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. 2020 Aug 15;17(16):5930. doi: 10.3390/ijerph17165930

Table 2.

Descriptive analysis of the included clinical studies.

Population Intervention Outcomes and Measurements Results
Bickmore et al., 2013 [21] EG = 132 cases (age 71.7 ± 5.6 years)
CG = 131 controls (age 70.8 ± 5.2 years)
EG was provided with touch screens tablet to use for 2 months connected with pedometers, that communicate through an animated virtual coach to discuss walking and setting goals. Primary outcome:
Average daily steps for 30 days before the 12-month interview
Secondary outcome:
Average daily steps for 30 days before the 2-month interview
Outcomes were stratified according to health literacy level.
Primary outcome:
p = 0.09
p = 0.02 (with adequate health literacy)
Secondary outcome:
p = 0.01
p = 0.03 (with adequate health literacy)
Mc Donald et al., 2012 [22] EG = 8 cases with osteoarthritis pain (age 69.9 ± 7.4 years)
CG = 10 controls with osteoarthritis pain (age 66.7 ± 4.3)
All participants viewed the pain communication videotape. EG practiced talking about osteoarthritis pain with the virtual pain coach Primary outcomes:
Pain intensity
Pain interference with activities
Depressive symptoms
At baseline and 1 month later, between and within groups
Primary outcomes:
p = 0.72 (between groups)

p = 0.017 (within EG in depressive symptoms)
Tabak et al., 2014 [23] EG = 12 cases with COPD (age 64.1 ± 9.0 years)
CG = 12 controls with COPD (age 62.8 ± 7.4 years)
4 modules: 1. Activity coach for ambulant activity monitoring and real-time coaching of daily activity behavior; 2. Web-based exercise program for home exercising; 3. Self-management of COPD exacerbations; 4. Teleconsultation. Primary outcomes:
Client Satisfaction Questionnaire 8
Primary outcomes:
Satisfaction with received care was 26.4 for the telehealth group and 30.4 (1.5) for the usual-care group after 1 month.
After 3 months, this was 26.3 for the telehealth group and 29.9 for the usual-care group.
Ritchie et al., 2012 [24] EG = 233 cases with CHF/COPD (age 63.0 ± 12.1 years)
CG = 245 controls with CHF/COPD (age 63.8 ± 12.8 years)
E-Coach: intervention with condition-specific customization and in-hospital and post-discharge support by a CTN, interactive voice response post-discharge calls, and CTN follow-up versus usual post-discharge care. Primary outcome:
30-days rehospitalization
Secondary outcomes: Rehospitalization/death
Community tenure
Primary outcome HR (95%CI):
CHF: 1.14 (0.67 1.96)
COPD: 0.56 (0.23 1.38)
Secondary outcome:
Rehospitalization/death: HR (95%CI)
CHF: 1.03 (0.6 −1.8)
COPD: 0.44 (0.2 −1.2)
Community tenure: Beta(95%CI)
CHF: −0.11 (−1.0 −0.9)
COPD: 1.12 (1.11 −2.12)
Andrade et al., 2014 [25] EG = 22 cases with OAB (age 62.41 ± 7.25 years)
CG = 19 controls with OAB (age 60.68 ± 5.30 years)
EG: self-management program with a generic avatar coach with a self-avatar peer mentor.
CG: identical online program with voice only.
Primary outcome:
Quality of life (HRQoL)
Secondary outcomes:
Perception of bladder condition (PPBC)
OAB symptoms
Self-efficacy
Primary outcome:
HRQoL p = 0.02
Secondary outcomes:
PPBC p = 0.63
OAB symptoms p = 0.75
Self-efficacy p = 0.99
Broadbent et al., 2018 [26] EG = 30 cases with COPD (age 69.10 ± 9.85)
CG = 30 controls with COPD (age 70.57 ± 10.34)
EG received a robot at home for 4 months in addition to usual care.
CG received standard care alone.
Primary outcome:
Number of days of hospitalization.
Secondary outcome:
Medication adherence
Frequency of rehabilitation exercise
Quality of life using CCQ
Primary outcome:
p = 0.9
Secondary outcomes:
Medication adherence: p = 0.04
Frequency of rehabilitation exercise: p = 0.001
CCQ: p = 0.35
Broekhuizen et al., 2016 [27] EG = 119 cases (age 64.7 ± 3.0)
CG = 116 controls (age 64.9 ± 2.8)
EG used internet program with monitoring and feedback by accelerometry and feedback by digital coaching (messages, e-mail).
CG received no intervention.
Primary outcomes:
Quality of life (RAND-36)
Physical activity

between and within groups
Primary outcomes: Between groups
RAND-36: p = 0.03
Physical activity: p = 0.01
Primary outcomes: Within EG
RAND-36: p = 0.009
Physical activity: p = 0.004
Tabak et al., 2013 [28] EG = 14 cases (age 65.2 ± 9.0)
CG = 11 controls (age 67.9 ± 5.7)
EG: activity coach for ambulant activity registration and real-time feedback for 4 weeks.
CG: usual care
Primary outcomes:
Activity level (step/day)
Health status (CCQ)

between and within groups
Primary outcomes: Between groups
Activity level: p = 0.48
CCQ: p = 0.1
Primary outcomes: Within EG
Activity level: p = 0.38
CCQ: p = 0.03

EG: experimental group; CG: control group; COPD: chronic obstructive pulmonary disease; 6MWT: 6-min walking test; CCQ: clinical COPD questionnaire; MFI: multidimensional fatigue inventory; EQ-5D: EuroQol; BPAQ: Baecke Physical Activity Questionnaire; IMA: integrated modulus of body acceleration; CHF/COPD: heart failure and chronic obstructive pulmonary disease; CTN: care transition nurse; OAB: Overactive bladder; HRQoL: health-related quality of life; CCQ: Clinical COPD questionnaire; TOFHLA: Test of Functional Health Literacy in Adults; RAND-36: Research and development 36-item health survey.