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Digital tools to support the maintenance of physical activity in people with long-term conditions: A scoping review

Digital tools to support the maintenance of physical activity in people with long-term conditions: A scoping review
Digital tools to support the maintenance of physical activity in people with long-term conditions: A scoping review

Objective: This scoping review aimed to bring together and identify digital tools that support people with one or more long-term conditions to maintain physical activity and describe their components and theoretical underpinnings. Methods: Searches were conducted in Cumulative Index to Nursing and Allied Health Literature, Medline, EMBASE, IEEE Xplore, PsycINFO, Scopus, Google Scholar and clinical trial databases, for studies published between 2009 and 2019, across a range of long-term conditions. Screening and data extraction was undertaken by two independent reviewers and the Preferred Reporting Items for Scoping Reviews guidelines informed the review's conduct and reporting. Results: A total of 38 results were identified from 34 studies, with the majority randomised controlled trials or protocols, with cardiovascular disease, type 2 diabetes mellitus and obesity the most common long-term conditions. Comorbidities were reported in >50% of studies but did not clearly inform intervention development. Most digital tools were web-browser-based ± wearables/trackers, telerehabilitation tools or gaming devices/components. Mobile device applications and combination short message service/activity trackers/wearables were also identified. Most interventions were supported by a facilitator, often for goal setting/feedback and/or monitoring. Physical activity maintenance outcomes were mostly reported at 9 months or 3 months post-intervention, while theoretical underpinnings were commonly social cognitive theory, the transtheoretical model and the theory of planned behaviour. Conclusions: This review mapped the literature on a wide range of digital tools and long-term conditions. It identified the increasing use of digital tools, in combination with human support, to help people with long-term conditions, to maintain physical activity, commonly for under a year post-intervention. Clear gaps were the lack of digital tools for multimorbid long-term conditions, longer-term follow-ups, understanding participant's experiences and informs future questions around effectiveness.

Internet, Physical activity maintenance, behaviour change, chronic, digital health, multimorbidity
2055-2076
Clarkson, Paul
00104630-e64b-456c-b8ac-2d697c5776d9
Stephenson, Aoife
5a8c683f-c9c1-47e7-b056-db09463c6974
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
Cook, Katherine
a25c31c2-f692-4ede-b6ff-4cce7819985f
Clark, Carol
34cc183a-11a8-4718-a2c5-8e684afb551b
Muckelt, Paul E
29acdc93-a377-41ef-8d62-3ba65c90fa56
O’gorman, Philip
24e57a39-5c73-4548-963d-0efdf43306cb
Saynor, Zoe
1e3fead5-877e-4045-95d5-c4c97f8b0547
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Mcdonough, Suzanne
705739c0-b59d-4ea9-bc70-cf220f4d7ad2
Clarkson, Paul
00104630-e64b-456c-b8ac-2d697c5776d9
Stephenson, Aoife
5a8c683f-c9c1-47e7-b056-db09463c6974
Grimmett, Chloe
7f27e85b-2850-481d-a7dd-2835e1a925cd
Cook, Katherine
a25c31c2-f692-4ede-b6ff-4cce7819985f
Clark, Carol
34cc183a-11a8-4718-a2c5-8e684afb551b
Muckelt, Paul E
29acdc93-a377-41ef-8d62-3ba65c90fa56
O’gorman, Philip
24e57a39-5c73-4548-963d-0efdf43306cb
Saynor, Zoe
1e3fead5-877e-4045-95d5-c4c97f8b0547
Adams, Jo
6e38b8bb-9467-4585-86e4-14062b02bcba
Stokes, Maria
71730503-70ce-4e67-b7ea-a3e54579717f
Mcdonough, Suzanne
705739c0-b59d-4ea9-bc70-cf220f4d7ad2

Clarkson, Paul, Stephenson, Aoife, Grimmett, Chloe, Cook, Katherine, Clark, Carol, Muckelt, Paul E, O’gorman, Philip, Saynor, Zoe, Adams, Jo, Stokes, Maria and Mcdonough, Suzanne (2022) Digital tools to support the maintenance of physical activity in people with long-term conditions: A scoping review. Digital Health, 8, [205520762210897]. (doi:10.1177/20552076221089778).

Record type: Review

Abstract

Objective: This scoping review aimed to bring together and identify digital tools that support people with one or more long-term conditions to maintain physical activity and describe their components and theoretical underpinnings. Methods: Searches were conducted in Cumulative Index to Nursing and Allied Health Literature, Medline, EMBASE, IEEE Xplore, PsycINFO, Scopus, Google Scholar and clinical trial databases, for studies published between 2009 and 2019, across a range of long-term conditions. Screening and data extraction was undertaken by two independent reviewers and the Preferred Reporting Items for Scoping Reviews guidelines informed the review's conduct and reporting. Results: A total of 38 results were identified from 34 studies, with the majority randomised controlled trials or protocols, with cardiovascular disease, type 2 diabetes mellitus and obesity the most common long-term conditions. Comorbidities were reported in >50% of studies but did not clearly inform intervention development. Most digital tools were web-browser-based ± wearables/trackers, telerehabilitation tools or gaming devices/components. Mobile device applications and combination short message service/activity trackers/wearables were also identified. Most interventions were supported by a facilitator, often for goal setting/feedback and/or monitoring. Physical activity maintenance outcomes were mostly reported at 9 months or 3 months post-intervention, while theoretical underpinnings were commonly social cognitive theory, the transtheoretical model and the theory of planned behaviour. Conclusions: This review mapped the literature on a wide range of digital tools and long-term conditions. It identified the increasing use of digital tools, in combination with human support, to help people with long-term conditions, to maintain physical activity, commonly for under a year post-intervention. Clear gaps were the lack of digital tools for multimorbid long-term conditions, longer-term follow-ups, understanding participant's experiences and informs future questions around effectiveness.

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Accepted/In Press date: 9 March 2022
e-pub ahead of print date: 11 April 2022
Published date: April 2022
Additional Information: Funding Information: The literature searches were undertaken with the support of Vicky Fenerty (VF), an academic librarian at the University of Southampton. This report is independent research funded by the National Institute for Health Research ARC Wessex. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Funding Information: This report is independent research funded by the National Institute for Health Research ARC Wessex. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Publisher Copyright: © The Author(s) 2022. Copyright: Copyright 2022 Elsevier B.V., All rights reserved.
Keywords: Internet, Physical activity maintenance, behaviour change, chronic, digital health, multimorbidity

Identifiers

Local EPrints ID: 457088
URI: http://eprints.soton.ac.uk/id/eprint/457088
ISSN: 2055-2076
PURE UUID: 9dd42a8a-bd01-4b35-a543-b78187a05b0d
ORCID for Chloe Grimmett: ORCID iD orcid.org/0000-0002-7540-7206
ORCID for Jo Adams: ORCID iD orcid.org/0000-0003-1765-7060
ORCID for Maria Stokes: ORCID iD orcid.org/0000-0002-4204-0890

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Date deposited: 23 May 2022 17:12
Last modified: 23 Nov 2022 02:42

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Contributors

Author: Paul Clarkson
Author: Aoife Stephenson
Author: Chloe Grimmett ORCID iD
Author: Katherine Cook
Author: Carol Clark
Author: Paul E Muckelt
Author: Philip O’gorman
Author: Zoe Saynor
Author: Jo Adams ORCID iD
Author: Maria Stokes ORCID iD
Author: Suzanne Mcdonough

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