Evidence map›Paper›PMID 28122510›Full record

ArticleBMC nephrology2017

A prospective 2-site parallel intervention trial of a research-based film to increase exercise amongst older hemodialysis patients.

Pia Kontos, Shabbir M H Alibhai, Karen-Lee Miller, Dina Brooks, Romeo Colobong, Trisha Parsons, Sarbjit Vanita Jassal, Alison Thomas, Malcolm Binns, Gary Naglie

Registry-linked trialAbstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02754271 (Fit for Dialysis), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT02754271 phase2unknown statusnot on this map

Fit for Dialysis: Research-based Film as a Knowledge Translation Strategy

TypeinterventionalSponsorToronto Rehabilitation InstituteRan2014 to 2017Enrolled60ConditionsEnd-Stage Renal DiseaseArmsFit for Dialysis
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. 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.

Pia KontosToronto Rehabilitation Institute-University Health Network, 550 University Ave., Toronto, ON, M5G 2A2, Canada. pia.kontos@uhn.ca.
Shabbir M H AlibhaiDepartment of Medicine, University of Toronto, 1 King's College Cir., Toronto, ON, M5S 1A8, Canada.
Karen-Lee MillerToronto Rehabilitation Institute-University Health Network, 550 University Ave., Toronto, ON, M5G 2A2, Canada.
Dina BrooksToronto Rehabilitation Institute-University Health Network, 550 University Ave., Toronto, ON, M5G 2A2, Canada.
Romeo ColobongToronto Rehabilitation Institute-University Health Network, 550 University Ave., Toronto, ON, M5G 2A2, Canada.
Trisha ParsonsSchool of Rehabilitation Therapy, Queen's University, 31 George St., Kingston, ON, K7L 3N6, Canada.
Sarbjit Vanita JassalDepartment of Medicine, University of Toronto, 1 King's College Cir., Toronto, ON, M5S 1A8, Canada.
Alison ThomasSt. Michael's Hospital, 30 Bond St., Toronto, ON, M5B 1W8, Canada.
Malcolm BinnsDalla Lana School of Public Health, University of Toronto, 155 College St., Toronto, ON, M5T 3M7, Canada.
Gary NaglieToronto Rehabilitation Institute-University Health Network, 550 University Ave., Toronto, ON, M5G 2A2, Canada.

Funding

CIHR MOP133433
6 · The paper itself

Abstract

backgroundEvidence suggests that exercise training for hemodialysis patients positively improves morbidity and mortality outcomes, yet exercise programs remain rare and are not systematically incorporated into care. We developed a research-based film, Fit for Dialysis, designed to introduce, motivate, and sustain exercise for wellness amongst older hemodialysis patients, and exercise counseling and support by nephrologists, nurses, and family caregivers. The objective of this clinical trial is to determine whether and in what ways Fit for Dialysis improves outcomes and influences knowledge/attitudes regarding the importance of exercise for wellness in the context of end-stage renal disease. METHODS/

designThis 2-site parallel intervention trial will recruit 60 older hemodialysis patients from two urban hospitals. The trial will compare the film + a 16-week exercise program in one hospital, with a 16-week exercise-only program in another hospital. Physical fitness and activity measures will be performed at baseline, 8 and 16 weeks, and 12 weeks after the end of the program. These include the 2-min Walk Test, Grip Strength, Duke Activity Status Index, and the Timed Up-and-Go Test, as well as wearing a pedometer for one week. Throughout the 16-week exercise program, and at 12 weeks after, we will record patients' exercise using the Godin Leisure-time Exercise Questionnaire. Patients will also keep a diary of the exercise that they do at home on non-dialysis days. Qualitative interviews, conducted at baseline, 8, and 16 weeks, will explore the impact of Fit for Dialysis on the knowledge/attitudes of patients, family caregivers, and nephrology staff regarding exercise for wellness, and in what ways the film is effective in educating, motivating, or sustaining patient exercise during dialysis, at home, and in the community. DISCUSSION: This research will determine for whom Fit for Dialysis is effective, why, and under what conditions. If Fit for Dialysis is proven beneficial to patients, nephrology staff and family caregivers, research-based film as a model to support exercise promotion and adherence could be used to support the National Kidney Foundation's guideline recommendation (NKF-KDOQI) that exercise be incorporated into the care and treatment of dialysis patients.

trial registrationNCT02754271 (ClinicalTrials.gov), retroactively registered on April 21, 2016.

Indexed as

Motion PicturesMotivationRenal DialysisAgedCanadaCaregiversCounselingExercise TherapyFemaleHand StrengthHumansKidney Failure, ChronicMaleMiddle AgedNephrologistsNursesEducationEnd-stage renal disease (ESRD)ExerciseHemodialysisKnowledge translationMixed methods

Identifiers

PMID28122510
PMCPMC5267380

What OpenQuestion holds

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LicenceCC BY
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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.