The use of technology to promote physical activity in Type 2 diabetes management: a systematic review

Connelly, Jenni; Kirk, Alison; Masthoff, Judith; MacRury, Sandra

doi:10.1111/dme.12289

Cited by 132 publications

(114 citation statements)

References 29 publications

Supporting

Mentioning

109

Contrasting

Unclassified

Order By: Relevance

“…Although the eHealth interventions we studied uniformly improved PA outcomes, it is interesting to note that only two of the six eHealth interventions that we studied were in the top tertile by PRECIS-2 scores. To improve the pragmatism of future PA interventions using eHealth methods, one opportunity may be to SYSTEMATIC REVIEWS enhance the linkage of PA tracking to existing electronic medical records [83]. This linking would allow clinicians and patients to more readily monitor physical activity levels and communicate regarding new activity goals.…”

Section: Discussionmentioning

confidence: 99%

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

Luoma

Leavitt

Marrs

et al. 2017

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

Although regular physical activity (PA) is a cornerstone of treatment for type 2 diabetes (T2D), most adults with T2D are sedentary. Randomized controlled trials (RCTs) have proven the effectiveness of PA behavioral interventions for adults with T2D but have rarely been conducted in healthcare settings. We sought to identify PA interventions that are effective and practical to implement in clinical practice settings. Our first aim was to use the valid Pragmatic-Explanatory Continuum Indicator Summary 2 (PRECIS-2) tool to assess the potential for future implementation of PA interventions in clinical practice settings. Our second aim was to identify interventions that effectively increased PA and glycemic control among the interventions in the top tertile of PRECIS-2 scores. We searched PubMed MED-LINE from January 1980 through May 2015 for RCTs of behavioral PA interventions coordinated by clinical practices for patients with T2D. Dual investigators assessed pragmatism by PRECIS-2 scores, and study effectiveness was extracted from original RCT publications. The PRECIS-2 scores of the 46 behavioral interventions (n = 13,575 participants) ranged from 3.0 to 4.8, where 5 is the most pragmatic score. In the most pragmatic tertile of interventions (n = 16) by PRECIS-2 scores, 30.8 and 31.3% of interventions improved PA outcomes and hemoglobin A1c, respectively. A minority of published evidence-based PA interventions for adults with T2D were both effective and pragmatic for clinical implementation. These should be tested for dissemination using implementation trial designs.

show abstract

Section: Discussionmentioning

confidence: 99%

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

Luoma

Leavitt

Marrs

et al. 2017

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

show abstract

“…For example, technology that tracks behavior over time and allows the user to see their own behavior trends in a visual format have been found to positively impact health behavior (18). Not surprisingly, apps that lack the ability to engage users lessen the impact of the app effectiveness on behavior change (1).…”

Section: Introductionmentioning

confidence: 99%

“…Not surprisingly, apps that lack the ability to engage users lessen the impact of the app effectiveness on behavior change (1). Lastly, online advice from a personal coach was more influential on user behavior than peer support (18). It has also been suggested that apps utilize expertise from health professionals for monitoring and feedback as well as provide the user with a more personalized experience to increase adherence to health behaviors (13).…”

Section: Introductionmentioning

confidence: 99%

The fitness of apps: a theory-based examination of mobile fitness app usage over 5 months

Herrmann

Kim

2017

mHealth

View full text Add to dashboard Cite

Background: There are thousands of fitness-related smartphone applications ("apps") available for free and purchase, but there is uncertainty if these apps help individuals achieve and maintain personal fitness.Technology usage attrition is also a concern among research studies on health technologies.Methods: Usage of three fitness apps was examined over 5 months to assess adherence and effectiveness.Initially, 64 participants downloaded three free apps available on Android and iOS and 47 remained in the study until posttest. With a one group pre-posttest design and checkpoints at months 1, 3, and 5, exercise and exercise with fitness apps were examined in the framework of the Theory of Planned Behavior (TPB) using a validated survey. Apps were selected based on their function from the Functional Triad. Perceived fitness was also measured. T-tests, sign tests, Fisher's exact tests, and linear and logistic regression were used to compare pre to posttests and users to non-users of the apps.Results: Forty-seven participants completed both pre and posttests. Individual item scores indicated no significant change pre to posttest except for decreases observed in usefulness of using apps for exercise (attitude) (−0.78, P<0.01), peer influence on exercise (subjective norm) (−0.51, P<0.05), peer influence on exercise with apps (subjective norm) (−1.02, P<0.01), perceived difficulties in exercising with apps (perceived behavioral control) (−1.29, P<0.001), and the expected frequency of exercise with apps over the next 2 weeks (behavioral intention) (P<0.0001 in a sign test). Subscale total scores indicated significant decreases in subjective norm regarding exercise (−0.72, P<0.05), subjective norm regarding exercise with apps (−1.72, P<0.01), and perceived behavioral control over exercising with apps (−2.56, P<0.01) between pre and posttest.When comparing app users (n=32) to non-users (n=15), there was only a significant difference in subscale total scores at posttest for attitude toward exercising using apps, which was significantly more favorable among users than non-users (32.3 vs. 27.6, P<0.05). Fitness perception did not change over 5 months regarding cardiovascular fitness, strength, endurance, flexibility, or body composition. Technology usage attrition was desirable at 31.9%.Conclusions: App usage and effectiveness appears to have a connection to usefulness (attitude) and to perceived difficulties of exercising using apps (perceived behavioral control). Exercise and exercise using apps are not influenced by peer influence (subjective norm). Intention to exercise using these particular apps decreased (behavioral intention). Those who utilized the apps were more likely to have a positive attitude about the apps. Usefulness and perceived difficulties in particular should be considered with future app development.App usefulness and ease of use may be facilitated by using health behavior theories to guide development.

show abstract

“…Technological tools, such as eHealth (electronic health) and mHealth (mobile health) applications, will be increasingly integrated in supporting self-management. [4] For example, Azevedo, et al [5] are convinced that mobile health applications will be useful in regulating self-management in long-term illnesses. Furthermore, eHealth solutions can particularly help patients to improve access to health care in sparsely populated countries such as Finland.…”

Section: Background Of the Studymentioning

confidence: 99%

Finnish social and health care professionals’ perspective of the future

Hopia

Hakala

2015

IJH

View full text Add to dashboard Cite

The aim of the study is to describe the perceptions on the future of professionals in the social services and healthcare sector in Finland. The study examines on what the sector will be like, what kind of competence will be required and how this will be obtained in 2025 and onwards. The sector will encounter major changes over the next decade and therefore more research is needed to identify how professionals view the future of their work. Eighty-three students (n = 83) studying for a master's degree in social services and healthcare participated in the study. The data was collected by means of the Futures Wheel method in 2014. The respondents generated a total of 424 statements that were analyzed with the thematic analysis method. The results showed that in the future the ageing population will form a new type of client group, and individual services will be offered equally to everyone. Technological solutions will be in active use within the social services and healthcare sector. A strong ability to change, adapt, and quickly reform the methods of working will be required in the future. Furthermore, professionals will increasingly be independently responsible for acquiring competence in the future. In result, the competence-related educational programmes will be more tailored to match the needs of working world. The results identified in the study should be taken into consideration when developing practices and reforming curriculums in healthcare and social services. Professionals should be able to predict the future of their sector, the choices and decisions affecting the future are being made now.

show abstract

The use of technology to promote physical activity in Type 2 diabetes management: a systematic review

Cited by 132 publications

References 29 publications

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

The fitness of apps: a theory-based examination of mobile fitness app usage over 5 months

Finnish social and health care professionals’ perspective of the future

Contact Info

Product

Resources

About