Evidence map›Paper›PMID 29712630›Full record

Trial reportJournal of medical Internet research2018

Efficacy of a Community-Based Technology-Enabled Physical Activity Counseling Program for People With Knee Osteoarthritis: Proof-of-Concept Study.

Linda C Li, Eric C Sayre, Hui Xie, Ryan S Falck, John R Best, Teresa Liu-Ambrose, Navi Grewal, Alison M Hoens, Greg Noonan, Lynne M Feehan

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of medical Internet research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 9 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT02315664 nacompletednot on this map

Improving Physical Activity Using an Online Monitoring Tool: a New Model of Care for Knee Osteoarthritis

TypeinterventionalSponsorUniversity of British ColumbiaRan2015 to 2017Enrolled61ConditionsKnee Osteoarthritis, Joint DiseasesArmsEducation session, Fitbit Flex, and remote coaching by a PT, Same intervention with a 2 month delay
NCT04956393 nacompletednot on this mapstarted 2021, after this paper: background citation

Proof-of-Concept of the SOAR (Stop OsteoARthritis) Program: A Randomized Delayed-Control Trial

TypeinterventionalSponsorUniversity of British ColumbiaRan2021 to 2023Enrolled58ConditionsArthritis, Osteoarthritis, Arthritis Knee, Osteo Arthritis KneeArmsImmediate 8-Week SOAR Program, Delayed 8-Week SOAR Program
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 9 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Linda C LiDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6280-0511
Eric C SayreArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0002-4526-278X
Hui XieArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0003-0526-9204
Ryan S FalckDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-4224-3871
John R BestDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-5775-7053
Teresa Liu-AmbroseDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-8297-5308
Navi GrewalArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0002-5718-8804
Alison M HoensDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-9533-9079
Greg NoonanMary Pack Arthritis Program, Vancouver General Hospital, Vancouver, BC, Canada.ORCID 0000-0001-9266-6253
Lynne M FeehanDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-5758-4241
University of British Columbia · CAResearch Canada · CASimon Fraser University · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent practice guidelines emphasize the use of physical activity as the first-line treatment of knee osteoarthritis; however, up to 90% of people with osteoarthritis are inactive.

objectiveWe aimed to assess the efficacy of a technology-enabled counseling intervention for improving physical activity in people with either a physician-confirmed diagnosis of knee osteoarthritis or having passed two validated criteria for early osteoarthritis.

methodsWe conducted a proof-of-concept randomized controlled trial. The immediate group received a brief education session by a physical therapist, a Fitbit Flex, and four biweekly phone calls for activity counseling. The delayed group received the same intervention 2 months later. Participants were assessed at baseline (T0) and at the end of 2 months (T1), 4 months (T2), and 6 months (T3). Outcomes included (1) mean time on moderate-to-vigorous physical activity (MVPA ≥3 metabolic equivalents [METs], primary outcome), (2) mean time on MVPA ≥4 METs, (3) mean daily steps, (4) mean time on sedentary activities, (5) Knee Injury and Osteoarthritis Outcome Score (KOOS), and (6) Partners in Health scale. Mixed-effects repeated measures analysis of variance was used to assess five planned contrasts of changes in outcome measures over measurement periods. The five contrasts were (1) immediate T1-T0 vs delayed T1-T0, (2) delayed T2-T1 vs delayed T1-T0, (3) mean of contrast 1 and contrast 2, (4) immediate T1-T0 vs delayed T2-T1, and (5) mean of immediate T2-T1 and delayed T3-T2. The first three contrasts estimate the between-group effects. The latter two contrasts estimate the effect of the 2-month intervention delay on outcomes.

resultsWe recruited 61 participants (immediate: n=30; delayed: n=31). Both groups were similar in age (immediate: mean 61.3, SD 9.4 years; delayed: mean 62.1, SD 8.5 years) and body mass index (immediate: mean 29.2, SD 5.5 kg/m

conclusionsOur counseling program improved MVPA ≥3 METs, daily steps, activity of daily living, and quality of life in people with knee osteoarthritis. These findings are important because an active lifestyle is an important component of successful self-management.

trial registrationClinicalTrials.gov NCT02315664; https://clinicaltrials.gov/ct2/show/NCT02315664 (Archived by WebCite at http://www.webcitation.org/6ynSgUyUC).

Indexed as

CounselingExerciseFemaleHumansMaleMiddle AgedOsteoarthritis, KneeProof of Concept StudyQuality of LifeeHealthgoal settingosteoarthritisphysical activityphysiotherapywearables

Identifiers

PMID29712630
PMCPMC5952118
OpenAlexW2800058553

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.