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Mobile health interventions to promote physical activity and reduce sedentary behaviour in the workplace: a systematic review

Research output: Contribution to journalReview article

Author(s)

Sarah Buckingham, Andrew James Williams, Karyn Morrissey, Lisa Price, John Harrison

School/Research organisations

Abstract

Objective
This systematic review aimed to assess the effectiveness, feasibility and acceptability of mobile health (mHealth) technology (including wearable activity monitors and smartphone applications) for promoting physical activity (PA) and reducing sedentary behaviour (SB) in workplace settings.

Methods
Systematic searches were conducted in seven electronic databases (MEDLINE, SPORTDiscus, Scopus, EMBASE, PsycINFO, Web of Science and the Cochrane library). Studies were included if mHealth was a major intervention component, PA/SB was a primary outcome, and participants were recruited and/or the intervention was delivered in the workplace. Study quality was assessed using the Effective Public Health Practice Project (EPHPP) tool. Interventions were coded for behaviour change techniques (BCTs) using the Coventry, Aberdeen and London – Refined (CALO-RE) taxonomy.

Results
Twenty-five experimental and quasi-experimental studies were included. Studies were highly heterogeneous and only one was rated as ‘strong’ methodological quality. Common BCTs included self-monitoring, feedback, goal-setting and social comparison. A total of 14/25 (56%) studies reported a significant increase in PA, and 4/10 (40%) reported a significant reduction in sedentary time; 11/16 (69%) studies reported a significant impact on secondary outcomes including reductions in weight, systolic blood pressure and total cholesterol. While overall acceptability was high, a large decline in technology use and engagement was observed over time.

Conclusions
While methodological quality was generally weak, there is reasonable evidence for mHealth in a workplace context as a feasible, acceptable and effective tool to promote PA. The impact in the longer term and on SB is less clear. Higher quality, mixed methods studies are needed to explore the reasons for decline in engagement with time and the longer-term potential of mHealth in workplace interventions.

Protocol registration: The review protocol was registered with PROSPERO: CRD42017058856
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Details

Original languageEnglish
Pages (from-to)1-50
Number of pages50
JournalDigital Health
Volume5
DOIs
Publication statusPublished - 27 Mar 2019

    Research areas

  • Systematic review, Mobile health, Physical activity, Sedentary behaviour, Workplace, Occupational health, Behaviour change

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