title: Effects of remote feedback in home-based physical activity interventions for older adults: a systematic review.
abstract: OBJECTIVE
  To evaluate the literature on effectiveness of remote feedback on physical activity and capacity in home-based physical activity interventions for older adults with or without medical conditions. In addition, the effect of remote feedback on adherence was inventoried.
  
  
  METHODS
  A systematic review. Data sources included PubMed, PsycInfo, Cochrane and EMBASE. A best-evidence synthesis was used for qualitative summarizing of results.
  
  
  RESULTS
  Twenty-four studies met the inclusion criteria for systematic effectiveness evaluation and 22 for adherence inventory. Three categories of contact were identified: frequent, non-frequent, and direct remote contact during exercising. Evidence for positive enhancement of physical activity or capacity varied from conflicting in frequent contact strategies (16 studies) to strong in non-frequent (5 studies) and direct contact strategies (3 studies). Adherence rates in intervention groups were similar or higher than treatment-as-usual or exercise control groups.
  
  
  CONCLUSIONS
  Results imply with varying strength that interventions using frequent, non-frequent or direct remote feedback seem more effective than treatment as usual and equally effective as supervised exercise interventions. Direct remote contact seems a particularly good alternative to supervised onsite exercising.
  
  
  CONCLUSIONS
  Remote feedback is promising in an older population getting increasingly used to new technology.
authors.affiliation: Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands. H.A.E.Geraedts@med.umcg.nl
authors.forename: Hilde
authors.initials: H
authors.lastname: Geraedts
authors.forename: Agnes
authors.initials: A
authors.lastname: Zijlstra
authors.forename: Sjoerd K
authors.initials: SK
authors.lastname: Bulstra
authors.forename: Martin
authors.initials: M
authors.lastname: Stevens
authors.forename: Wiebren
authors.initials: W
authors.lastname: Zijlstra
mesh_terms: D000368:Aged; D015444:Exercise / Q000523:psychology*; D005246:Feedback; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D015397:Program Evaluation; D019114:Remote Consultation; D012111:Residence Characteristics