Article

Supporting people with multiple sclerosis (MS) to achieve and
maintain recommended levels of physical activity is important but challenging.
Web-based interventions are increasingly being used to deliver targeted exercise
programs and promote physical activity. The purpose of this study was to
systematically review current evidence regarding the effectiveness and user
experience of web-based interventions in increasing physical activity in people
with MS. Data Sources: MEDLINE, EMBASE, CINAHL, AMED, PEDro, PsychInfo, Web of
Sciences, The Cochrane Library, and gray literature were searched from 1990 to
September 2016. Study Selection: English language articles reporting the use of
web-based interventions to increase physical activity in adults with MS were
included. Eligible quantitative studies were of any design and reported a measure
of physical activity. Qualitative studies exploring users' experiences in any
context were included. Of the 881 articles identified, 9 met the inclusion
criteria. Data Extraction: Two reviewers independently assessed methodological
quality and extracted data using standardized critical appraisal and data
extraction tools from the Joanna Briggs Institute Meta Analysis of Statistics
Assessment and Review Instrument (JBI-MAStARI). Data Synthesis: Meta-analysis of
self-reported physical activity questionnaire data from 4 studies demonstrated a
standardized mean difference of 0.67 (95% CI = 0.43-0.92), indicating a positive
effect in favor of the web-based interventions. Narrative review of accelerometry
data from 3 studies indicated increases in objectively measured physical
activity. No qualitative studies met the inclusion criteria. Limitations: In the
9 included articles, only 2 different interventions (used with people who were
ambulant) were reported. Conclusions: Web-based interventions had a short-term
positive effect on self-reported physical activity in people who had MS and were
ambulant. Evidence is not currently available to support or refute their use in
the long-term or with people who are not ambulant.

Langue : ANGLAIS