Abstract
Personalised Interactive Music Systems (PIMS) are emerging as promising devices for enhancing physical activity and exercise outcomes. By leveraging real-time data and adaptive technologies, PIMS align musical features, such as tempo and genre with users’ physical activity patterns, including frequency and intensity, enhancing their overall experience. This systematic review and exploratory meta-analysis evaluates the effectiveness of PIMS across physical, psychophysical, and affective domains. Searches across nine databases identified 18 eligible studies, of which six (comprising 17 intervention arms) contained sufficient data for meta-analysis. Random-effects meta-analyses and meta-regression were performed to assess outcomes for physical activity levels, physical exertion, ratings of perceived exertion (RPE), and affective valence. Results showed significant improvements in physical activity levels (g = 0.49, CI [0.07, 0.91], p = .02, k = 4) and affective valence (g = 1.68, CI [0.15, 3.20], p = .03, k = 4), with faster music tempo identified as a significant moderator (p = 0.04). No significant effects were observed for RPE (g = 0.72, CI [-0.14, 1.59], p = .10, k = 3) or physical exertion (g = 0.79, CI [-0.64, 2.10], p = .28, k = 5). Substantial heterogeneity and limited study quality indicate the need for more robust, randomised controlled trials to establish the efficacy of PIMS in diverse populations.