Evidence map›Paper›PMID 25433043›Full record

Observational studyRheumatology (Oxford, England)2015

An outsourced health-enhancing physical activity programme for people with rheumatoid arthritis: exploration of adherence and response.

Birgitta Nordgren, Cecilia Fridén, Ingrid Demmelmaier, Gunnar Bergström, Ingrid E Lundberg, Alyssa B Dufour, Christina H Opava, PARA Study Group

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Rheumatology (Oxford, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Physical Fitness, Exercise Self-Efficacy, and Quality of Life in Adulthood: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
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  20. Long-time follow up of physical activity level among older adults with rheumatoid arthritis.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 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

8 authors.

Birgitta NordgrenDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden birgitta.nordgren@ki.se.
Cecilia FridénDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Ingrid DemmelmaierDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Gunnar BergströmDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Ingrid E LundbergDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Alyssa B DufourDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
Christina H OpavaDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Unit of Intervention and Implementation Research, Institute of Environmental Medicine, Rheumatology Unit, Department of Medicine, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden, Harvard Medical School, Institute for Aging Research, Hebrew Senior Life, Beth Israel Deaconess Medical Center, Boston, MA, USA and Department of Rheumatology, Karolinska University Hospital, Stockholm, Sweden.
PARA Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aims of this study were to document adherence to and changes in health-enhancing physical activity (HEPA) levels and self-reported and assessed functioning and to explore aspects of adherence and response during the first year of an outsourced 2-year HEPA programme in people with RA.

methodsTwo-hundred and twenty patients participated in this observational cohort study, which included daily physical activity, twice-weekly circuit training and biweekly support group meetings. Self-reported data included current (past week) and maintained (past 6 months) HEPA levels, sociodemographics and disease-related and psychosocial factors. Tests of aerobic capacity and muscle function were performed and anthropometric data were collected.

resultsEighty-eight per cent of the participants completed 1 year assessments. Self-reported current and maintained HEPA increased. General health perception and a number of other self-reported disease-related and psychosocial factors improved, while exercise self-efficacy declined. Aerobic capacity, timed standing and grip strength improved and waist circumference decreased. The mean number of circuit training sessions performed was 48, the mean number of days with HEPA was 189 and the mean number of support group meetings attended was 9. Better adherence to circuit training improved general health, and better adherence to group meetings improved timed standing. Exercise self-efficacy improved among those adhering more to circuit training or support group meetings.

conclusionThe outsourced HEPA programme had high retention and reasonable adherence. A number of health outcomes improved. Relationships between adherence to the programme components and response were not clear-cut and need further attention.

trial registrationISRCTN register; http://www.controlled-trials.com. Trial registration number ISRCTN25539102.

Indexed as

AdolescentAdultAgedArthritis, RheumatoidExerciseExercise TherapyFemaleHealth BehaviorHumansMaleMiddle AgedPatient ComplianceQuality of LifeSelf EfficacySelf ReportTreatment Outcomeclinical trialexercisehealth behaviourmuscular strengthphysical fitnessself-efficacy social cognitive theorytrans-theoretical model

Identifiers

PMID25433043
PMCPMC4481374

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.