%0 Journal Article
%T Effectiveness of remote feedback on physical activity in persons with type 2 diabetes: A systematic review and meta
%A Carsten Bogh Juhl
%A Henning Langberg
%A Karen Christina Walker
%A Laura Staun Valentiner
%A Malte Bue Kongstad
%A Mathias Ried-Larsen
%J Journal of Telemedicine and Telecare
%@ 1758-1109
%D 2019
%R 10.1177/1357633X17733772
%X The objective of this systematic review and meta-analysis was to examine the effectiveness of remote feedback intervention compared with standardized treatment on physical activity levels in persons with type 2 diabetes. Further, to investigate the influence of the length of intervention, number of contacts, study size, delivery of feedback, and preliminary face-to-face sessions. A systematic literature search was conducted in May 2017, with a priori defined eligibility criteria: randomized controlled trials investigating remote feedback interventions in adult persons with type 2 diabetes, using physical activity as outcome. The effect size was calculated as standardized mean difference (SMD) and was pooled in a meta-analysis using a random-effects model. Meta-regression analyses were performed to examine if the observed effect size could be attributed to study- or intervention characteristics using these as covariates. The literature search identified 4455 articles of which 27 met the eligibility criteria. The meta-analysis including a total of 4215 participants found an overall effect size in favour of remote feedback interventions compared to standardized treatment, SMD£¿=£¿0.33 (95% CI: 0.17 to 0.49), I2£¿=£¿81.7%). Analyses on study characteristics found that the effect on physical activity was only influenced by study size, with a larger effect in small studies. Adding remote feedback to standardized treatments aimed at increasing physical activity in persons with type 2 diabetes showed a small to moderate additional increase in physical activity levels. Systematic review registration: PROSPERO CRD42016033479
%K E-health
%K exercise
%K physical activity
%K remote consultation
%K remote feedback
%K self-management
%K T2D
%K type 2 diabetes
%K telemedicine
%U https://journals.sagepub.com/doi/full/10.1177/1357633X17733772