Evidence map›Paper›PMID 28173782›Full record

Trial reportBMC public health2017

HealtheSteps™ Study Protocol: a pragmatic randomized controlled trial promoting active living and healthy lifestyles in at-risk Canadian adults delivered in primary care and community-based clinics.

Dawn P Gill, Wendy Blunt, Cassandra Bartol, Roseanne W Pulford, Ashleigh De Cruz, P Karen Simmavong, Adam Gavarkovs, Ian Newhouse, Erin Pearson, Bayley Ostenfeldt and 7 more

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

Trial report in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02413385 (Canadian Diabetes Strategy Research Project - HealtheSteps™), which is not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT02413385 nacompletednot on this map

Canadian Diabetes Strategy Research Project - HealtheSteps™: Exercise and Healthy Eating Prescriptions to Reduce the Risk of Diabetes in Rural and Remote Communities: A Pilot Pragmatic Randomized Controlled Trial (Project 3).

TypeinterventionalSponsorWestern University, CanadaRan2015 to 2017Enrolled118ConditionsChronic Disease, Sedentary Lifestyle, OverweightArmsHealtheSteps Program
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Using Mobile Applications to Increase Physical Activity: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  4. Trial
  5. Trial
  6. Hockey Fans in Training: A Pilot Pragmatic Randomized Controlled Trial.Medicine and science in sports and exercise · 2017
    Trial
  7. Trial
  8. Article
  9. Article
  10. Article
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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

17 authors at 5 institutions in 2 countries.

Dawn P GillCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Wendy BluntCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Cassandra BartolCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Roseanne W PulfordCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Ashleigh De CruzCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
P Karen SimmavongCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Adam GavarkovsCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada.
Ian NewhouseSchool of Kinesiology, Lakehead University, Thunder Bay, Ontario, Canada.
Erin PearsonSchool of Kinesiology, Lakehead University, Thunder Bay, Ontario, Canada.
Bayley OstenfeldtCentre for Education and Research on Aging and Health, Lakehead University, Thunder Bay, Ontario, Canada.
Barbi LawSchool of Physical and Health Education, Nipissing University, North Bay, Ontario, Canada.
Kristina KarvinenSchool of Physical and Health Education, Nipissing University, North Bay, Ontario, Canada.
Pertice MoffitAurora Research Institute, Aurora College, Yellowknife, Northwest Territories, Canada.
Gareth JonesSchool of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.
Cori WatsonNorthwest Local Health Integration Network, Chronic Disease, Health and Design Development, Thunder Bay, Ontario, Canada.
Guangyong ZouDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.
Robert J PetrellaCentre for Studies in Family Medicine, Department of Family Medicine, Western Centre for Public Health and Family Medicine, 2nd Floor, Schulich School of Medicine and Dentistry, Western University, 1465 Richmond St., London, ON, N6G 2M1, Canada. petrella@uwo.ca.
Western University · CALakehead University · CANipissing University · CAAurora College · CAUniversity of British Columbia · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPhysical inactivity is one of the leading causes of chronic disease in Canadian adults. With less than 50% of Canadian adults reaching the recommended amount of daily physical activity, there is an urgent need for effective programs targeting this risk factor. HealtheSteps™ is a healthy lifestyle prescription program, developed from an extensive research base to address risk factors for chronic disease such as physical inactivity, sedentary behaviour and poor eating habits. HealtheSteps™ participants are provided with in-person lifestyle coaching and access to eHealth technologies delivered in community-based primary care clinics and health care organizations. METHOD/

designTo determine the effectiveness of Healthesteps™, we will conduct a 6-month pragmatic randomized controlled trial with integrated process and economic evaluations of HealtheSteps™ in 5 clinic settings in Southwestern Ontario. 110 participants will be individually randomized (1:1; stratified by site) to either the intervention (HealtheSteps™ program) or comparator (Wait-list control). There are 3 phases of the HealtheSteps™ program, lasting 6 months each. The active phase consists of bi-monthly in-person coaching with access to a full suite of eHealth technology supports. During the maintenance phase I, the in-person coaching will be removed, but participants will still have access to the full suite of eHealth technology supports. In the final stage, maintenance phase II, access to the full suite of eHealth technology supports is removed and participants only have access to publicly available resources and tools. DISCUSSION: This trial aims to determine the effectiveness of the program in increasing physical activity levels and improving other health behaviours and indicators, the acceptability of the HealtheSteps™ program, and the direct cost for each person participating in the program as well as the costs associated with delivering the program at the different community sites. These results will inform future optimization and scaling up of the program into additional community-based primary care sites.

trial registrationNCT02413385 (Clinicaltrials.gov). Date Registered: April 6, 2015.

Indexed as

Health BehaviorHealthy LifestyleAdolescentAdultAgedAged, 80 and overCanadaCommunity Health ServicesFemaleHealth PromotionHumansMaleMiddle AgedPrimary Health CareProgram EvaluationYoung AdultBehaviour changeChronic disease prevention and managementHealth technologyHealthy eatingLifestyle coachingPhysical activityPrimary care interventionSedentary behaviour

Identifiers

PMID28173782
PMCPMC5297143
OpenAlexW2587346798

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.