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. 2021 May 28;18(11):5798. doi: 10.3390/ijerph18115798

Table 3.

Physical activity (PA) and sedentary behavior (SB) interventions effects were reported in non-controlled trials.

mHealth Only Intervention
First Author, Year mHealth Intervention Effects Risk of Bias
PA SB Results Summary
Cheong, 2018 [59] Activity tracker with an app providing exercise program No significant effect
Total metabolic equivalent (METs/w) S
Not applicable No significant change pre to post-intervention in an outcome High
* (?,?,?,?,?,?,+)
Kim, 2020 [60] Activity tracker with app prescribing exercise program Significant effect
Total metabolic equivalent (METs/w) S
Not applicable Significant increase of METs pre to post-intervention No information
* (NI,?,+,+,?,?,+)
Lozano-Lozano, 2019 [67] App to monitor and provide feedback on health behaviors Significant effect
MVPA weekday (min/d) O
No significant effect
MVPA weekend, MVPA global (min/d) O
Steps weekday, steps weekend, steps global (steps/d) O
Not applicable Significant increase of MVPA weekday pre to post-intervention No information
* (NI,?,+,+,+,?,+)
Puszkiewicz, 2016 [68] App to provide PA program Significant effect
Strenuous PA, mild PA (min/w)S
No significant effect
Moderate PA (min/w) S
Not applicable Significant increase in strenuous PA and a significant decrease in mild PA pre to post-intervention High
* (?,?,+,+,+,?,+)
mHealth and multicomponent intervention
First Author, Year mHealth intervention Non-mHealth Intervention Effects Risk of Bias
PA SB Results Summary
mHealth without personal contact intervention
Le, 2017 [41] Motivational activity tracker to record PA Website and exercise recommendations No significant effect
MVPA (min/d, min/wk) O
Proportion of average total daily time doing MVPA and MVPA for at least 10 min day/w S
No significant effect
Proportion of average screen time/day watching TV and days playing computer, video games, surfing the Internet S
No significant change pre to post-intervention in either outcome No information
* (NI,?,?,?,?,?,+)
McCarroll, 2015 [50] App giving motivational feedback Weighing scale No significant effect
PA times (min/w) S,
Caloric expenditure (kcals/w) S
Not applicable No significant change pre to post-intervention in either outcome No information
* (NI,?,+,+,+,?,+)
Trinh, 2018 [62] Activity tracker to assess PA and provide alert to decrease SB Web-based intervention Significant effect
MVPA (min/w) S,
Step counts (steps/w) O
No significant effect
Light PA (min/w) O,
Number of bouts spent in MVPA ≥ 10 min
Significant effect
Sedentary time (min/w) S
No significant effect
Total time spent in
SB bouts of ≥30 min (min/w) O,
Number of breaks in time spent in SB bouts of ≥30 min
Significant increase of MVPA and step counts with significant reduction of sedentary time pre to post-intervention No information
* (NI,?,+,+,?,?,+)
mHealth with personal contact intervention
Delrieu, 2020 [63] Activity tracker and app to monitor activity level In-person or phone sessions Significant effect
Domestic PA (min/w) S
No significant effect
Total PA, recreational PA, moderate PA, vigorous PA, walking PA (MET-min/w) S,
Participants proportions
in low, moderate, and vigorous PA, n (%)
Significant effect
Sitting time (min/w) S
Significant decrease in sitting time with significantly favoring a decrease in domestic PA pre to post-intervention High
* (-,?,+,+,+,?,+)
Gell, 2017 [43] Activity tracker for self-monitoring activity and text messages to support PA Phone call No significant effect
MVPA (min/w) O,
Step counts (steps/d) O
Not applicable No significant change pre to post-intervention in either outcome No information
* (NI,?,+,+,+,?,+)
Ovans, 2018 [45] Activity tracker to show feedback and progress toward a goal In-person or phone coaching No significant effect
Step counts (steps/d) O,
Leisure score index S
Not applicable No significant change pre to post-intervention in either outcome High
* (?,?,+,+,?,?,+)
Short, 2018 [55] Recommended app according to individual characteristics In-person session, printed material and a phone call or email No significant effect
MVPA, walking, moderate PA, vigorous PA (min/w) S
Not applicable No significant change pre- to post-intervention in either outcome No information
* (NI,?,+,+,+,?,+)
Spark, 2015 [54] Text messages for promoting behavioral change. Phone call No significant effect
MVPA (min/d) O
Not applicable No significant change pre to post-intervention in an outcome High
* (?,?,+,+,+,?,+)

S: subjective; O: objective; min/d: minutes per day; min/w: minutes per week; steps/d: step counts per day; kcals/w: kilocalories per week. * Assessed using ROBINS-I (Bias due to confounding, Bias in election of participants, Bias in classification of interventions, bias due to deviations from intended interventions, bias due to missing data, bias in measurement of outcomes, Bias in selection of reported results). +: low-risk of bias; /: moderate risk of bias; ?: serious risk of bias; -: critical risk of bias: NI: No information.