Meta-analysis of internet-delivered interventions to increase physical activity levels
Open accessAbstract
Many internet-delivered physical activity behaviour change programs have been developed and evaluated. However, further evidence is required to ascertain the overall effectiveness of such interventions. The objective of the present review was to evaluate the effectiveness of internet-delivered interventions to increase physical activity, whilst also examining the effect of intervention moderators. A systematic search strategy identified relevant studies published in the English-language from Pubmed, Proquest, Scopus, PsychINFO, CINHAL, and Sport Discuss (January 1990 - June 2011). Eligible studies were required to include an internet-delivered intervention, target an adult population, measure and target physical activity as an outcome variable, and include a comparison group that did not receive internet-delivered materials. Studies were coded independently by two investigators. Overall effect sizes were combined based on the fixed effect model. Homogeneity and subsequent exploratory moderator analysis was undertaken. A total of 34 articles were identified for inclusion. The overall mean effect of internet-delivered interventions on physical activity was d = 0.14 (p = 0.00). Fixed-effect analysis revealed significant heterogeneity across studies (Q = 73.75; p = 0.00). Moderating variables such as larger sample size, screening for baseline physical activity levels and the inclusion of educational components significantly increased intervention effectiveness. Results of the meta-analysis support the delivery of internet-delivered interventions in producing positive changes in physical activity, however effect sizes were small. The ability of internet-delivered interventions to produce meaningful change in long-term physical activity remains unclear.
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Current evidence demonstrates that digital health interventions effectively promote physical activity in adult populations.
“Current evidence demonstrates that DHIs effectively promote physical activity in adult populations (21, 22).”
From The effectiveness of digital health intervention on glycemic control and physical activity in patients with type 2 diabetes: a systematic review and meta-analysis (2025) · cites this paper as [22]
The Abstract reports that the included studies targeted adults and found a small positive effect of internet-delivered interventions on physical activity (d = 0.14). The Conclusion likewise calls the increases small but significant. The paper evaluates internet-delivered interventions, not digital health interventions across all delivery formats, so the citing sentence is broader than this source supports. (LLM, conf=0.84)
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“As results from a meta-analysis of PA internet-delivered interventions found a negative relationship between early attrition and intervention effectiveness, researchers have argued that it is important to promote sustained engagement with digital PA interventions [9].”
Background
- Authors
- Davies, C. A., Spence, J. C., Vandelanotte, C., Caperchione, C. M., & Mummery, W.
- Affiliations
- Central Queensland University (AU)
- University of Alberta (CA)
- University of British Columbia (CA)
- Corresponding author
- Davies, Cally A
- Venue
- International Journal of Behavioral Nutrition and Physical Activity
- Published
- 2012
- Volume
- 9
- Issue
- 1
- Pages
- 52
- ISSN
- 1479-5868 (ISSN-L)
- PMC
- PMC3464872
- OpenAlex
- W2138928597
- Cited by
- 488
- References
- 61
- Citations by year
- 2026: 7 · 2025: 21 · 2024: 24 · 2023: 19 · 2022: 36 · 2021: 39 · 2020: 55 · 2019: 52 · 2018: 46 · 2017: 41 · 2016: 40 · 2015: 41 · 2014: 31 · 2013: 32 · 2012: 3
- FWCI
- 3.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- International Journal of Behavioral Nutrition and Physical Activity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- cIRcle (University of British Columbia) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- National Heart Foundation of Australia (PH 07B 3303, 07B 3303)
- Medical Research Council
- National Health and Medical Research Council (519778)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- online intervention, physical activity, behavior change, intervention moderators, sample size, educational components, adults, intervention effectiveness
- MeSH terms
- Humans, Health Knowledge, Attitudes, Practice, Motor Activity, Sports, Randomized Controlled Trials as Topic, Databases, Factual, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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