Evidence map›Paper›PMID 27601892›Full record

Trial reportInternational journal of chronic obstructive pulmonary disease2016

A randomized controlled trial of telephone-mentoring with home-based walking preceding rehabilitation in COPD.

Helen Laura Cameron-Tucker, Richard Wood-Baker, Lyn Joseph, Julia A Walters, Natalie Schüz, E Haydn Walters

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International journal of chronic obstructive pulmonary disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06304207 (Comparison of Telehealth and Onsite Supervised Maintenance Exercise Program for Adults With Chronic Lung Disease), which is not on this map. Cited by 35 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 17 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT06304207 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparison of Telehealth and Onsite Supervised Maintenance Exercise Program for Adults With Chronic Lung Disease: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorMGH Institute of Health ProfessionsRan2023 to 2026Enrolled30ConditionsCopd, COPD Exacerbation, COPD Bronchitis, Emphysema or COPDArmsOnsite Maintenance Exercise Training, Telehealth Maintenance Exercise
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 17 syntheses or guidelines pooled it, 65 citations in OpenAlex.

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  13. Chronic Obstructive Pulmonary Disease Patients' Acceptance in E-Health Clinical Trials.International journal of environmental research and public health · 2021
    Pooled it
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  16. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
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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.

Helen Laura Cameron-TuckerCentre of Research Excellence for Chronic Respiratory Disease and Lung Aging, School of Medicine.
Richard Wood-BakerCentre of Research Excellence for Chronic Respiratory Disease and Lung Aging, School of Medicine.
Lyn JosephCentre of Research Excellence for Chronic Respiratory Disease and Lung Aging, School of Medicine.
Julia A WaltersCentre of Research Excellence for Chronic Respiratory Disease and Lung Aging, School of Medicine.
Natalie SchüzSchool of Health Sciences, Faculty of Health, University of Tasmania, Hobart, Tasmania, Australia.
E Haydn WaltersCentre of Research Excellence for Chronic Respiratory Disease and Lung Aging, School of Medicine.
University of Tasmania · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWith the limited reach of pulmonary rehabilitation (PR) and low levels of daily physical activity in chronic obstructive pulmonary disease (COPD), a need exists to increase daily exercise. This study evaluated telephone health-mentoring targeting home-based walking (tele-rehab) compared to usual waiting time (usual care) followed by group PR. PATIENTS AND

methodsPeople with COPD were randomized to tele-rehab (intervention) or usual care (controls). Tele-rehab delivered by trained nurse health-mentors supported participants' home-based walking over 8-12 weeks. PR, delivered to both groups simultaneously, included 8 weeks of once-weekly education and self-management skills, with separate supervised exercise. Data were collected at three time-points: baseline (TP1), before (TP2), and after (TP3) PR. The primary outcome was change in physical capacity measured by 6-minute walk distance (6MWD) with two tests performed at each time-point. Secondary outcomes included changes in self-reported home-based walking, health-related quality of life, and health behaviors.

resultsOf 65 recruits, 25 withdrew before completing PR. Forty attended a median of 6 (4) education sessions. Seventeen attended supervised exercise (5±2 sessions). Between TP1 and TP2, there was a statistically significant increase in the median 6MWD of 12 (39.1) m in controls, but no change in the tele-rehab group. There were no significant changes in 6MWD between other time-points or groups, or significant change in any secondary outcomes. Participants attending supervised exercise showed a nonsignificant improvement in 6MWD, 12.3 (71) m, while others showed no change, 0 (33) m. The mean 6MWD was significantly greater, but not clinically meaningful, for the second test compared to the first at all time-points.

conclusionTelephone-mentoring for home-based walking demonstrated no benefit to exercise capacity. Two 6-minute walking tests at each time-point may not be necessary. Supervised exercise seems essential in PR. The challenge of incorporating exercise into daily life in COPD is substantial.

Indexed as

Home Care Services, Hospital-BasedMentorsTelephoneWalkingAgedExercise TherapyExercise ToleranceFemaleHealth BehaviorHealth Knowledge, Attitudes, PracticeHealth StatusHumansLungMaleMiddle AgedPatient Education as Topicexercisephysical capacitypulmonary rehabilitationself-reported walkingstructured self-management-based education

Identifiers

PMID27601892
PMCPMC5003521
OpenAlexW2507213476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.