Evidence map›Paper›PMID 40707544›Full record

ArticleScientific reports2025

Physical and psychological optimization of tele-exercise programs by establishing guidelines.

Manuela Cantoia, Giovanna Zimatore, Barbara Matteo, Martina Sausa, Antonio Fabbrizio, Andrea De Giorgio, Angilletta Sonia, Nuno Domingos Garrido, Victor Machado Reis, José Manuel Vilaça-Alves and 6 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Manuela Cantoia *Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Giovanna Zimatore *Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Barbara MatteoDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Martina SausaDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy. martina.sausa@gmail.com.
Antonio FabbrizioDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Andrea De GiorgioDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Angilletta SoniaDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Nuno Domingos GarridoResearch Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.
Victor Machado ReisResearch Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.
José Manuel Vilaça-AlvesResearch Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.
Gabriela Chaves LucasResearch Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.
Rafael PeixotoResearch Centre in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.
Filippo MacalusoDepartment of Biomedicine, Neuroscience and Advanced Diagnostics (BIND), University of Palermo, 90133, Palermo, Italy.
Carlo BaldariDepartment of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Alberto Fucarino *Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.
Enzo Iuliano *Department of Theoretical and Applied Sciences, eCampus University, Novedrate, Italy.

Funding

European Union 101089869-TELEexe4ALL-ERASMUS-SPORT-2022-SCPPortuguese Foundation for Science and Technology UIDB/04045/2020
6 · The paper itself

Abstract

Tele-exercise has significant potential as a tool to promote physical activity, particularly for individuals facing barriers to accessing gyms or sports centres due to geographical, physical, or financial constraints. While tele-exercise derives from telemedicine, it remains a less defined field with no established guidelines to regulate or standardize its implementation. This gap highlights the need for structured frameworks to ensure the safety, effectiveness, and accessibility of tele-exercise. This study aimed to establish a consensus on some fundamental aspects of tele-exercise through a structured four-round process. A mixed-method approach combined analyses of scientific literature with a modified Delphi approach of 4 rounds of experts' opinions collected via focus groups and an ad hoc questionnaire. A consensus criterion of ≥ 60% agreement was applied. Experts (n = 17 internal, n = 14 external) validated 7 thematic areas and 25 operational recommendations, including fitness training design (e.g., 2-10 participants/session in synchronous mode), safety protocols, and technology requirements. In detail, the following fundamental aspects were addressed: (1) operative definitions of tele-exercise, (2) fitness training programs design, (3) requirements for spaces and equipment, (4) safety protocols for remote exercise, (5) the role and impact of technology, (6) relational and communication strategies to enhance engagement, and (7) monitoring methods for asynchronous and synchronous training sessions. Answers were analysed through a manual content analysis. The guidelines provide a comprehensive examination of these aspects, addressing current gaps and limitations while outlining opportunities for improvement. The study underscores the importance of developing standardized practices to ensure safe and effective implementation of tele-exercise. These findings establish a preliminary framework for tele-exercise implementation, highlighting consensus on technical and psychological features critical for scalability and safety in diverse populations.

Indexed as

ExerciseExercise TherapyTelemedicineConsensusDelphi TechniqueFocus GroupsHumansSurveys and QuestionnaireseHealthHome-based exerciseRemote trainingSynchronous and asynchronous modeTele-coachingTele-fitness

Identifiers

PMID40707544
PMCPMC12290079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.