Effectiveness of eHealth interventions for the promotion of physical activity in older adults: A systematic review

Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with eith...

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Vydané v:	Preventive medicine Ročník 108; s. 93 - 110
Hlavní autori:	Muellmann, Saskia, Forberger, Sarah, Möllers, Tobias, Bröring, Eileen, Zeeb, Hajo, Pischke, Claudia R.
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States Elsevier Inc 01.03.2018
Predmet:	eHealth Healthy ageing Intervention Older adults Physical activity Primary prevention Systematic review Intervention Physical activity Primary prevention Systematic review Older adults Healthy ageing eHealth
ISSN:	0091-7435, 1096-0260, 1096-0260
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Abstract	Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with either no intervention or a non-eHealth intervention (review registration: PROSPERO CRD42015023875). Eight electronic databases were searched to identify experimental and quasi-experimental studies examining the effectiveness of eHealth interventions for PA promotion in adults aged 55years and above. Two authors independently selected and reviewed references, extracted data, and assessed study quality. In the search, 5771 records were retrieved, 20 studies met all inclusion criteria. Studies varied greatly in intervention mode, content, duration and assessed outcomes. Study quality ranged from poor to moderate. All interventions comprised tailored PA advice and the majority of interventions included goal setting and feedback, as well as PA tracking. Participation in eHealth interventions to promote PA led to increased levels of PA in adults aged 55years and above when compared to no intervention control groups, at least in the short term. However, the results were inconclusive regarding the question of whether eHealth interventions have a greater impact on PA behavior among older adults than non-eHealth interventions (e.g., print interventions). eHealth interventions can effectively promote PA in older adults aged 55years and above in the short-term, while evidence regarding long-term effects and the added benefit of eHealth compared to non-eHealth intervention components is still lacking. •Only a minority of older adults meet the recommended physical activity (PA) levels.•Our systematic review examined effectiveness of eHealth interventions.•eHealth intervention participants were compared to no or non-eHealth intervention.•We found that eHealth interventions can effectively promote PA in older adults.•Evidence regarding long-term effects of eHealth interventions is still lacking.
AbstractList	Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with either no intervention or a non-eHealth intervention (review registration: PROSPERO CRD42015023875). Eight electronic databases were searched to identify experimental and quasi-experimental studies examining the effectiveness of eHealth interventions for PA promotion in adults aged 55years and above. Two authors independently selected and reviewed references, extracted data, and assessed study quality. In the search, 5771 records were retrieved, 20 studies met all inclusion criteria. Studies varied greatly in intervention mode, content, duration and assessed outcomes. Study quality ranged from poor to moderate. All interventions comprised tailored PA advice and the majority of interventions included goal setting and feedback, as well as PA tracking. Participation in eHealth interventions to promote PA led to increased levels of PA in adults aged 55years and above when compared to no intervention control groups, at least in the short term. However, the results were inconclusive regarding the question of whether eHealth interventions have a greater impact on PA behavior among older adults than non-eHealth interventions (e.g., print interventions). eHealth interventions can effectively promote PA in older adults aged 55years and above in the short-term, while evidence regarding long-term effects and the added benefit of eHealth compared to non-eHealth intervention components is still lacking.Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with either no intervention or a non-eHealth intervention (review registration: PROSPERO CRD42015023875). Eight electronic databases were searched to identify experimental and quasi-experimental studies examining the effectiveness of eHealth interventions for PA promotion in adults aged 55years and above. Two authors independently selected and reviewed references, extracted data, and assessed study quality. In the search, 5771 records were retrieved, 20 studies met all inclusion criteria. Studies varied greatly in intervention mode, content, duration and assessed outcomes. Study quality ranged from poor to moderate. All interventions comprised tailored PA advice and the majority of interventions included goal setting and feedback, as well as PA tracking. Participation in eHealth interventions to promote PA led to increased levels of PA in adults aged 55years and above when compared to no intervention control groups, at least in the short term. However, the results were inconclusive regarding the question of whether eHealth interventions have a greater impact on PA behavior among older adults than non-eHealth interventions (e.g., print interventions). eHealth interventions can effectively promote PA in older adults aged 55years and above in the short-term, while evidence regarding long-term effects and the added benefit of eHealth compared to non-eHealth intervention components is still lacking. Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with either no intervention or a non-eHealth intervention (review registration: PROSPERO CRD42015023875). Eight electronic databases were searched to identify experimental and quasi-experimental studies examining the effectiveness of eHealth interventions for PA promotion in adults aged 55years and above. Two authors independently selected and reviewed references, extracted data, and assessed study quality. In the search, 5771 records were retrieved, 20 studies met all inclusion criteria. Studies varied greatly in intervention mode, content, duration and assessed outcomes. Study quality ranged from poor to moderate. All interventions comprised tailored PA advice and the majority of interventions included goal setting and feedback, as well as PA tracking. Participation in eHealth interventions to promote PA led to increased levels of PA in adults aged 55years and above when compared to no intervention control groups, at least in the short term. However, the results were inconclusive regarding the question of whether eHealth interventions have a greater impact on PA behavior among older adults than non-eHealth interventions (e.g., print interventions). eHealth interventions can effectively promote PA in older adults aged 55years and above in the short-term, while evidence regarding long-term effects and the added benefit of eHealth compared to non-eHealth intervention components is still lacking. Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of this systematic review is to compare the effectiveness of eHealth interventions promoting PA in older adults aged 55years and above with either no intervention or a non-eHealth intervention (review registration: PROSPERO CRD42015023875). Eight electronic databases were searched to identify experimental and quasi-experimental studies examining the effectiveness of eHealth interventions for PA promotion in adults aged 55years and above. Two authors independently selected and reviewed references, extracted data, and assessed study quality. In the search, 5771 records were retrieved, 20 studies met all inclusion criteria. Studies varied greatly in intervention mode, content, duration and assessed outcomes. Study quality ranged from poor to moderate. All interventions comprised tailored PA advice and the majority of interventions included goal setting and feedback, as well as PA tracking. Participation in eHealth interventions to promote PA led to increased levels of PA in adults aged 55years and above when compared to no intervention control groups, at least in the short term. However, the results were inconclusive regarding the question of whether eHealth interventions have a greater impact on PA behavior among older adults than non-eHealth interventions (e.g., print interventions). eHealth interventions can effectively promote PA in older adults aged 55years and above in the short-term, while evidence regarding long-term effects and the added benefit of eHealth compared to non-eHealth intervention components is still lacking. •Only a minority of older adults meet the recommended physical activity (PA) levels.•Our systematic review examined effectiveness of eHealth interventions.•eHealth intervention participants were compared to no or non-eHealth intervention.•We found that eHealth interventions can effectively promote PA in older adults.•Evidence regarding long-term effects of eHealth interventions is still lacking.
Author	Bröring, Eileen Muellmann, Saskia Möllers, Tobias Forberger, Sarah Pischke, Claudia R. Zeeb, Hajo
Author_xml	– sequence: 1 givenname: Saskia surname: Muellmann fullname: Muellmann, Saskia email: muellmann@leibniz-bips.de organization: Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany – sequence: 2 givenname: Sarah surname: Forberger fullname: Forberger, Sarah email: forberger@leibniz-bips.de organization: Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany – sequence: 3 givenname: Tobias orcidid: 0000-0002-1833-2412 surname: Möllers fullname: Möllers, Tobias email: moellers@nar.uni-heidelberg.de organization: Network Aging Research, University of Heidelberg, Heidelberg, Germany – sequence: 4 givenname: Eileen surname: Bröring fullname: Bröring, Eileen email: broering@leibniz-bips.de organization: Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany – sequence: 5 givenname: Hajo surname: Zeeb fullname: Zeeb, Hajo email: zeeb@leibniz-bips.de organization: Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany – sequence: 6 givenname: Claudia R. surname: Pischke fullname: Pischke, Claudia R. email: pischke@leibniz-bips.de organization: Leibniz Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany
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Keywords	Intervention Physical activity Primary prevention Systematic review Older adults Healthy ageing eHealth
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Snippet	Regular physical activity (PA) is central to healthy ageing. However, only a minority of older adults currently meet the WHO-recommended PA levels. The aim of...
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SubjectTerms	eHealth Healthy ageing Intervention Older adults Physical activity Primary prevention Systematic review
Title	Effectiveness of eHealth interventions for the promotion of physical activity in older adults: A systematic review
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