Abstract：
OBJECTIVE: The recent trend of Internet-based digital health interventions has driven researchers to implement them to promote physical activity (PA) and improve patients\' health outcomes. This systematic review and meta-analysis aim to evaluate the effects of Internet-based digital health interventions on PA and quality of life (QoL) in colorectal cancer (CRC) survivors.
METHODS: We searched for relevant studies investigating the effects of internet-based digital health interventions published until Dec. 2022 in electronic databases (PubMed, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials, and CEPS) according to PRISMA guidelines. The Joanna Briggs Institute critical appraisal checklist was used to examine the quality of the included studies. We performed the fixed and random effects model for meta-analysis.
RESULTS: Among 746 identified studies, eight published between 2018 and 2022 were included. These covered 991 internet-based digital health interventions and 875 controls. After 6 months of internet-based digital health interventions, CRC survivors\' performance in PA (standardized mean difference (SMD) = 0.23, 95% confidence interval [CI] = 0.09-0.38) and QoL (SMD = 0.11, 95% CI = 0.01-0.22) indicators improved significantly.
CONCLUSIONS: Internet-based digital health improved the PA behaviour and QoL of patients with CRC. Because of differences in intervention outcomes, additional randomized controlled trials are warranted to provide suggestions for clinical practice. Internet-based digital health interventions are promising for promoting PA in CRC survivors.
METHODS: We searched for relevant studies investigating the effects of internet-based digital health interventions published until Dec. 2022 in electronic databases (PubMed, CINAHL, EMBASE, Cochrane Central Register of Controlled Trials, and CEPS) according to PRISMA guidelines. The Joanna Briggs Institute critical appraisal checklist was used to examine the quality of the included studies. We performed the fixed and random effects model for meta-analysis.
RESULTS: Among 746 identified studies, eight published between 2018 and 2022 were included. These covered 991 internet-based digital health interventions and 875 controls. After 6 months of internet-based digital health interventions, CRC survivors\' performance in PA (standardized mean difference (SMD) = 0.23, 95% confidence interval [CI] = 0.09-0.38) and QoL (SMD = 0.11, 95% CI = 0.01-0.22) indicators improved significantly.
CONCLUSIONS: Internet-based digital health improved the PA behaviour and QoL of patients with CRC. Because of differences in intervention outcomes, additional randomized controlled trials are warranted to provide suggestions for clinical practice. Internet-based digital health interventions are promising for promoting PA in CRC survivors.
摘要：
目的：基于互联网的数字健康干预措施的最新趋势促使研究人员实施这些干预措施以促进身体活动（PA）并改善患者的健康状况。本系统综述和荟萃分析旨在评估基于互联网的数字健康干预对结直肠癌（CRC）幸存者PA和生活质量（QoL）的影响。
方法：我们搜索了直到12月发表的调查基于互联网的数字健康干预措施效果的相关研究2022年在电子数据库中(PubMed，CINAHL,EMBASE,Cochrane中央控制试验登记册,和CEPS)根据PRISMA指南。JoannaBriggs研究所的关键评估清单用于检查纳入研究的质量。我们进行了固定和随机效应模型的荟萃分析。
结果：在746项确定的研究中，其中包括2018年至2022年之间发布的8篇。这些措施涵盖了991个基于互联网的数字健康干预措施和875个控制措施。经过6个月的基于互联网的数字健康干预，CRC幸存者在PA（标准化平均差（SMD）=0.23，95％置信区间[CI]=0.09-0.38）和QoL（SMD=0.11，95％CI=0.01-0.22）指标方面的表现显着改善。
结论：基于互联网的数字健康改善了CRC患者的PA行为和QoL。由于干预结果的差异，需要更多的随机对照试验为临床实践提供建议.基于互联网的数字健康干预措施有望在CRC幸存者中推广PA。
方法：我们搜索了直到12月发表的调查基于互联网的数字健康干预措施效果的相关研究2022年在电子数据库中(PubMed，CINAHL,EMBASE,Cochrane中央控制试验登记册,和CEPS)根据PRISMA指南。JoannaBriggs研究所的关键评估清单用于检查纳入研究的质量。我们进行了固定和随机效应模型的荟萃分析。
结果：在746项确定的研究中，其中包括2018年至2022年之间发布的8篇。这些措施涵盖了991个基于互联网的数字健康干预措施和875个控制措施。经过6个月的基于互联网的数字健康干预，CRC幸存者在PA（标准化平均差（SMD）=0.23，95％置信区间[CI]=0.09-0.38）和QoL（SMD=0.11，95％CI=0.01-0.22）指标方面的表现显着改善。
结论：基于互联网的数字健康改善了CRC患者的PA行为和QoL。由于干预结果的差异，需要更多的随机对照试验为临床实践提供建议.基于互联网的数字健康干预措施有望在CRC幸存者中推广PA。
