Perceived Barriers and Facilitators to Exercise Adherence in Osteoarthritis: a Thematic Synthesis of Qualitative Studies

Osteoarthritis and Cartilage Open, Journal Year: 2025, Volume and Issue: 7(2), P. 100584 - 100584

Published: Feb. 16, 2025

Exercise is a first-line intervention for osteoarthritis (OA). However, exercise adherence remains low, and existing studies exploring factors influencing have yielded inconclusive results based on quantitative data. This study aims to synthesise qualitative focused the perceived facilitators barriers affecting in individuals with OA. A thematic synthesis of was conducted. Relevant articles were sourced from MEDLINE, Cochrane Central Register Controlled Trials, Embase, CINAHL, PsychInfo until November 2024. Studies adults (≥16 years) hip or knee OA who had participated programmes manage The quality assessed using Critical Appraisal Skills Programme (CASP) tool. Data analysis followed Thematic Synthesis by Thomas & Harden identify descriptive analytical themes. confidence evidence evaluated through Confidence Evidence Reviews Qualitative Research (CERQual). total 21 involving 458 participants included. From seven themes, three themes developed: (i) Mind-Body Connection, (ii) Social Support Systems, (iii) Environmental Enablers. These underscore importance personal beliefs, experiences, mindsets, alongside social environmental factors, promoting hindering adherence. highlights multifaceted cognitive, social, findings suggest that 'one-size-fits-all' approach insufficient sustained engagement. Future research should build upon these insights develop tailored strategies enhancing people

Language: Английский

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The Impact of Wearable Device Use on Physical Activity Levels in Individuals with Cardiovascular Disease

Exercise Sport and Movement, Journal Year: 2025, Volume and Issue: 3(2)

Published: Feb. 17, 2025

ABSTRACT Introduction Cardiovascular disease (CVD) remains the leading cause of mortality globally despite being widely preventable. Such an epidemic calls for increased prevention efforts and awareness modifiable risk factors associated with CVD. Physical activity has ability to prevent, manage, treat With increasingly popular use wearable devices, such as fitness trackers, individuals are able monitor physical may benefit from additional motivation devices provide. This study aimed assess impact device on levels among CVD using data 2017 Behavioral Risk Factors Surveillance System. Methods A cross-sectional secondary analysis was conducted a sample 419 CVD, categorized into users non-users. Descriptive analyses, chi-square analysis, logistic regressions were performed. levels, including total minutes per week, vigorous activity, adherence aerobic guidelines, compared between groups. Results Regardless status, most (68.62%; 95% confidence interval, 56.58%–79.18%) met guidelines. The resulted in no significant differences non-users, both groups showing similar rates meeting guidelines ( P > 0.05). Conclusion Wearable could have potential play role managing by encouraging safe monitoring activity. Further research is needed explore promoting sustained addressing barriers specific populations.

Language: Английский

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The Future of Virology Diagnostics Using Wearable Devices Driven by Artificial Intelligence

Advances in computational intelligence and robotics book series, Journal Year: 2025, Volume and Issue: unknown, P. 473 - 504

Published: Jan. 10, 2025

The utilization of the wearable devices (WDs) that are enhanced by artificial intelligence (AI) can have a notable potential in healthcare. This chapter aimed to provide an overview applications AI-driven WDs enhancing early detection and management virus infections. First, we presented examples highlight capabilities very monitoring infections such as COVID-19. In addition, provided on utility machine learning algorithms analyze large data for signs We also overviewed enable real-time surveillance effective outbreak management. showed how this be achieved via collection analysis diverse WDs' across various populations. Finally, discussed challenges ethical issues comes with virology diagnostics, including concerns about privacy security well issue equitable access.

Language: Английский

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Fine-tuning Large Language Models in Behavioral Psychology for Scalable Physical Activity Coaching

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 21, 2025

ABSTRACT Personalized, smartphone-based coaching improves physical activity but relies on static, human-crafted messages. We introduce My Heart Counts (MHC)-Coach, a large language model fine-tuned the Transtheoretical Model of Change. MHC-Coach generates messages tailored to an individual’s psychology (their “stage change”), providing personalized support foster long-term behavior change. To evaluate MHC-Coach’s efficacy, 632 participants compared human-expert and text-based interventions encouraging activity. Among matched stage change, 68.0% (N=430) preferred MHC-Coach-generated ( P < 0.001). Blinded behavioral science experts (N=2) rated higher than for perceived effectiveness (4.4 vs. 2.8) alignment (4.1 3.5) 5-point Likert scale. This work demonstrates how models can operationalize frameworks health coaching, promoting potentially reducing cardiovascular disease risk at

Language: Английский

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Digital Physical Activity and Sedentary Behavior Interventions for Community-Living Adults: Umbrella Review

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e66294 - e66294

Published: March 18, 2025

Background Digital interventions hold significant potential for improving physical activity (PA) and reducing sedentary behavior (SB) in adults. Despite increasing interest, there remain surprising gaps the current knowledge of how best to deliver these interventions, including incorporating appropriate theoretical frameworks change techniques. Following numerous systematic reviews, is now umbrella reviews provide an overview evidence. Objective This review aimed explore digital PA SB community-living adults across effectiveness, key components, methodological quality. Methods followed Joanna Briggs Institute framework reviews. Key search terms were developed iteratively, alongside interventions. We searched 7 online databases (Web Science Core Collection, CINAHL, APA PsycINFO, Inspec, Cochrane Library, MEDLINE [Ovid], PROSPERO) gray literature databases. Information was extracted tabulated from each included article on intervention content acknowledging both human elements. The study quality appraised using A Measurement Tool Assess Reviews 2 (AMSTAR 2). corrected covered area method used assess overlap primary studies All relevant research findings reported. Results Search identified 330 articles, which 5 (1.5%) met inclusion criteria. most common outcomes daily steps, moderate-to-vigorous PA, total change. with meta-analysis reported that improved multiple (daily time, time). However, remaining mixed. Similarly, contrasting. Regarding monitor- sensor-only delivery methods frequently implemented. Eleven identified, social cognitive theory being prominent theory. In total, 28 different techniques reported, goal setting, self-monitoring, feedback, support used. low or critically quality, unique (corrected area=0%). Conclusions highlights increase reduce among disparate nature academic means potentially efficacious may not realistically translate real work impact. Our a lack consensus around components at individual (eg, difficult collate compare findings) (poor reviews) levels. Collective, concerted action required standardize improve reporting optimize future learning adults, traditionally overlooked populations, like informal carers. Trial Registration PROSPERO CRD42023450773; https://www.crd.york.ac.uk/PROSPERO/view/CRD42023450773

Language: Английский

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Symptoms of Depression, Physical Activity, and Sedentary Time: Within-Person Relations From Age 6 to 18 in a Birth Cohort

Journal of the American Academy of Child & Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: unknown

Published: March 1, 2025

To examine the within-person relations between objectively measured physical activity and clinically assessed symptoms of depressive disorders from childhood to late adolescence. Seven waves biennially collected data a Norwegian birth-cohort (n=873; 53% girls) followed age 6-18 were employed. Accelerometers used assess total activity, moderate-to vigorous sedentary time, depression by semi-structured psychiatric interviews. Mediators (athletic self-esteem, body image, sports participation) captured questionnaires. Random Intercept Cross-Lagged Panel Models estimated test their potential mediators. From ages 14 16 18 years, significant found: Declined levels (PA) (MVPA) predicted more (PA: 14-16 y: β=-.08; 16-18 β=-.09; MVPA: y β=-.10; y; β=-.07). These not evident at earlier ages. 10 12 an increased number decreased 10-12 14-16; β=-.14: 14-16y: β=-.17). We found no evidence for time symptoms, sex differences or mediations found. Individuals who increase middle adolescence, are less likely develop compared what they otherwise would. Thus, in this period, may protect against symptoms.

Language: Английский

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Does Using Technological Devices Motivate Older Adults to Engage in Physical Activities? A Systematic Review and Meta-analysis

Topoi, Journal Year: 2025, Volume and Issue: unknown

Published: April 19, 2025

Language: Английский

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Concurrent Validity of Four Activity Monitors in Older Adults

Sensors, Journal Year: 2024, Volume and Issue: 24(3), P. 895 - 895

Published: Jan. 30, 2024

Sedentary behaviour (SB) and physical activity (PA) have been shown to be independent modulators of healthy ageing. We thus investigated the impact monitor placement on accuracy detecting SB PA in older adults, as well a novel random forest algorithm trained data from persons. Four types (ActiGraph wGT3X-BT, ActivPAL3c VT, GENEActiv Original, DynaPort MM+) were simultaneously worn five anatomical sites during ten different activities by sample twenty adults (70.0 (12.0) years; 10 women). The results indicated that collecting metabolic equivalent (MET) for 60 s provided most representative results, minimising variability. In addition, thigh-worn monitors, including ActivPAL, Random Forest, Sphere—Thigh, exhibited superior performance classifying SB, with balanced accuracies ≥ 94.2%. Other such ActiGraph, MM+, Sphere—Wrist, demonstrated lower performance. ActivPAL Forest outperformed other monitors participant-specific classification. Only achieved acceptable overall (≥80.0%) standing, medium-to-vigorous classifications. conclusion, it is advisable position accelerometers thigh, collect MET ≥60 s, ideally utilise population-specific algorithms.

Language: Английский

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Combining various acupuncture therapies with multimodal analgesia to enhance postoperative pain management following total knee arthroplasty: a network meta-analysis of randomized controlled trials

Frontiers in Neurology, Journal Year: 2024, Volume and Issue: 15

Published: March 18, 2024

Objective This study aims to evaluate the efficacy and safety of various acupuncture treatments in conjunction with multimodal analgesia (MA) for managing postoperative pain improving knee function patients undergoing total arthroplasty (TKA), based on findings from clinical research indicating potential benefits acupuncture-related therapies this context. Methods We searched Web Science, PubMed, SCI-hub, Embase, Cochrane Library, China Biology Medicine (CBM), National Knowledge Infrastructure (CNKI), Wanfang Data, Chinese Scientific Journal Database (VIP) collect randomized controlled trials post-TKA pain. After independent screening data extraction, quality included literature was evaluated. The bias studies incorporated analysis assessed according guidelines outlined Handbook 5.1. Network meta-analysis (NMA) conducted using RevMan 5.4 Stata 16.0 software, primary outcome measures including visual analog scale (VAS), pressure threshold (PPT), hospital special surgery score (HSS), joint range motion (ROM). Furthermore, interventions were ranked SUCRA value. Results an 41 qualifying encompassing 3,003 patients, examining four (acupuncture ACU, electroacupuncture EA, transcutaneous electrical acupoint stimulation TEAS, auricular therapy AAT) MA alone. VAS results showed no significant difference among five VAS-3 score. However, TEAS+MA (SMD: 0.67; 95%CI: 0.01, 1.32) more effective than alone VAS-7 There PPT three interventions. ACU + 6.45; 3.30, 9.60), EA 4.89; 1.46, 8.32), 5.31; 0.85, 9.78) found be HSS For ROM score, efficacious MA, TEAS+MA, AAT MA. Regarding incidence adverse reactions, nausea vomiting prevalent after only Additionally, dizziness drowsiness following (OR = 4.98; 1.01, 24.42) observed higher compared that intervention. Similarly, occurrence significantly interventions: 0.36; 0.18, 0.70) 0.20; 0.08, 0.50). ranking indicated displayed superior scores each index, respectively. Conclusion treatment pain, can selected as a complementary alternative therapy. demonstrate alleviating TKA patients. is optimal choice promoting recovery recommended preventing reactions. Systematic review registration https://www.crd.york.ac.uk/ , identifier (CRD42023492859).

Language: Английский

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The Best of Two Worlds to Promote Healthy Cognitive Aging: Definition and Classification Approach of Hybrid Physical Training Interventions

JMIR Aging, Journal Year: 2024, Volume and Issue: 7, P. e56433 - e56433

Published: July 31, 2024

A healthy lifestyle can be an important prerequisite to prevent or at least delay the onset of dementia. However, large number physically inactive adults underscores need for developing and evaluating intervention approaches aimed improving adherence a active lifestyle. In this regard, hybrid physical training, which usually combines center- home-based exercise sessions has proven successful in rehabilitative settings, could offer promising approach preserving cognitive health aging population. Despite its potential, research area is limited as training interventions have been underused promoting aging. Furthermore, absence universally accepted definition classification framework poses challenge future progress direction. To address gap, article informs reader about by providing different types, discussing their specific advantages disadvantages, offering recommendations research. Specifically, we focus on applying digital technologies deliver exercises, use holds significant potential reaching underserved marginalized groups, such older with mobility impairments living rural areas.

Language: Английский

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