Evidence map›Paper›PMID 28137918›Full record

Trial reportThorax2017

Physical activity is increased by a 12-week semiautomated telecoaching programme in patients with COPD: a multicentre randomised controlled trial.

H Demeyer, Z Louvaris, A Frei, R A Rabinovich, C de Jong, E Gimeno-Santos, M Loeckx, S C Buttery, N Rubio, T Van der Molen and 7 more

6 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 132 papers, 21 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 21 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.

NCT02158065 nacompletednot on this map

A 3-month Multicenter Randomized Trial to Evaluate the Efficacy of a Physical Activity Promotion Program on the Experience of Physical Activity in Patients With COPD (Mr PAPP)

TypeinterventionalSponsorKU LeuvenRan2014 to 2015Enrolled370ConditionsPulmonary Disease, Chronic ObstructiveArmsCoaching program
NCT03050424 phase2unknown statusnot on this map

Iron and Chronic Obstructive Pulmonary Disease (COPD) Exercise Trial

TypeinterventionalSponsorRoyal Brompton & Harefield NHS Foundation TrustRan2017 to 2019Enrolled40ConditionsChronic Obstructive Pulmonary DiseaseArmsFerric Carboxymaltose, Sodium Chloride 0.9%
NCT03883243 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Monitoring and Telecoaching of Physical Activity in Patients With Stage III and IV Non-small Cell Lung Cancer

TypeinterventionalSponsorKU LeuvenRan2019 to 2020Enrolled32ConditionsExercise, NeoplasmsArmsTelecoaching
NCT04326855 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Methodological Validation of an Intermittent Shuttle Walking Protocol in the Context of Pulmonary Rehabilitation in Patients With Advanced COPD

TypeinterventionalSponsorNorthumbria UniversityRan2020 to 2022Enrolled20ConditionsChronic Obstructive Pulmonary DiseaseArmsIncremental shuttle walking protocol (ISWT), Endurance shuttle walking (ESW) protocol, First Intermittent shuttle walking protocol, Second Intermittent shuttle walking protocol, Focus group study
NCT05318482 nacompletednot on this mapstarted 2022, after this paper: background citation

Effects of Physical Activity of an In-hospital Motivational Program in Cardio-respiratory Patients: a Randomized Control Trial

TypeinterventionalSponsorIstituti Clinici Scientifici Maugeri SpARan2022 to 2024Enrolled50ConditionsCardiorespiratory FailureArmsMotivational group, Control group
NCT06732869 narecruitingnot on this mapstarted 2024, after this paper: background citation

PACE - Physical Activity in COPD Using E-Health: Effectiveness of a Personalised eHealth Platform Integrated Into Pulmonary Rehabilitation to Increase Physical Activity in Patients With COPD - a Randomized Controlled Trial

TypeinterventionalSponsorInstituto Politécnico de LeiriaRan2024 to 2025Enrolled57ConditionsCOPD, Physical ActivityArmseHealth physical activity coaching intervention, pulmonary rehabilitation
3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 21 syntheses or guidelines pooled it.

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  7. Physical activity promotion interventions in chronic airways disease: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2023
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  14. Telerehabilitation for chronic respiratory disease.The Cochrane database of systematic reviews · 2021
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  19. Use of pedometers as a tool to promote daily physical activity levels in patients with COPD: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2019
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72 more citing papers are in PubMed but not listed here.

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

17 authors.

H DemeyerKU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
Z LouvarisNational and Kapodistrian University of Athens, Faculty of Physical Education and Sports Sciences Athens, GR.
A FreiDepartment of Epidemiology, University of Zurich, Biostatistics and Prevention Institute, Zurich, Switzerland.
R A RabinovichELEGI Colt Laboratory, Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
C de JongGRIAC-Primary Care, department of general practice and elderly care, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
E Gimeno-SantosIS Global, Center for research in Environmental epidemiology (CREAL), Barcelona, Spain.
M LoeckxKU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
S C ButteryRoyal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.
N RubioELEGI Colt Laboratory, Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
T Van der MolenGRIAC-Primary Care, department of general practice and elderly care, University of Groningen, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
N S HopkinsonRoyal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.ORCID http://orcid.org/0000-0003-3235-0454
I VogiatzisNational and Kapodistrian University of Athens, Faculty of Physical Education and Sports Sciences Athens, GR.
M A PuhanDepartment of Epidemiology, University of Zurich, Biostatistics and Prevention Institute, Zurich, Switzerland.
J Garcia-AymerichIS Global, Center for research in Environmental epidemiology (CREAL), Barcelona, Spain.
M I PolkeyRoyal Brompton and Harefiled NHS Foundation Trust and Imperial College, NIHR Respiratory Biomedical Research Unit, London, UK.
T TroostersKU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.
Mr Papp PROactive study group and the PROactive consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

rationaleReduced physical activity (PA) in patients with COPD is associated with a poor prognosis. Increasing PA is a key therapeutic target, but thus far few strategies have been found effective in this patient group.

objectivesTo investigate the effectiveness of a 12-week semiautomated telecoaching intervention on PA in patients with COPD in a multicentre European randomised controlled trial.

methods343 patients from six centres, encompassing a wide spectrum of disease severity, were randomly allocated to either a usual care group (UCG) or a telecoaching intervention group (IG) between June and December 2014. This 12-week intervention included an exercise booklet and a step counter providing feedback both directly and via a dedicated smartphone application. The latter provided an individualised daily activity goal (steps) revised weekly and text messages as well as allowing occasional telephone contacts with investigators. PA was measured using accelerometry during 1 week preceding randomisation and during week 12. Secondary outcomes included exercise capacity and health status. Analyses were based on modified intention to treat. MAIN

resultsBoth groups were comparable at baseline in terms of factors influencing PA. At 12 weeks, the intervention yielded a between-group difference of mean, 95% CI (lower limit - upper limit; ll-ul) +1469, 95% CI (971 to 1965) steps/day and +10.4, 95% CI (6.1 to 14.7) min/day moderate PA; favouring the IG (all p≤0.001). The change in 6-min walk distance was significantly different (13.4, 95% CI (3.40 to 23.5) m, p<0.01), favouring the IG. In IG patients, an improvement could be observed in the functional state domain of the clinical COPD questionnaire (p=0.03) compared with UCG. Other health status outcomes did not differ.

conclusionsThe amount and intensity of PA can be significantly increased in patients with COPD using a 12-week semiautomated telecoaching intervention including a step counter and an application installed on a smartphone. TRIAL REGISTRATION NUMBER: NCT02158065.

Indexed as

TelemedicineAgedExerciseExercise TherapyFemaleGreeceHumansMaleMiddle AgedNetherlandsPrognosisPulmonary Disease, Chronic ObstructiveSpirometrySwitzerlandTreatment OutcomeUnited KingdomExercisePulmonary Rehabilitation

Identifiers

PMID28137918
PMCPMC5520265

What OpenQuestion holds

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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.