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. 2024 Oct 15;19(5):1024–1034. doi: 10.1016/j.jtumed.2024.10.001

Table 3.

Effects of digital technology-based physical activity promotion.

No. Author name; year Study setting Duration Outcome measures Type of physical activity/exercise Outcome of the study
1. Louise Poppe et al., 2019.19 Home 5 weeks Primary outcomes:
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    The long Dutch version of the international physical activity questionnaire

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    Longitudinal aging study amsterdam sedentary behavior questionnaire

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    ActiGraph accelerometers (type GT3X+)

Secondary outcomes:
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    HAPA-based personal determinants for behavior change

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    Longitudinal aging Study Amsterdam questionnaire

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    International physical activity questionnaire

Physical activity incorporated into activities of daily living RCT 1: The PA intervention group showed a decrease in self-reported sitting time (p = 0.09) and an improvement in accelerometer-measured moderate (p= 0.05) and moderate-to-vigorous PA (p = 0.049). The sedentary behavior intervention group showed more breaks from sedentary time, as measured by accelerometers, than the control group (p = 0.005). The intervention group showed a marginal improvement in action planning outcome (p = 0.08).
2. Morwenna Kirwan et al., 2022.16 Home-based exercise 8 weeks
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    Upper body muscular strength

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    Lower body muscular strength

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    Aerobic capacity

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    Flexibility

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    Balance

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    Diabetes empowerment scale (DES)

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    Patient activation measure (PAM)

Dynamic warm-up and cool-down; aerobic, strength, and flexibility activities The 8-week program resulted in significant improvements in participants' waist sizes, aerobic fitness, muscular strength, flexibility, and balance, in both men and women (all p < 0.001).
3. Michelle Dugas et al., 2018.18 Home 13 weeks
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    Regulatory mode: adapted six-item brief versions of the locomotion and assessment scales

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    Glycated hemoglobin

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    Adherence to the app over the course of the 13-weeks

Not reported Participants with high adherence experienced an average 1.0-point decrease in glycated hemoglobin from the start to the end of the study, after accounting for age and treatment condition.
4 Chenglin Sun et al., 2019.21 Home-based 6 months
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    Fasting blood glucose

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    Postprandial blood glucose

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    Glycated hemoglobin

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    Total cholesterol, triglycerides, high-density lipoprotein cholesterol, and low-density lipoprotein cholesterol

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    BMI

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    Blood pressure (mm Hg), systolic blood pressure (mm Hg), diastolic blood pressure

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    Training on how to gradually achieve 175 min/week of physical activity in 6 months

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    Daily step count

  • In the intervention group, glycated hemoglobin levels were significantly lower at 6 months than at baseline. Additionally, postprandial blood glucose levels in the intervention group showed continuous improvement at 6 months compared with baseline.

5. Rozmin Jiwani et al., 2022.17 Community/home 6 months
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    Fried phenotype criteria

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    The short physical performance battery

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    4-meter walk (gait speed test)

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    Time to complete five repeated chair stands without using the hands

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    Patient reported outcomes measurement information System-57

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    Patient reported outcomes measurement information system global health

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    Fasting blood glucose and glycated hemoglobin

  • At follow-up, frailty scores had improved significantly from (mean ± SD) 1.61 ± 1.15 to 0.94 ± 0.94 (p = 0.01), and bodyweight improved from (mean ± SD) 205.66 ± 45.52 lb. to (mean ± SD) 198.33 ± 43.6 lb. (p ≤ 0.001).

  • Improvements in exercise were observed (0.68 days/week increase, 95 % CI, 0.14–1.22, p < 0.05).

6. Kexin Yu et al., 2020.22 Community/home 12 weeks
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    Diabetes symptoms, according to the self-completion patient outcome instrument

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    Diabetes self-care behaviors, according to the summary of diabetes self-care activities (SDSCA)

General physical exercise and physical activity A specific diet and exercise program resulted in improved self-care behaviors at 4 months. However, the improvements in exercise, blood glucose monitoring, and diet were not maintained at the 8-month follow-up.
7. João Balsa et al., 2020.20 Community/home 26 days for older adults; 8–10 days for experts
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    Portuguese version of the system usability scale

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    Qualitative and qualitative data from diaries and open-ended questions

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    Telephone follow-up, digital notes

Not reported
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    The aggregated mean system usability scale score was 73.75 (SD 13.31), indicating a borderline excellent rating.

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    No significant differences were found between the mean scores of the end users (76.59, SD 12.26) and experts (70.2; SD 14.43) (p = 0.34).