Face-to-face versus remote and web 2.0 interventions for promoting physical activity
- PMID: 24085593
- PMCID: PMC8475768
- DOI: 10.1002/14651858.CD010393.pub2
Face-to-face versus remote and web 2.0 interventions for promoting physical activity
Abstract
Background: Face-to-face interventions for promoting physical activity (PA) are continuing to be popular as remote and web 2.0 approaches rapidly emerge, but we are unsure which approach is more effective at achieving long term sustained change.
Objectives: To compare the effectiveness of face-to-face versus remote and web 2.0 interventions for PA promotion in community dwelling adults (aged 16 years and above).
Search methods: We searched CENTRAL, MEDLINE, EMBASE, CINAHL, and some other databases (from earliest dates available to October 2012). Reference lists of relevant articles were checked. No language restrictions were applied.
Selection criteria: Randomised trials that compared face-to-face versus remote and web 2.0 PA interventions for community dwelling adults. We included studies if they compared an intervention that was principally delivered face-to-face to an intervention that had principally remote and web 2.0 methods. To assess behavioural change over time, the included studies had a minimum of 12 months follow-up from the start of the intervention to the final results. We excluded studies that had more than a 20% loss to follow-up if they did not apply an intention-to-treat analysis.
Data collection and analysis: At least two review authors independently assessed the quality of each study and extracted the data. Non-English language papers were reviewed with the assistance of an interpreter who was an epidemiologist. Study authors were contacted for additional information where necessary. Standardised mean differences (SMDs) and 95% confidence intervals (CIs) were calculated for continuous measures of cardio-respiratory fitness.
Main results: One study recruiting 225 apparently healthy adults met the inclusion criteria. This study took place in a high-income country. From 27,299 hits, the full texts of 193 papers were retrieved for examination against the inclusion criteria. However, there was only one paper that met the inclusion criteria. This study reported the effect of a PA intervention on cardio-respiratory fitness. There were no reported data for PA, quality of life, or cost effectiveness. The difference between the remote and web 2.0 versus face-to-face arms was not significant (SMD -0.02; 95% CI -0.30 to 0.26; high quality evidence). The risk of bias in the included study was assessed as low, and there was no evidence of an increased risk of adverse events.
Authors' conclusions: There is insufficient evidence to assess whether face-to-face interventions or remote and web 2.0 approaches are more effective at promoting PA.
Conflict of interest statement
Melvyn Hillsdon has received a research council grant to investigate the feasibility of a primary care PA intervention. This was not a study of outcomes and therefore had no bearing on this review. He has been a member of a NICE programme development group on walking and cycling and was paid for travel expenses.
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References
References to studies included in this review
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Petrella 2003 {published data only}
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- Petrella RJ, Koval JJ, Cunningham DA, Paterson DH. Can primary care doctors prescribe exercise to improve fitness? The Step Test Exercise Prescription (STEP) project. American Journal of Preventive Medicine 2003;24(4):316-22. - PubMed
Petrella 2006 {published data only}
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- Petrella R. Cost effectiveness of a community-based exercise program for older adults. Clinical Journal of Sport Medicine 2006;16:191-3. - PubMed
Petrella 2010 {published data only}
Pinto 2002 {published data only}
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- Pinto BM, Friedman R, Marcus BH, Kelley H, Tennstedt S, Gillman MW. Effects of a computer-based, telephone-counseling system on physical activity. American Journal of Preventive Medicine 2002;23(2):113-20. - PubMed
Pinto 2005 {published data only}
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- Pinto BM, Goldstein MG, Ashba J, Sciamanna CN, Jette A. Randomized controlled trial of physical activity counseling for older primary care patients. American Journal of Preventive Medicine 2005;29(4):247-55. - PubMed
Plotnikoff 2007 {published data only}
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- Plotnikoff RC, Brunet S, Courneya KS, Spence JC, Birkett NJ, Marcus B, et al. The efficacy of stage-matched and standard public health materials for promoting physical activity in the workplace: the Physical Activity Workplace Study (PAWS). American Journal of Health Promotion 2007;21(6):501-9. - PubMed
Plotnikoff 2010 {published data only}
Poulsen 2007 {published data only}
Prestwich 2012 {published data only}
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Ransdell 2004 {published data only}
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- Ransdell LB, Robertson LA, Ornes L, Moyer-Mileur L. Generations exercising together to improve fitness (GET FIT): A pilot study designed to increase physical activity and improve health-related fitness in three generations of women. Women and Health 2004;40(3):77-94. - PubMed
Reed 2008 {published data only}
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- Reed J, Malvern L, Muthukrishnan S, Hardy R, King L. An ecological approach with primary-care counseling to promote physical activity. Journal of Physical Activity & Health 2008;5(1):169-83. - PubMed
Reid 1979 {published data only}
Resnick 2002 {published data only}
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- Resnick B. Testing the effect of the WALC intervention on exercise adherence in older adults. Journal of Gerontological Nursing 2002;28(6):40-9. - PubMed
Rose 2007 {published data only}
Sarkisian 2010 {published data only}
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- Sarkisian C, Trejo L, Mangione C, Wang PC, Frank J, Prohaska T. A randomized controlled trial of a behavioral intervention to increase walking among older Latinos. Journal of General Internal Medicine 2010;25:S212-3.
Schneider 2011 {published data only}
Sevick 2007 {published data only}
Sheeran 2012 {published data only}
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- Sheeran P, Harris P, Vaughan J, Oettingen G, Gollwitzer PM. Gone exercising: Mental contrasting promotes physical activity among overweight, middle-aged, low-SES fishermen. Health Psychology Aug 2012;32:802-9. - PubMed
Sherwood 2008 {published data only}
Simons‐Morton 2001 {published data only}
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Skar 2011 {published data only}
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Slootmaker 2005 {published data only}
Smith 2000 {published data only}
Sorensen 2007 {published data only}
Sorensen 2008 {published data only}
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- Sorensen JB, Kragstrup J, Skovgaard T, Puggaard L. Exercise on prescription: a randomized study on the effect of counseling vs counseling and supervised exercise. Scandinavian Journal of Medicine & Science in Sports 2008;18(3):288-97. - PubMed
Spittaels 2007 {published data only}
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Spittaels 2007a {published data only}
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Steele 2007 {published data only}
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Steele 2009 {published data only}
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Stevens 1998 {published data only}
Stewart 2001 {published data only}
Talbot 2010 {published data only}
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- Talbot L. Lifestyle activity to improve fitness among National Guard personnel. TriService Nursing Research Program (TSNRP) 2010.
Talbot 2011 {published data only}
Tan 2006 {published data only}
Taylor 2005 {published data only}
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Thogersen‐Ntoumani 2010 {published data only}
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Thomas 2012 {published data only}
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- Thomas GN, Macfarlane DJ, Guo B, Cheung BM, McGhee SM, Chou KL, et al. Health promotion in older Chinese: a 12-month cluster randomized controlled trial of pedometry and "peer support". Medicine and Science in Sports and Exercise 2012;44(6):1157-66. - PubMed
Vainionpää 2007 {published data only}
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- Vainionpää A, Korpelainen R, Kaikkonen H, Knip M, Leppäluoto J, Jämsä T. Effect of impact exercise on physical performance and cardiovascular risk factors. Medicine and Science in Sports and Exercise 2007;39(5):756-63. - PubMed
van Sluijs 2006 {published data only}
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van Stralen 2008 {published data only}
van Stralen 2009 {published data only}
van Stralen 2009a {published data only}
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van Stralen 2010 {published data only}
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- Stralen MM, Vries H, Bolman C, Mudde AN, Lechner L. Exploring the efficacy and moderators of two computer-tailored physical activity interventions for older adults: a randomized controlled trial. Annals of Behavioral Medicine 2010;39(2):139-50. - PubMed
van Stralen 2011 {published data only}
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Visek 2011 {published data only}
von Thiele 2008 {published data only}
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Wadsworth 2010 {published data only}
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Wanner 2009 {published data only}
Wanner 2010 {published data only}
Watkinson 2010 {published data only}
Whitehead 2007 {published data only}
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- Whitehead D, Bodenlos JS, Cowles ML, Jones GN, Brantley PJ. A stage-targeted physical activity intervention among a predominantly African-American low-income primary care population. American Journal of Health Promotion 2007;21(3):160-3. - PubMed
Wilcox 2007 {published data only}
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Williams 2004 {published data only}
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- Williams K, Prevost AT, Griffin S, Hardeman W, Hollingworth W, Spiegelhalter D, et al. The ProActive trial protocol - a randomised controlled trial of the efficacy of a family-based, domiciliary intervention programme to increase physical activity among individuals at high risk of diabetes [ISRCTN61323766]. BMC Public Health 2004;4:48. - PMC - PubMed
Williams 2006 {published data only}
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- Williams DM, Papandonatos GD, Napolitano MA, Lewis BA, Whiteley JA, Marcus BH. Perceived enjoyment moderates the efficacy of an individually tailored physical activity intervention. Journal of Sport & Exercise Psychology 2006;28:300-9.
Williams 2011 {published data only}
Wilson 2009 {published data only}
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- Wilson K, Brookfield D. Effect of goal setting on motivation and adherence in a six-week exercise program. International Journal of Sport and Exercise Psychology 2009;7(1):89-100.
Wilson 2010 {published data only}
References to studies awaiting assessment
Heesch 2004 {published data only}
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- Heesch K, Masse LC, Frankowski RF, Dunn AI. Adherence within and between lifestyle physical activity groups in Project PRIME. Journal of Physical Activity & Health 2004;1:29-44.
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