (k=26). About 31% of studies have a MMAT score below 50 % (k=8). The three most reported PA motives in people with obesity were weight management, followed by energy/physical fitness and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity.Conclusions. Weight management, lack of motivation and pain are keys PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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Physical activity motives, barriers, and preferences in people with obesity: A systematic review

PLoS ONE ◽

10.1371/journal.pone.0253114 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0253114

Author(s):

Aurélie Baillot ◽

Stéphanie Chenail ◽

Naiara Barros Polita ◽

Mylène Simoneau ◽

Mathilde Libourel ◽

...

Keyword(s):

Physical Activity ◽

Social Support ◽

Systematic Review ◽

Body Mass Index ◽

Weight Management ◽

Physical Inactivity ◽

Web Of Science ◽

Risk Of Bias ◽

Physical Discomfort ◽

Appraisal Tool

Background Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. Methods Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. Conclusions Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.

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Internet of Things–Enabled Technologies for Weight Management in Children and Adolescents: Protocol for a Systematic Review

JMIR Research Protocols ◽

10.2196/16930 ◽

2020 ◽

Vol 9 (3) ◽

pp. e16930

Author(s):

Ching Lam ◽

Madison Milne-Ives ◽

Michelle Helena Van Velthoven ◽

Edward Meinert

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Childhood Obesity ◽

Internet Of Things ◽

Children And Adolescents ◽

Weight Management ◽

Health Care Services ◽

Grey Literature ◽

Medical Spending ◽

Google Search

Background Childhood obesity is a serious global issue, leading to increased medical spending on obesity-related diseases such as cardiovascular diseases and diabetes. There is a need for health care services that link health behavior to risk factors, such as diet and physical activity, and that provide better advice and feedback to users, which Internet of Things–enabled technologies could facilitate. Objective The objective of the systematic review will be to identify available Internet of Things–enabled technologies for weight management of children and adolescents (users younger than 18 years). It will also aim to understand the use, effectiveness, and feasibility of these technologies. Methods We will search the Medline, PubMed, Web of Science, Scopus, ProQuest Central, and IEEE Xplore Digital Library databases for studies published after 2010, using a combination of keywords and subject headings related to health activity tracking, youth, and Internet of Things. In addition, a Google search to identify grey literature will be conducted. Two authors will independently screen the titles and abstracts identified from the search and accept or reject the studies according to the study inclusion criteria. Any discrepancies will then be discussed and resolved. The quality of the included studies will be assessed using the Critical Appraisal Skills Programme (CASP) checklists. Data from included studies will be extracted into a predesigned form to identify the types of devices or apps, Internet of Things applications, and health outcomes related to weight management. Results A preliminary search on Medline returned 484 results. The publication of the final systematic review is expected in mid-2020. Conclusions The effectiveness and feasibility of physical activity trackers and consumer wearables for different patient groups have been well reviewed, but there are currently no published reviews that look into these technologies in the wider Internet of Things context. This review aims to address this gap by examining Internet of Things–enabled technologies that are designed for youth weight management and thus inform further research and clinical studies to reduce childhood obesity. International Registered Report Identifier (IRRID) PRR1-10.2196/16930

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Digital health technologies for long term self-management of osteoporosis: a systematic review and meta-analysis (Preprint)

10.2196/preprints.32557 ◽

2021 ◽

Author(s):

Ghada Alhussein ◽

Leontios Hadjileontiadis

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Digital Health ◽

Meta Analysis ◽

Self Management ◽

Current Status ◽

Future Research ◽

Common Chronic Disease ◽

Health Technologies ◽

Management Interventions

BACKGROUND Osteoporosis is the fourth most common chronic disease in the world. Adopting preventative measures and effective self-management interventions help in improving bone health. Mobile health (mHealth) technologies can play a key role in osteoporosis patient care and self- management. OBJECTIVE This study presents a systematic review and meta-analysis of the currently available mHealth applications targeting osteoporosis self-management, aiming to determine the current status, gaps and challenges the future research could address, proposing appropriate recommendations. METHODS In this systematic review and meta-analysis, we searched PubMed, Scopus, EBSCO, Web of Science, and IEEExplore databases between Jan 1, 2010 and May 31, 2021, for all English publications that describe apps dedicated to or being useful for osteoporosis, targeting self-management, nutrition, physical activity, risk assessment, delivered on smartphone devices for young and older adults. In addition, a survey of all osteoporosis-related apps available in iOS and Android app stores as of May 31, 2021 was also conducted. Primary outcomes of interest were the prevention or reduction of unhealthy behaviours or improvement in healthy behaviours of the six behaviours. Outcomes were summarised in a narrative synthesis and combined using random-effects meta-analysis. RESULTS In total, 3906 unique articles were identified. Of these, 32 articles met the inclusion criteria and were reviewed in depth. The 32 studies were comprising 14 235 participants, of whom on average 69.5% were female, with a mean age of 49.8 years (SD 17.8). The app search identified 23 relevant apps for osteoporosis self-management. The meta-analysis revealed that mHealth supported interventions resulted in a significant reduction in pain (Hedge’s g -1.09, 95%CI -1.68 to -0.45) and disability (Hedge’s g -0.77, 95%CI -1.59 to 0.05). The post-treatment effect of the digital intervention was significant for physical function (Hedge’s g 2.54, 95%CI -4.08 to 4.08); yet nonsignificant for wellbeing (Hedge’s g 0.17, 95% CI -1.84 to 2.17), physical activity (Hedges’ g 0.09, 95%CI -0.59 to 0.50), anxiety (Hedge’s g -0.29, 95%CI -6.11 to 5.53), fatigue (Hedge’s g -0.34, 95%CI -5.84 to 5.16), calcium (Hedge’s g -0.05, 95%CI -0.59 to 0.50) and vitamin D (Hedge’s g 0.10, 95% CI -4.05 to 4.26) intake, and trabecular score (Hedge’s g 0.06, 95%CI -1.00 to 1.12). CONCLUSIONS Osteoporosis apps have the potential to support and improve the management of the disease and its symptoms; they also appear to be a valuable tool for patients and health professionals. However, the majority of the apps that are currently available lack clinically validated evidence of their efficacy and they most focus on a limited number of symptoms. A more holistic and personalized approach, within a co-creation design ecosystem, is needed.

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Intervention Mediators in a Randomized Controlled Trial to Increase Physical Activity and Fatigue Self-management Behaviors Among Adults With Multiple Sclerosis

Annals of Behavioral Medicine ◽

10.1093/abm/kaz033 ◽

2019 ◽

Author(s):

Matthew Plow ◽

Robert W Motl ◽

Marcia Finlayson ◽

Francois Bethoux

Keyword(s):

Physical Activity ◽

Multiple Sclerosis ◽

Goal Setting ◽

Self Efficacy ◽

Outcome Expectations ◽

Step Count ◽

Self Management ◽

Post Test ◽

The Impact

Abstract Background People with multiple sclerosis (MS) often experience fatigue, which is aggravated by inactivity. Identifying mediators of changes in physical activity (PA) and fatigue self-management (FSM) behaviors could optimize future interventions that reduce the impact of MS fatigue. Purpose To examine the effects of telephone-delivered interventions on Social Cognitive Theory constructs and test whether these constructs mediated secondary outcomes of PA and FSM behaviors. Methods Participants with MS (n = 208; Mean age = 52.1; Female = 84.6%) were randomized into contact–control intervention (CC), PA-only intervention, and PA+FSM intervention. Step count (Actigraphy) and FSM behaviors as well as self-efficacy, outcome expectations, and goal setting for PA and FSM were measured at baseline, post-test (12 weeks), and follow-up (24 weeks). Path analyses using bias-corrected bootstrapped 95% confidence intervals (CI) determined whether constructs at post-test mediated behaviors at follow-up when adjusting for baseline measures. Results Path analysis indicated that PA-only (β = 0.50, p < .001) and PA+FSM interventions (β = 0.42, p < .010) had an effect on goal setting for PA, and that PA + FSM intervention had an effect on self-efficacy for FSM (β = 0.48, p = .011) and outcome expectations for FSM (β = 0.42, p = .029). Goal setting for PA at post-test mediated the effects of PA-only (β = 159.45, CI = 5.399, 371.996) and PA + FSM interventions (β = 133.17, CI = 3.104, 355.349) on step count at follow-up. Outcome expectations for FSM at post-test mediated the effects of PA + FSM intervention on FSM behaviors at follow-up (β = 0.02, CI = 0.001, 0.058). Conclusions Goal setting for PA and outcome expectations for FSM may be important constructs to target in telephone-delivered interventions designed to reduce the impact of MS fatigue. Trial registration Clinicaltrials.gov (NCT01572714)

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