Characteristics of effective Internet-mediated interventions to change lifestyle in people aged 50 and older: A systematic review

Worldwide, the number of people aged 60 years and older steadily grows to a predicted 2 billion in 2050. Online interventions increasingly target lifestyle risk factors to promote healthy aging. The objective of this systematic review is to evaluate whether Internet mediated lifestyle interventions can successfully change lifestyle in people aged 50 and older. A PubMed search was conducted resulting in twelve articles, based on ten studies. The studies focused on physical activity, weight loss, nutrition, and diabetes. Nine studies used feasible interventions, with an average small to moderate effect size. The most important result is that there are multiple studies reporting positive lifestyle changes in an older population. On average, complex interventions, whether they present tailored or generic information, and online or offline comparison, are more effective than interventions with only one component. Internet mediated interventions hold great potential in implementing effective lifestyle programs, capable of reaching large populations of older persons at very low costs.

[1]  D. Altman,et al.  Assessing Risk of Bias in Included Studies , 2008 .

[2]  B. Yates,et al.  Feasibility of an Internet Physical Activity Intervention , 2009, Western journal of nursing research.

[3]  R. Glasgow,et al.  Evaluating the public health impact of health promotion interventions: the RE-AIM framework. , 1999, American journal of public health.

[4]  Carol H Pullen,et al.  Tailored Versus Standard Internet‐delivered Interventions to Promote Physical Activity in Older Women , 2005, Journal of geriatric physical therapy.

[5]  Jennifer L. Pomeranz,et al.  The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential , 2011 .

[6]  Mick P Couper,et al.  Reach, Engagement, and Retention in an Internet-Based Weight Loss Program in a Multi-Site Randomized Controlled Trial , 2007, Journal of medical Internet research.

[7]  Elizabeth Murray,et al.  Interactive Health Communication Applications for people with chronic disease. , 2005, The Cochrane database of systematic reviews.

[8]  Tailoring Health Messages: Customizing Communication with Computer Technology. Edited by Matthew Kreuter, David Farrell, Laura Olevitch and Laura Brennan. Lawrence Erlbaum Assoc, 1999. 270pp, ISBN: 0805833870 , 2002 .

[9]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement , 2009, BMJ.

[10]  J. Yang,et al.  Goal setting frequency and the use of behavioral strategies related to diet and physical activity. , 2006, Health education research.

[11]  F. Griffiths,et al.  Why Are Health Care Interventions Delivered Over the Internet? A Systematic Review of the Published Literature , 2006, Journal of medical Internet research.

[12]  Reinier Akkermans,et al.  Web-Based Targeted Nutrition Counselling and Social Support for Patients at Increased Cardiovascular Risk in General Practice: Randomized Controlled Trial , 2004, Journal of medical Internet research.

[13]  B. Yankner,et al.  Neural mechanisms of ageing and cognitive decline , 2010, Nature.

[14]  C. Champagne,et al.  Design and Implementation of an Interactive Website to Support Long-Term Maintenance of Weight Loss , 2008, Journal of medical Internet research.

[15]  R. Glasgow,et al.  Do Internet-Based Support Interventions Change Perceptions of Social Support?: An Experimental Trial of Approaches for Supporting Diabetes Self-Management , 2002, American journal of community psychology.

[16]  Elizabeth G Eakin,et al.  Randomized trial of a neighborhood environment-focused physical activity website intervention. , 2009, Preventive medicine.

[17]  S. Michie,et al.  Using the Internet to Promote Health Behavior Change: A Systematic Review and Meta-analysis of the Impact of Theoretical Basis, Use of Behavior Change Techniques, and Mode of Delivery on Efficacy , 2010, Journal of medical Internet research.

[18]  C. Berr,et al.  Designing prevention programmes to reduce incidence of dementia: prospective cohort study of modifiable risk factors , 2010, BMJ : British Medical Journal.

[19]  D. Altman,et al.  Chapter 8: Assessing risk of bias in included studies , 2008 .

[20]  C. Bulpitt,et al.  Smoking, dementia and cognitive decline in the elderly, a systematic review , 2008, BMC geriatrics.

[21]  Alan Bauck,et al.  Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. , 2008, JAMA.

[22]  Gary G Bennett,et al.  Web‐based Weight Loss in Primary Care: A Randomized Controlled Trial , 2010, Obesity.

[23]  R. Crutzen Adding effect sizes to a systematic review on interventions for promoting physical activity among European teenagers , 2010, The international journal of behavioral nutrition and physical activity.

[24]  C. Pullen,et al.  Feasibility of Internet‐delivered Weight Loss Interventions Among Rural Women Ages 50‐69 , 2008, Journal of geriatric physical therapy.

[25]  J. Powell,et al.  Primary care Health related virtual communities and electronic support groups : systematic review of the effects of online peer to peer interactions , 2004 .

[26]  Laura Fratiglioni,et al.  Mental, Physical and Social Components in Leisure Activities Equally Contribute to Decrease Dementia Risk , 2006, Dementia and Geriatric Cognitive Disorders.

[27]  C. Abraham,et al.  Effective techniques in healthy eating and physical activity interventions: a meta-regression. , 2009, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[28]  C. Blanchard,et al.  Behavioural interventions to increase the physical activity of cardiac patients: a review , 2011, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[29]  Rafael Perera,et al.  Graphical method for depicting randomised trials of complex interventions , 2007, BMJ : British Medical Journal.

[30]  C. Gore-felton,et al.  A review of efficacious technology-based weight-loss interventions: five key components. , 2010, Telemedicine journal and e-health : the official journal of the American Telemedicine Association.

[31]  William T Riley,et al.  Effects of a Web-based food portion training program on food portion estimation. , 2007, Journal of nutrition education and behavior.

[32]  B. Yates,et al.  Effects of an Internet Physical Activity Intervention in Adults With Metabolic Syndrome , 2010, Western journal of nursing research.