Evidence map›Paper›PMID 27009149›Full record

Trial reportBMJ open2016

Protocol for a feasibility study to inform the development of a multicentre randomised controlled trial of asthma-tailored pulmonary rehabilitation versus usual care for individuals with severe asthma.

Sally Majd, Lindsay D Apps, Nicky Hudson, Stacey Hewitt, Elizabeth Eglinton, Anna Murphy, Peter Bradding, Sally Singh, Ruth Green, Rachael Evans

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pulmonary rehabilitation versus usual care for adults with asthma.The Cochrane database of systematic reviews · 2022
    Pooled it
  2. Article
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

10 authors.

Sally MajdCentre for Exercise Rehabilitation Science, Leicester, UK Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Infection, Immunity and Inflammation, University of Leicester, Leicester, UK.
Lindsay D AppsCentre for Exercise Rehabilitation Science, Leicester, UK Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK.
Nicky HudsonSchool of Applied Social Sciences, DeMontfort University, Leicester, UK.
Stacey HewittCentre for Exercise Rehabilitation Science, Leicester, UK Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK.
Elizabeth EglintonPatient Representative, Leicester, UK.
Anna MurphyLeicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Department of Respiratory Medicine, Thoracic Surgery and Allergy, Glenfield Hospital, Leicester, UK School of Pharmacy, DeMontfort University, Leicester, UK.
Peter BraddingLeicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Infection, Immunity and Inflammation, University of Leicester, Leicester, UK Department of Respiratory Medicine, Thoracic Surgery and Allergy, Glenfield Hospital, Leicester, UK.
Sally SinghCentre for Exercise Rehabilitation Science, Leicester, UK Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Infection, Immunity and Inflammation, University of Leicester, Leicester, UK Department of Respiratory Medicine, Thoracic Surgery and Allergy, Glenfield Hospital, Leicester, UK.
Ruth GreenLeicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Infection, Immunity and Inflammation, University of Leicester, Leicester, UK Department of Respiratory Medicine, Thoracic Surgery and Allergy, Glenfield Hospital, Leicester, UK.
Rachael EvansCentre for Exercise Rehabilitation Science, Leicester, UK Leicester Respiratory Biomedical Research Unit, Glenfield Hospital, Leicester, UK Infection, Immunity and Inflammation, University of Leicester, Leicester, UK Department of Respiratory Medicine, Thoracic Surgery and Allergy, Glenfield Hospital, Leicester, UK.

Funding

Department of Health PB-PG-0712-28063
6 · The paper itself

Abstract

introductionPulmonary rehabilitation with core components of exercise training and multiprofessional education is an integral part of the management of patients with chronic lung disease. International guidelines for individuals with asthma recommend exercise as exercise improves symptoms, indices of cardiopulmonary efficiency, health status and psychosocial outcome. However, there is little published evidence evaluating safety and acceptability of exercise training for individuals with severe asthma and there are concerns regarding exercise-induced asthma. We propose a feasibility study for a multicentre randomised controlled trial (RCT) of asthma-tailored pulmonary rehabilitation (asthma-tailored PR) versus usual care in individuals with severe asthma. METHODS AND ANALYSIS: The study will be conducted in three stages. Adults with severe asthma will be included if they have persistent symptoms despite being at step 4 or 5 of the British Thoracic Society guidelines. Stage 1: semistructured interviews will be used in a sample of 20-30 individuals with severe asthma to understand the experience and attitudes of this population towards exercise. Stage 2: eight focus groups of at least six healthcare professionals involved in the care of patients with severe asthma will be conducted to understand their attitudes towards exercise for this population. Stage 3: a small-scale RCT of the proposed multicentre RCT of asthma-tailored PR versus usual care for individuals with severe asthma will be conducted. The primary outcome measures will be recruitment, retention and adverse event rates. Semistructured interviews with participants of stage 3 will be used to identify further barriers or facilitators to participation in PR and the trial. Thematic analysis will be used for the interpretation of all interviews. ETHICS AND DISSEMINATION: The study results will inform the design of a larger multicentre RCT. The National Research Ethics Service Committee East Midland approved the study protocol. TRIAL REGISTRATION NUMBER: ISRCTN96143888.

Indexed as

Health Knowledge, Attitudes, PracticeResearch DesignAsthmaChronic DiseaseExerciseExercise TherapyFeasibility StudiesFocus GroupsHealth PersonnelHealth StatusHumansQuality of LifeSurveys and QuestionnairesTreatment OutcomeExercisePulmonary rehabilitationQUALITATIVE RESEARCHSevere asthma

Identifiers

PMID27009149
PMCPMC4809086

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.