Kacie C.A. Blackman|Jamie Zoellner|Leanna M. Berrey|Ramine Alexander|Jason Fanning|Jennie L. Hill|Paul A. Estabrooks
Assessing the Internal and External Validity of Mobile Health Physical Activity Promotion Interventions: A Systematic Literature Review Using the RE-AIM Framework
Virginia Tech|Virginia Tech|Virginia Tech|Virginia Tech|University of Illinois Urbana-Champaign|Virginia Tech|Carilion Clinic|Virginia Tech
mobile health mhealth interventions effective promoting physical activity pa however degree external validity indicators reported unclearthe purpose systematic review use reaim reach effectiveness adoption implementation maintenance framework determine extent mhealth intervention research promoting pa reports factors inform generalizability across settings populations provide recommendations investigators planning conduct type researchtwenty articles reflecting 15 trials published 2000 2012 identified systematic review process ie queries three online databases reference lists eligible articles met inclusion criteria ie implementation mobile technologies target physical activity provide original data two researchers coded article using validated reaim data extraction tool reach efficacyeffectiveness adoption implementation maintenance two members study team independently abstracted information article interrater reliability 90 group meetings used gain consensus discrepanciesthe majority studies randomized controlled trials n14 average reporting across reaim indicators varied dimension reach533 2675 effectivenessefficacy600 244 adoption111 076 implementation244 073 maintenance0 03 studies described changes primary outcome effectiveness addressed representativeness participants reach settings adoption reported issues related maintenance degree implementation fidelitythis review suggests focus needed research designs highlight report internal external validity indicators specific recommendations provided encourage future mhealth interventionists investigators report representativeness settings delivery agents planned interventions extent protocol delivered intended maintenance effects individual organizational level