Cochrane · systematic review · CD014605

Digital technology for delivering and monitoring exercise programs for people with cystic fibrosis

Pinto, ACPereira Nunes, Piva, SR, Rocha, A, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
28
current version
GRADE rated
5
No studies
23
Included studies
NR
No studies 23 · 82.1%Ungraded 0 · 0%Very low 3 · 10.7%Low 2 · 7.1%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Exercise prescription plus the use of a wearable fitness tracker versus exercise prescription alone

Population: adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
Adherence to exercise training (long term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies
Self‐management behavior (long term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies
Time to subsequent pulmonary exacerbation (medium term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies
Usability of digital health technology (medium term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies
QoL: CFQ‐R scores (long term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies
Lung function – FEV1 % predicted (medium term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extracted1 study · 40 participantsVery low
Downgraded: risk of bias, imprecision
Exercise capacity – submaximal GXT (long term)
Exercise prescription plus the use of a wearable fitness tracker vs exercise prescription alone
no estimate extractedNRNo studies

Wearable fitness tracker plus text message for personalized feedback and goal setting compared to wearable fitness tracker alone

Population: adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
Adherence to exercise training (long term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies
Self‐management behavior (long term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies
Time to subsequent pulmonary exacerbation (medium term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies
Usability of digital health technology (medium term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies
QoL (long term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies
Lung function – FEV1 % predicted (medium term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extracted1 study · 32 participantsVery low
Downgraded: risk of bias, imprecision
Exercise capacity (long term)
Wearable fitness tracker plus text message for personalized feedback and goal setting vs wearable fitness tracker alone
no estimate extractedNRNo studies

Web‐based application to record, monitor and set goals on physical activity plus usual care compared to usual care alone

Population: adolescents and adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
Adherence to exercise training (long term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRNo studies
Self‐management behavior (long term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRNo studies
Time to subsequent pulmonary exacerbation (medium term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRLow
Downgraded: risk of bias, imprecision
Usability of digital health technology (medium term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRNo studies
QoL (long term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRNo studies
Lung function – FEV % predicted (medium term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extracted1 study · 63 participantsLow
Downgraded: risk of bias, imprecision
Exercise capacity (long term)
Web‐based application to record, monitor and set goals on physical activity plus usual care vs usual care alone
no estimate extractedNRNo studies

Web‐based versus face‐to‐face exercise delivery

Population: children and adults with CF
7 questions
OutcomeEffectEvidenceStatus / GRADE
Adherence to exercise training (long term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies
Self‐management behavior (long term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies
Time to subsequent pulmonary exacerbation (medium term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies
Usability of digital health technology (medium term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies
QoL: CFQ‐R scores (long term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies
Lung function (FEV1 % predicted) (medium term)
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision
Exercise capacity
Web‐based vs face‐to‐face exercise delivery
no estimate extractedNRNo studies