Paramedic Dept, Netherlands Institute for Health Services Research (NIVEL), Utrecht, Netherlands.
J Phys Act Health. 2014 Mar;11(3):665-77. doi: 10.1123/jpah.2012-0152. Epub 2013 Mar 14.
Despite well-documented health benefits, adults with a physical chronic condition do not meet the recommended physical activity (PA) guidelines. Therefore, secondary prevention programs focusing on PA are needed. Web-based interventions have shown promise in the promotion of PA behavior change. We conducted a systematic review to summarize the evidence about the effectiveness of web-based PA interventions in adults with chronic disease.
Articles were included if they evaluated a web-based PA intervention and used a randomized design. Moreover, studies were eligible for inclusion if they used a non- or minimal-treatment control group and if PA outcomes measures were applied. Seven articles were included.
Three high-quality studies were statistically significant to the control group, whereas 2 high- and 2 low-quality studies reported nonsignificant findings.
Our best evidence synthesis revealed that there is conflicting evidence on the effectiveness of web-based PA interventions in patients with a chronic disease.
尽管有大量文献证明其对健康有益,但患有身体慢性疾病的成年人仍未达到推荐的身体活动(PA)指南标准。因此,需要针对 PA 的二级预防计划。基于网络的干预措施在促进 PA 行为改变方面显示出了一定的前景。我们进行了一项系统评价,以总结关于网络 PA 干预对慢性疾病成年人有效性的证据。
如果评估了基于网络的 PA 干预并使用了随机设计的文章,则将其纳入。此外,如果使用非或最小治疗对照组,并且应用了 PA 结果测量,则研究也符合纳入标准。共纳入了 7 篇文章。
有 3 项高质量研究与对照组相比具有统计学意义,而 2 项高质量和 2 项低质量研究则报告了无显著发现。
我们的最佳证据综合表明,网络 PA 干预对慢性疾病患者的有效性存在相互矛盾的证据。