Umbrella review of social inequality in digital interventions targeting dietary and physical activity behaviors

npj Digital Medicine, Journal Year: 2025, Volume and Issue: 8(1)

Published: Jan. 6, 2025

Digital interventions are increasingly utilized as a lever to promote population health, yet not everyone may equally benefit from them. This umbrella review pooled the insights available systematic and scoping reviews regarding potential social inequalities in digital intervention uptake, engagement effectiveness, focusing on promotion of weight-related behaviors (diet, physical activity, sedentary behavior) weight loss (maintenance) adults. Six databases were searched 1970 October 2023. Forty-six included, which most focused activity effectiveness. Age gender/ sex differences frequently studied. Most found be effective irrespective age, while men benefitted more than women. Other inequality indicators (e.g., income, education) rarely studied, despite them being causes divide. A thorough exploration health is required for all.

Language: Английский

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Effectiveness of Different Intervention Modes in Lifestyle Intervention for the Prevention of Type 2 Diabetes and the Reversion to Normoglycemia in Adults With Prediabetes: Systematic Review and Meta-Analysis of Randomized Controlled Trials

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e63975 - e63975

Published: Jan. 29, 2025

Lifestyle interventions have been acknowledged as effective strategies for preventing type 2 diabetes mellitus (T2DM). However, the accessibility of conventional face-to-face is often limited. Digital health intervention has suggested a potential solution to overcome limitation. Despite this, there remains significant gap in understanding effectiveness digital individuals with prediabetes, particularly reducing T2DM incidence and reverting normoglycemia. This study aimed assess different modes health, face-to-face, blended interventions, benefits intervention, facilitating reversion normoglycemia adults prediabetes compared usual care. We conducted comprehensive search 9 electronic databases, namely MEDLINE, Embase, ACP Journal Club, Cochrane Central Register Controlled Trials, Database Systematic Reviews, Clinical Answers, Methodology Register, Health Technology Assessment, NHS Economic Evaluation through Ovid, from inception October 2024. review included randomized controlled trials (RCTs) that studied lifestyle prediabetes. The overall effect was synthesized using random-effects model. I² statistic used heterogeneity across RCTs. performed subgroup analysis explore control group, which received From an initial 7868 records retrieved we identified 54 articles 31 Our showed demonstrated 46% risk reduction (risk ratio [RR] 0.54, 95% CI 0.47-0.63; I²=43%; P<.001), increase (RR 1.46, 1.11-1.91; I²=82%; P=.006), when group. On other hand, were associated 12% 0.88, 0.77-1.01; I²=0.6%; P=.06). Moreover, combining 37% 0.63, 0.49-0.81;I²<0.01%; P<.001) 87% 1.87, 1.30-2.69; I²=23%; P=.001). no on reversal observed interventions. Face-to-face consistently promising both reductions these areas not sufficiently proven. Given results, further research required provide more definitive evidence prevention future. PROSPERO CRD42023414313; https://tinyurl.com/55ac4j4n.

Language: Английский

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Understanding Food Literacy Intervention Effectiveness: Postsecondary Students’ Perspectives on How a mHealth Food Literacy Intervention Impacted Their Dietary Behaviors

Journal of Nutrition Education and Behavior, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 1, 2025

Language: Английский

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Interest, uptake, and feasibility trial of a real-life digital health intervention to improve lifestyle in Brazil

Digital Health, Journal Year: 2025, Volume and Issue: 11

Published: Jan. 1, 2025

Objective Promoting healthy lifestyle behaviors is essential for preventing and managing chronic mental health conditions. This study aims to present a digital platform accessible via PC or smartphone, VIVA!, designed foster change among the Brazilian population. It evaluates interest, uptake, acceptability, usability, adherence, retention over 12 weeks. Methods A fully online feasibility trial was conducted from April December 2023. Participants were adults who lived in Rio de Janeiro reported using Public Health System. Interest VIVA! uptake assessed recruitment metrics. Acceptability usability measured Mobile App Rating Scale (MARS). Adherence calculated as percentage of completed challenges weeks, tracked at 4, 8, Results Of 3812 individuals reached, 27.2% expressed interest app, with an rate 65.4%. total 401 participants enrolled, predominantly women (73.3%) higher education (61.6%). MARS acceptability scores 2.9 quality 3.5 specificity. Usability averaged around 3, aesthetics rated highest. Retention weeks 4.5%, average adherence 11.2%. Conclusion The attracted highly-educated individuals, but its effectiveness constrained by high attrition. These findings highlight key DHI implementation, including need robust outreach, iterative improvements, strategies sustain engagement. Addressing access, literacy inequities, strengthening regulations are critical future success equity DHIs public systems. Trial registration registered Clinical Trials Registry (Registro Brasileiro Ensaios Clínicos -REBEC)—number RBR-2ssyb6q.

Language: Английский

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Home Environment as a Therapeutic Target for Prevention and Treatment of Chronic Diseases: Delivering Restorative Living Spaces, Patient Education and Self-Care by Bridging Biophilic Design, E-Commerce and Digital Health Technologies

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(2), P. 225 - 225

Published: Feb. 5, 2025

A high prevalence of chronic diseases exposes diverse healthcare pain points due to the limited effectiveness pharmaceutical drugs and biologics, sedentary lifestyles, insufficient health literacy, stress, unsatisfactory patient experience, environmental pollution competition with commercial determinants health. To improve care long-term outcomes, impact home environment is overlooked underutilized by healthcare. This cross-disciplinary work describes perspectives on (1) as a therapeutic target for prevention treatment (2) transforming health-centric household goods e-commerce platforms into digital interventions. We provide rationale creating environments grounded in biophilic design (multisensory, enrichment) supporting physical activities, quality sleep, nutrition, music, stress reduction, self-efficacy, social support education, hence providing clinical benefits through modulation autonomic nervous system, neuroplasticity behavior change. These pleiotropic "active non-pharmacological ingredients" can be personalized people living depression, anxiety, migraine, pain, cancer, cardiovascular other conditions. discuss prospects integrating create "therapeutic environment" interventions delivered therapeutics their combinations prescription drugs. multimodal approach enhance engagement while bridging consumer spending outcomes.

Language: Английский

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A Preliminary Investigation of an Automated Online Program for Increasing Physical Activity among Adults: A Randomized Trial

Translational Journal of the American College of Sports Medicine, Journal Year: 2025, Volume and Issue: 10(2)

Published: Feb. 10, 2025

ABSTRACT Introduction Given the numerous health benefits associated with regular physical activity (PA), effective, affordable, and scalable PA interventions are needed to address high prevalence of inactivity among adults within United States. The purpose this study was evaluate feasibility, acceptability, preliminary efficacy an Internet-delivered program for increasing moderate-to-vigorous (MVPA) inactive adults. Methods Participants ( n = 55; age: 53.5 ± 10.2 yr, body mass index: 32.0 6.1 kg·m −2 , 56.4% female, 83.6% non-Hispanic White) were randomized Energize! exercise program, a 12-wk, fully automated MVPA, or newsletter control condition. Each week, participants completed behaviorally based video lessons, submitted plan, reported their minutes, homework assignment. goal progressed from 75 200 min·wk −1 automated, personalized feedback provided. Control received education newsletters twice per month (six in total). Assessments psychosocial constructs MVPA (self-report, accelerometer-derived total bouted (>10 min bouts)) occurred at baseline, 3 months (post-intervention), 6 (following 3-month no-contact follow-up). Results Retention 85.5% 81.8% months, respectively. On average, plan 76.4% weeks, watched 84.5% 75.0% assignments. Program satisfaction higher than group (all P < 0.001). A significant interaction effect favoring observed baseline 0.01) 0.01). No differences between groups changes months. At both medium large sizes most variables (Cohen’s d 0.57–1.08). Conclusion This feasible, acceptable, effective short-term, but effects diminished once intervention removed.

Language: Английский

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Promoting lifestyle change through text messages to patients with hypertension: A randomized controlled trial in Swedish primary care

Preventive Medicine Reports, Journal Year: 2025, Volume and Issue: 51, P. 103009 - 103009

Published: Feb. 17, 2025

Language: Английский

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Exploring the Acceptance of Just-in-Time Adaptive Lifestyle Support for People With Type 2 Diabetes: Qualitative Acceptability Study

JMIR Formative Research, Journal Year: 2025, Volume and Issue: 9, P. e65026 - e65026

Published: Feb. 19, 2025

Background The management of type 2 diabetes (T2D) requires individuals to adopt and maintain a healthy lifestyle. Personalized eHealth interventions can help change their lifestyle behavior. Specifically, just-in-time adaptive (JITAIs) offer promising approach provide tailored support encourage behaviors. Low-effort self-reporting via ecological momentary assessment (EMA) insights into individuals’ experiences environmental factors thus improve JITAI support, particularly for conditions that cannot be measured by sensors. We developed an EMA-driven various personal influencing behavior in with T2D. Objective This study aimed assess the acceptability EMA-driven, Methods In total, 8 T2D used weeks. Participants completed daily EMAs about activity, location, mood, overall condition, weather, cravings received SMS text messaging. was assessed through telephone-conducted, semistructured interviews. Interview topics included EMA content prompts, intervention options, use JITAI. Data were analyzed using hybrid thematic analysis. Results mean age 70.5 (SD 9) years, BMI 32.1 5.3) kg/m², duration 15.6 7.7) years had high self-efficacy scores physical activity (ie, 32) nutrition 29) mainly initiating or maintaining changes. identified themes related design, decision points, tailoring variables, mechanisms underlying adherence retention. provided positive feedback on several aspects JITAI, such as motivating enjoyable messages appeared well some individuals. However, there notable differences individual regarding intensity perceived personalization messages. easy low burden, but participants felt it too much snapshot little context, reducing options. Challenges timing frequency prompts relevance variables also observed. While found relevant motivating, others less inclined follow advice. expressed need even more personalized specific characteristics circumstances. Conclusions showed is needed ensure closely fits each individual’s unique needs. Key areas improvement include developing individually interventions, improving methods balance active passive data collection, integrating JITAIs within comprehensive interventions.

Language: Английский

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E-health: meer toegankelijke zorg voor iedereen?

TSG - Tijdschrift voor gezondheidswetenschappen, Journal Year: 2025, Volume and Issue: 103(S1), P. 1 - 2

Published: Feb. 27, 2025

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Digital Multidomain Lifestyle Intervention for Community-Dwelling Older Adults: A Mixed Methods Evaluation

International Journal of Public Health, Journal Year: 2025, Volume and Issue: 70

Published: March 14, 2025

As life expectancy rises at a faster rate than healthy expectancy, there is global need for scalable and cost-effective interventions that enhance the health-related quality of older adults. This study aimed to examine user experience usability 12-week digital multidomain lifestyle intervention in community-dwelling adults aged 65 years above. The was developed involving delivered through mobile application (app) focusing on physical activity, nutrition, sleep mindfulness/relaxation. We used mixed methods sequential explanatory approach evaluate intervention. online questionnaires before after intervention, collected app usage data conducted semi-structured interviews. One hundred eight participated study. Fifty-six percent participants completed Users who experienced it as highly satisfactory rated high. User engagement particularly high activity content. Although participant retention can be challenge, lead positive usability.

Language: Английский

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