Evidence map›Paper›PMID 41261160›Full record

ArticleNPJ digital medicine2025

Systematic review of dynamically tailored eHealth interventions targeting physical activity and healthy diet in chronic disease.

E A G Hietbrink, C Lansink, G D Laverman, M M R Vollenbroek-Hutten, A Middelweerd, M Tabak

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. 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

6 authors.

E A G HietbrinkUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands. e.hietbrink@zgt.nl.
C LansinkUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands.
G D LavermanUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands.
M M R Vollenbroek-HuttenUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands.
A MiddelweerdUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands.
M TabakUniversity of Twente, Biomedical Signals and Systems group, P.O. Box 217, 7500, AE, Enschede, The Netherlands.

Funding

Dutch Diabetes Fund 2019.30.037European Union's Horizon 2020 research and innovation program 965315
6 · The paper itself

Abstract

This systematic review synthesized 61 dynamically tailored eHealth interventions for chronic disease management from 117 papers. Tailoring strategies varied in scope and complexity, with most targeting physical activity (87%) and nutrition (43%), while nearly three-quarters also integrated contextual, emotional, or physiological variables. Physical activity was often objectively measured (60%), but dietary intake remained self-reported (100%). Disease-specific biofeedback, such as glucose or blood pressure monitoring, was rare. Tailoring was predominantly rule-based (74%), though data-driven methods like machine learning (13%) are emerging. Most interventions used text-based delivery and drew on behavior change theory, particularly goal setting, self-monitoring, and feedback. While many showed positive within-group outcomes, benefits over controls were inconclusive. Progress within the field requires: (1) multidisciplinary development with rationale, (2) transparent reporting using structured frameworks, and (3) innovative evaluation designs to disentangle multi-component interventions. Strengthening methodological foundations is essential to unlock potential for delivering tailored lifestyle support in chronic disease care.

Identifiers

PMID41261160
PMCPMC12630729

What OpenQuestion holds

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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.