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The effectiveness of self-guided web-based physical activity interventions among patients with a chronic disease: a systematic review.

Bossen, D., Veenhof, C., Dekker, J., Bakker, D.H. de. The effectiveness of self-guided web-based physical activity interventions among patients with a chronic disease: a systematic review. Journal of Physical Activity & Health: 2014, 11(3), p. 665-677.
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Background: Despite well-documented health benefits, adults with a physical chronic condition do not meet the recommended physical activity (PA) guidelines. Therefore, secondary prevention programs focusing on PA are needed. Web-based interventions have shown promise in the promotion of PA behavior change. We conducted a systematic review to summarize the evidence about the effectiveness of web-based PA interventions in adults with chronic disease. Methods: Articles were included if they evaluated a web-based PA intervention and used a randomized design. Moreover, studies were eligible for inclusion if they used a non- or minimal-treatment control group and if PA outcomes measures were applied. Seven articles were included. Results: Three high-quality studies were statistically significant to the control group, whereas 2 high- and 2 low-quality studies reported nonsignificant findings. Conclusion: Our best evidence synthesis revealed that there is conflicting evidence on the effectiveness of web-based PA interventions in patients with a chronic disease. (aut.ref.)