Evidence map›Paper›PMID 18023128›Full record

SynthesisPatient education and counseling2008

Meta-analysis of patient education interventions to increase physical activity among chronically ill adults.

Vicki S Conn, Adam R Hafdahl, Sharon A Brown, Lori M Brown

Registry-linked trialOpen access · greenAbstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Patient education and counseling, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03883243 (Monitoring and Telecoaching of Physical Activity in Patients With Stage III and IV Non-small Cell Lung Cancer), which is not on this map. Cited by 104 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
104citing papers in PubMed, 18 pooled it
4.4field-weighted citation impact, top 5% of its field
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.

NCT03883243 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Monitoring and Telecoaching of Physical Activity in Patients With Stage III and IV Non-small Cell Lung Cancer

TypeinterventionalSponsorKU LeuvenRan2019 to 2020Enrolled32ConditionsExercise, NeoplasmsArmsTelecoaching
3 · Its place in the literature

Who cites it

104 citing papers in PubMed, 18 syntheses or guidelines pooled it, 268 citations in OpenAlex.

  1. Pooled it
  2. Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
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  5. German recommendations for physical activity and physical activity promotion in adults with noncommunicable diseases.The international journal of behavioral nutrition and physical activity · 2020
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  12. Meta-analysis of internet-delivered interventions to increase physical activity levels.The international journal of behavioral nutrition and physical activity · 2012
    Pooled it
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  15. Depressive symptom outcomes of physical activity interventions: meta-analysis findings.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2010
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  19. Trial
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44 more citing papers are in PubMed but not listed here.

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

4 authors at 2 institutions in 1 country.

Vicki S ConnS317 School of Nursing, University of Missouri, Columbia, MO 65211, USA. conn@missouri.edu
Adam R Hafdahl
Sharon A Brown
Lori M Brown
University of Missouri · USThe University of Texas at Austin · US

Funding

Chronic Illness Exercise Interventions: A Meta-AnalysisR01NR007870 · NINR · UNIVERSITY OF MISSOURI-COLUMBIA · PI CONN, VICKI S · 2002 to 2004
$977k
NINR NIH HHS R01 NR007870NINR NIH HHS R01NR07870
6 · The paper itself

Abstract

objectiveThis meta-analysis integrates primary research testing the effect of patient education to increase physical activity (PA) on behavior outcomes among adults with diverse chronic illnesses.

methodsExtensive literature searching strategies located published and unpublished intervention studies that measured PA behavior outcomes. Primary study results were coded. Fixed- and random-effects meta-analytic procedures included moderator analyses.

resultsData were synthesized across 22,527 subjects from 213 samples in 163 reports. The overall mean weighted effect size for two-group comparisons was 0.45 (higher mean for treatment than control). This effect size is consistent with a difference of 48 min of PA per week or 945 steps per day. Preliminary moderator analyses suggest interventions were most effective when they targeted only PA behavior, used behavioral strategies (versus cognitive strategies), and encouraged PA self-monitoring. Differences among chronic illnesses were documented. Individual strategies unrelated to PA outcomes included supervised exercise sessions, exercise prescription, fitness testing, goal setting, contracting, problem solving, barriers management, and stimulus/cues. PA outcomes were unrelated to gender, age, ethnicity, or socioeconomic distribution among samples.

conclusionThese findings suggest that some patient education interventions to increase PA are effective, despite considerable heterogeneity in the magnitude of intervention effect. PRACTICE IMPLICATIONS: Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.

Indexed as

Exercise TherapyHealth BehaviorAdultAttitude to HealthChronic DiseaseData Interpretation, StatisticalEffect Modifier, EpidemiologicFeedback, PsychologicalGoalsHealth Knowledge, Attitudes, PracticeHumansOutcome Assessment, Health CarePatient Education as TopicPrescriptionsProblem SolvingProgram Evaluation

Identifiers

PMID18023128
PMCPMC2324068
OpenAlexW1990849299

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.