Evidence map›Paper›PMID 24029299›Full record

ArticlePhysical therapy2014

Adherence to accelerometry measurement of community ambulation poststroke.

Sharon Barak, Samuel S Wu, Yunfeng Dai, Pamela W Duncan, Andrea L Behrman, Locomotor Experience Applied Post-Stroke (LEAPS) Investigative Team

Abstract read
In one paragraph

Article in Physical therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Changes in Upper-Extremity Functional Capacity and Daily Performance During Outpatient Occupational Therapy for People With Stroke.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Observational
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.

Sharon BarakS. Barak, PhD, Pediatric Rehabilitation Department, Edmond and Lily Safra Children's Hospital, Pediatric Rehabilitation Department, Sheba Medical Center, Ramat-Gan 52621, Israel, and Physical Education Department, Kaye Academic College of Education, Beer Sheva, Israel.
Samuel S Wu
Yunfeng Dai
Pamela W Duncan
Andrea L Behrman
Locomotor Experience Applied Post-Stroke (LEAPS) Investigative Team

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI Peihua Qiu · 2007 to 2026
$22.8M
Locomotor Experience Applied Post-Stroke (LEAPS)R01NS050506 · NINDS · UNIVERSITY OF FLORIDA · PI DUNCAN, PAMELA W. · 2005 to 2009
$13.3M
NIA NIH HHS P30 AG028740NINDS NIH HHS R01 NS050506
6 · The paper itself

Abstract

backgroundThe step activity monitor (SAM) quantifies steps taken in the home and community by patient populations. Although the SAM has been used to study individuals after stroke, adherence to the use of SAMs has not been addressed. Participants' adherence to wearing the monitor is critical for obtaining accurate assessments.

objectiveThe purpose of this study was to determine the rate of and predictors for inferred adherence to the use of the SAM after stroke.

designA cross-sectional design was used.

methodsCommunity-dwelling individuals (n=408) 2 months after stroke with moderate-to-severe gait impairment (gait speed of ≤0.8 m/s) were studied. Step activity was assessed for 2 days with the SAM. Inferred adherence was established in 3 periods: 6:00 am to 12:00 pm, 12:01 pm to 6:00 pm, and 6:01 pm to 12:00 am. Adherence was defined as activity recorded in all 3 periods. The percentage of participant adherence for the first day, second day, both days, and either day was calculated. Demographic and clinical characteristics of adherers and nonadherers were compared. Independent adherence predictors were identified by means of stepwise logistic regression.

resultsInferred adherence rates for the first day, second day, both days, and either day were 68%, 61%, 53%, and 76%, respectively. Upper and lower extremity impairment, balance control, and endurance were significantly different between adherers and nonadherers. On the other hand, older age, greater balance self-efficacy, and better walking endurance were significant predictors of adherence. LIMITATIONS: Participants were individuals with subacute stroke. Therefore, the findings of this study may not be generalized to individuals during the acute and chronic phases of stroke recovery.

conclusionsStrategies to improve adherence are needed when collecting data for more than 1 day and in samples with younger individuals and those with low levels of balance self-efficacy and walking endurance.

Indexed as

AccelerometryPatient ComplianceStroke RehabilitationAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleGait Disorders, NeurologicHumansMaleMiddle AgedPhysical EndurancePostural BalanceRecovery of Function

Identifiers

PMID24029299
PMCPMC3892677

What OpenQuestion holds

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Registered trials

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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.