Evidence map›Paper›PMID 27266776›Full record

Trial reportBMJ open2016

Effect of affordable technology on physical activity levels and mobility outcomes in rehabilitation: a protocol for the Activity and MObility UsiNg Technology (AMOUNT) rehabilitation trial.

Leanne Hassett, Maayken van den Berg, Richard I Lindley, Maria Crotty, Annie McCluskey, Hidde P van der Ploeg, Stuart T Smith, Karl Schurr, Maggie Killington, Bert Bongers and 12 more

Open access · goldAbstract readMulticenter StudyPragmatic Clinical Trial
PubMed Full text at PMC Publisher
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 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
14.5field-weighted citation impact, top 1% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
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

22 authors at 10 institutions in 2 countries.

Leanne HassettThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Maayken van den BergDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia.
Richard I LindleyThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Maria CrottyDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia.
Annie McCluskeyDiscipline of Occupational Therapy, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Hidde P van der PloegDepartment of Public & Occupational Health and EMGO+ Institute for Health and Care Research, VU University Medical Center Amsterdam, Amsterdam, The Netherlands School of Public Health/Sydney Medical School The University of Sydney, Sydney, New South Wales, Australia.
Stuart T Smith
Karl SchurrFaculty of Arts and Business, University of the Sunshine Coast, Maroochydore DC, Queensland, Australia Physiotherapy Department and Department of Aged Care and Rehabilitation, Bankstown-Lidcombe Hospital, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
Maggie KillingtonDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia.
Bert BongersFaculty of Design, Architecture and Building, University of Technology Sydney, Sydney, New South Wales, Australia.
Kirsten HowardSchool of Public Health/Sydney Medical School The University of Sydney, Sydney, New South Wales, Australia.
Stephane HeritierDepartment of Epidemiology and Preventive Medicine/Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia.
Leanne TogherDiscipline of Speech Pathology, Faculty of Health Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Maree HackettThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Daniel TreacyPhysiotherapy Department and Department of Aged Care and Rehabilitation, Bankstown-Lidcombe Hospital, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
Simone DorschSchool of Physiotherapy Faculty of Health Sciences/Australian Catholic University, Sydney, New South Wales, Australia.
Siobhan WongPhysiotherapy Department and Brain Injury Rehabilitation Unit, Liverpool Hospital, South Western Sydney Local Health District, Sydney, New South Wales, Australia.
Katharine ScrivenerFaculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.
Sakina ChagparThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
Heather WeberDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Adelaide, South Australia, Australia.
Ross PearsonConsumer Advisor, Sydney, New South Wales, Australia.
Catherine SherringtonThe George Institute for Global Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.
University of Sydney · AUFlinders University · AUThe George Institute for Global Health · AUBankstown Lidcombe Hospital · AUAustralian Catholic University · AUEMGO Institute for Health and Care Research · NLMacquarie University · AUMonash University · AUSouth Western Sydney Local Health District · AUUniversity of Technology Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPeople with mobility limitations can benefit from rehabilitation programmes that provide a high dose of exercise. However, since providing a high dose of exercise is logistically challenging and resource-intensive, people in rehabilitation spend most of the day inactive. This trial aims to evaluate the effect of the addition of affordable technology to usual care on physical activity and mobility in people with mobility limitations admitted to inpatient aged and neurological rehabilitation units compared to usual care alone. METHODS AND ANALYSIS: A pragmatic, assessor blinded, parallel-group randomised trial recruiting 300 consenting rehabilitation patients with reduced mobility will be conducted. Participants will be individually randomised to intervention or control groups. The intervention group will receive technology-based exercise to target mobility and physical activity problems for 6 months. The technology will include the use of video and computer games/exercises and tablet applications as well as activity monitors. The control group will not receive any additional intervention and both groups will receive usual inpatient and outpatient rehabilitation care over the 6-month study period. The coprimary outcomes will be objectively assessed physical activity (proportion of the day spent upright) and mobility (Short Physical Performance Battery) at 6 months after randomisation. Secondary outcomes will include: self-reported and objectively assessed physical activity, mobility, cognition, activity performance and participation, utility-based quality of life, balance confidence, technology self-efficacy, falls and service utilisation. Linear models will assess the effect of group allocation for each continuously scored outcome measure with baseline scores entered as a covariate. Fall rates between groups will be compared using negative binomial regression. Primary analyses will be preplanned, conducted while masked to group allocation and use an intention-to-treat approach. ETHICS AND DISSEMINATION: The protocol has been approved by the relevant Human Research Ethics Committees and the results will be disseminated widely through peer-reviewed publication and conference presentations. TRIAL REGISTRATION NUMBER: ACTRN12614000936628. Pre-results.

Indexed as

ExerciseMobility LimitationTechnologyAccidental FallsAgedAustraliaClinical ProtocolsExercise TherapyFemaleHumansInpatientsLinear ModelsMaleNeurological RehabilitationQuality of LifeSelf Efficacymobilityphysical activityprotocoltechnology

Identifiers

PMID27266776
PMCPMC4908951
OpenAlexW2410789171

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.