Evidence map›Paper›PMID 23872080›Full record

Trial reportArchives of physical medicine and rehabilitation2014

Exercise for everyone: a randomized controlled trial of project workout on wheels in promoting exercise among wheelchair users.

Katherine Froehlich-Grobe, Jaehoon Lee, Lauren Aaronson, Dorothy E Nary, Richard A Washburn, Todd D Little

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 8% 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.

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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review.International journal of environmental research and public health · 2020
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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 at 1 institution in 1 country.

Katherine Froehlich-GrobeUniversity of Texas School of Public Health, Dallas Regional Campus, Dallas, TX. Electronic address: Katherine.froehlich-grobe@utsouthwestern.edu.
Jaehoon LeeCenter for Research Methods and Data Analysis, University of Kansas, Lawrence, KS.
Lauren AaronsonSchool of Nursing, University of Kansas Medical Center, Kansas City, KS.
Dorothy E NaryResearch and Training Center on Independent Living, LifeSpan Institute, University of Kansas, Lawrence, KS.
Richard A WashburnCenter for Physical Activity and Weight Management, LifeSpan Institute, University of Kansas, Lawrence, KS; Cardiovascular Research Institute, University of Kansas Medical Center, Kansas City, KS.
Todd D LittleCenter for Research Methods and Data Analysis, University of Kansas, Lawrence, KS; Department of Psychology and Center for Research Methods and Data Analysis, University of Kansas, Lawrence, KS.
University of Kansas Medical Center · US

Funding

HEARTLAND INSTITUTE FOR CLINICAL AND TRANSLATIONAL RESEARCHUL1RR033179 · NCRR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2011 to 2011
$3.2M
A Randomized Exercise Trial for Wheelchair UsersR01HD048628 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI WASHBURN, RICHARD A. · 2005 to 2009
$2.4M
In Vivo Molecular and Microscopic Imaging of CancerP20CA091710 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI WILLSON, JAMES K. · 2001 to 2003
$1.2M
NCI NIH HHS P20 CA091710NCRR NIH HHS UL1 RR033179NCRR NIH HHS UL1TR000001 (FORMERLY # UL1RR033179)NICHD NIH HHS R01 HD048628
6 · The paper itself

Abstract

objectiveTo compare the effectiveness of 2 home-based behavioral interventions for wheelchair users to promote exercise adoption and maintenance over 12 months.

designRandomized controlled trial, with participants stratified into groups based on disability type (stable, episodic, progressive) and support partner availability.

settingExercise occurred in participant-preferred locations (eg, home, recreation center), with physiological data collected at a university-based exercise laboratory.

participantsInactive wheelchair users (N=128; 64 women) with sufficient upper arm mobility for arm-based exercise were enrolled. Participants on average were 45 years of age and lived with their impairment for 22 years, with spinal cord injury (46.1%) most commonly reported as causing mobility impairment.

interventionsBoth groups received home-based exercise interventions. The staff-supported group (n=69) received intensive exercise support, while the self-guided group (n=59) received minimal support. Both received exercise information, resistance bands, instructions to self-monitor exercise, regularly scheduled phone calls, and handwritten cards.

main outcome measuresThe primary outcome derived from weekly self-reported exercise. Secondary outcomes included physical fitness (aerobic/muscular) and predictors of exercise participation.

resultsThe staff-supported group reported significantly greater exercise (∼17min/wk) than the self-guided group over the year (t=10.6, P=.00), with no significant between-group difference in aerobic capacity (t=.76, P=.45) and strength (t=1.5, P=.14).

conclusionsAlthough the staff-supported group reported only moderately more exercise, the difference is potentially clinically significant because they also exercised more frequently. The staff-supported approach holds promise for encouraging exercise among wheelchair users, yet additional support may be necessary to achieve more exercise to meet national recommendations.

Indexed as

WheelchairsAdultFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedMobility LimitationMuscle StrengthPersons with DisabilitiesPhysical FitnessQuality of LifeSelf EfficacySocioeconomic FactorsUpper ExtremityACSMAICAkaike information criterionAmerican College of Sports MedicineExerciseheart rateHRIntervention studiesPeople with disabilitiesRandomized controlled trialRehabilitationSCISelf-Rated Abilities for Health Practices Scalespinal cord injurySRAHPtarget heart rateTHRWheelchairs

Identifiers

PMID23872080
PMCPMC4610124
OpenAlexW1972474172

What OpenQuestion holds

Textmetadata
LicenceTDM
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.