Promotion of Physical Activity in Older People Using mHealth and eHealth Technologies: Rapid Review of Reviews
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Abstract
Background: Older people are at increased risk of adverse health events because of reduced physical activity. There is concern that activity levels are further reduced in the context of the COVID-19 pandemic, as many older people are practicing physical and social distancing to minimize transmission. Mobile health (mHealth) and eHealth technologies may offer a means by which older people can engage in physical activity while physically distancing. Objective: The objective of this study was to assess the evidence for mHealth or eHealth technology in the promotion of physical activity among older people aged 50 years or older. Methods: We conducted a rapid review of reviews using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. We searched for systematic reviews published in the English language in 3 electronic databases: MEDLINE, CINAHL Plus, and Scopus. Two reviewers used predefined inclusion criteria to select relevant reviews and extracted data on review characteristics and intervention effectiveness. Two independent raters assessed review quality using the AMSTAR-2 tool. Results: Titles and abstracts (n=472) were screened, and 14 full-text reviews were assessed for eligibility. Initially, we included 5 reviews but excluded 1 from the narrative as it was judged to be of critically low quality. Three reviews concluded that mHealth or eHealth interventions were effective in increasing physical activity. One review found that the evidence was inconclusive. Conclusions: There is low to moderate evidence that interventions delivered via mHealth or eHealth approaches may be effective in increasing physical activity in older adults in the short term. Components of successful interventions include self-monitoring, incorporation of theory and behavior change techniques, and social and professional support.
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Older adults demonstrate lower willingness to engage with digital health interventions due to factors such as health awareness and limited proficiency in using digital health interventions.
“For instance, older adults demonstrate lower willingness to engage with DHIs due to factors such as health awareness and limited proficiency in using DHIs (37).”
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 [37]
The Discussion (page unavailable) says older adults are likely to have less experience with technology and may face a steep learning curve when using apps. It also discusses perceived need as a factor in motivation, but does not establish that older adults have lower willingness to engage with digital health interventions or identify health awareness as a cause. (LLM, conf=0.85)
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- Authors
- McGarrigle, L., & Todd, C.
- Affiliations
- Manchester Academic Health Science Centre (GB)
- Corresponding author
- Todd, Chris
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2020-12-29
- Volume
- 22
- Issue
- 12
- Pages
- e22201
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC7803474
- OpenAlex
- W3114894794
- Cited by
- 154
- References
- 28
- Citations by year
- 2026: 21 · 2025: 31 · 2024: 31 · 2023: 29 · 2022: 31 · 2021: 10
- FWCI
- 3.34
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Research Explorer (The University of Manchester) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research (NIHR200299)
- Department of Health and Social Care
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Demography › Technology Use by Older Adults
- Keywords
- physical activity promotion, older adults, mobile health, e-health, mobile health intervention, self-monitoring, behaviour change techniques, social support, intervention effectiveness
- MeSH terms
- COVID-19, SARS-CoV-2, Aged, Aged, 80 and over, Humans, Exercise, Telemedicine, Text Messaging
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