Evidence map›Paper›PMID 29206627›Full record

Trial reportRespiratory medicine2017

Promoting physical activity in COPD: Insights from a randomized trial of a web-based intervention and pedometer use.

Emily S Wan, Ana Kantorowski, Diana Homsy, Merilee Teylan, Reema Kadri, Caroline R Richardson, David R Gagnon, Eric Garshick, Marilyn L Moy

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Respiratory medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05222763 (Effect Of Web - Supported Interactıve Nursıng Program After Mastectomy On Body Value, Care Dependence And Psychosocıal Adaptatıon To Dısease-Self-Awareness Levels Accordıng To Self-Regulatıon Model), which is not on this map. Cited by 73 papers, 19 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 19 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.

NCT05222763 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect Of Web - Supported Interactıve Nursıng Program After Mastectomy On Body Value, Care Dependence And Psychosocıal Adaptatıon To Dısease-Self-Awareness Levels Accordıng To Self-Regulatıon Model: Mıxed Method Study

TypeinterventionalSponsorCumhuriyet UniversityRan2022 to 2023Enrolled67ConditionsWeb Based Intervention, Mastectomy, Illness Perception, Nursing CariesArmsWeb-assisted patient education intervention designed according to the self-regulation model, The website where the mastectomy patients handbook
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 19 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Web-based pulmonary telehabilitation: a systematic review.NPJ primary care respiratory medicine · 2024
    Pooled it
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  9. 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
    Pooled it
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  13. Impact of Seasonality on Physical Activity: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
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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
    Pooled it
  20. Trial

13 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

9 authors.

Emily S WanPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Channing Division of Network Medicine, Brigham & Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Ana KantorowskiPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Diana HomsyPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Merilee TeylanPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Reema KadriDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Caroline R RichardsonDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
David R GagnonDepartment of Biostatistics, Boston University School of Public Health, Boston, MA, USA; Massachusetts Veterans Epidemiology Research and Information Center, Veterans Affairs Boston Healthcare System, Boston, MA, USA.
Eric GarshickPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Channing Division of Network Medicine, Brigham & Women's Hospital, Boston, MA, USA; Harvard Medical School, Boston, MA, USA.
Marilyn L MoyPulmonary and Critical Care Medicine Section, VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: marilyn.moy@va.gov.

Funding

The Effect of Physical Activity Promotion on Short and Long-term Outcomes in COPDI01RX001150 · VA · VA BOSTON HEALTH CARE SYSTEM · PI MOY, MARILYN L. · 2015 to 2018
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The epigenetics of exercise and physical activity in COPDIK2RX002165 · VA · VA BOSTON HEALTH CARE SYSTEM · PI WAN, EMILY S · 2016 to 2021
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RRD VA I01 RX001150RRD VA IK2 RX002165
6 · The paper itself

Abstract

rationaleLow physical activity is highly prevalent among COPD patients and is associated with increased healthcare utilization and mortality and reduced HRQL. The addition of a website to pedometer use is effective at increasing physical activity; however, the timeline of change and impact of environmental factors on efficacy is unknown.

methodsU.S. Veterans with COPD were randomized (1:1) to receive either (1) a pedometer and website which provided goal-setting, feedback, disease-specific education, and an online community forum or (2) pedometer alone for 3 months. Primary outcome was change in daily step count. Secondary outcomes included 6MWT distance, HRQL, dyspnea, depression, COPD knowledge, exercise self-efficacy, social support, motivation, and confidence to exercise. Generalized linear mixed-effects models evaluated the effect of the pedometer plus website compared to pedometer alone.

resultsData from 109 subjects (98.5% male, mean age 68.6 ± 8.3 years) were analyzed. At 13 weeks, subjects in the pedometer plus website group had significant increases daily step count from baseline relative to the pedometer alone group (804 ± 356.5 steps per day, p = 0.02). The pedometer plus website group had significant improvements in daily step count from baseline beginning in week 3 which were sustained until week 13. In subgroup analyses, the pedometer plus website attenuated declines in daily step count during the transition from summer to fall. No significant differences in secondary outcomes were noted between groups.

conclusionsA website added to pedometer use improves daily step counts, sustains walking over 3 months, and attenuates declines in physical activity due to season.

Indexed as

ActigraphyAgedBostonDelivery of Health CareDepressionDyspneaExerciseFemaleHumansInternetMaleMiddle AgedMotivationPulmonary Disease, Chronic ObstructiveQuality of LifeSeasonsCOPDPhysical activityRandomized trialRehabilitationSeason

Identifiers

PMID29206627
PMCPMC5718161

What OpenQuestion holds

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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.