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The effect of interactive digital interventions on physical activity in people with inflammatory arthritis: a systematic review.

Griffiths, AJ; White, CM; Thain, PK; Bearne, LM (2018) The effect of interactive digital interventions on physical activity in people with inflammatory arthritis: a systematic review. Rheumatol Int, 38 (9). pp. 1623-1634. ISSN 1437-160X https://doi.org/10.1007/s00296-018-4010-8
SGUL Authors: Bearne, Lindsay Mary

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Abstract

The aim of this systematic review was to evaluate the evidence from randomised controlled trials (RCTs) evaluating the effectiveness of interactive digital interventions (IDIs) for physical activity (PA) and health related quality of life (HRQoL) in people with Inflammatory Arthritis [rheumatoid arthritis (RA), juvenile idiopathic arthritis (JIA) axial Spondyloarthritis (AS) and psoriatic arthritis (PsA)]. Seven electronic databases identified published and unpublished studies. Two reviewers conducted independent data extraction and quality assessment using the Cochrane risk of bias tool (RoB). The primary outcome was change in objective PA after the intervention; secondary outcomes included self-reported PA and HRQoL after the intervention and objective or self-reported PA at least 1 year later. Five manuscripts, reporting four RCTs (three high and one low RoB) representing 492 (459 RA, 33 JIA) participants were included. No trials studying PsA or AS met the inclusion criteria. Interventions ranged from 6 to 52 weeks and included 3-18 Behaviour Change Techniques. Due to heterogeneity of outcomes, a narrative synthesis was conducted. No trials reported any significant between group differences in objective PA at end of intervention. Only one low RoB trial found a significant between group difference in self-reported vigorous [MD Δ 0.9 days (95% CI 0.3, 1.5); p = 0.004], but not moderate, PA in people with RA but not JIA. There were no between group differences in any other secondary outcomes. There is very limited evidence for the effectiveness of IDIs on PA and HRQoL in RA and JIA and no evidence for their effectiveness in PsA or AS.

Item Type: Article
Additional Information: © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Inflammatory arthritis, Interactive digital intervention, Juvenile idiopathic arthritis, Physical activity, Rheumatoid arthritis, Arthritis, Rheumatoid, Exercise, Follow-Up Studies, Humans, Quality of Life, Randomized Controlled Trials as Topic, Spondylarthritis, Humans, Spondylarthritis, Arthritis, Rheumatoid, Exercise, Follow-Up Studies, Quality of Life, Randomized Controlled Trials as Topic, Inflammatory arthritis, Rheumatoid arthritis, Juvenile idiopathic arthritis, Physical activity, Interactive digital intervention, 1103 Clinical Sciences, Arthritis & Rheumatology
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Rheumatol Int
ISSN: 1437-160X
Language: eng
Dates:
DateEvent
September 2018Published
19 March 2018Published Online
12 March 2018Accepted
Publisher License: Creative Commons: Attribution 4.0
PubMed ID: 29556750
Web of Science ID: WOS:000441915200004
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/114808
Publisher's version: https://doi.org/10.1007/s00296-018-4010-8

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