Evidence map›Paper›PMID 29718931›Full record

Trial reportPloS one2018

The effect of automated text messaging and goal setting on pedometer adherence and physical activity in patients with diabetes: A randomized controlled trial.

Linnea A Polgreen, Christopher Anthony, Lucas Carr, Jacob E Simmering, Nicholas J Evans, Eric D Foster, Alberto M Segre, James F Cremer, Philip M Polgreen

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
5.3field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. The Impact of Physical Activity in Patients With Type 2 Diabetes.American journal of lifestyle medicine · 2025
    Review
  13. Article
  14. Article
  15. Usefulness of wearable fitness tracking devices in patients undergoing esophagectomy.Esophagus : official journal of the Japan Esophageal Society · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors at 2 institutions in 1 country.

Linnea A PolgreenDepartment of Pharmacy Practice and Science, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-3926-5933
Christopher AnthonyDepartment of Orthopedic Surgery, University of Iowa, Iowa City, Iowa, United States of America.
Lucas CarrDepartment of Health and Human Physiology, University of Iowa, Iowa City, Iowa, United States of America.
Jacob E SimmeringSignal Center for Healthcare Innovation, University of Iowa Health Systems, Iowa City, Iowa, United States of America.
Nicholas J EvansDepartment of Health and Human Physiology, University of Iowa, Iowa City, Iowa, United States of America.
Eric D FosterDepartment of Biostatistics, University of Iowa, Iowa City, Iowa, United States of America.
Alberto M SegreDepartment of Computer Science, University of Iowa, Iowa City, Iowa, United States of America.
James F CremerDepartment of Computer Science, University of Iowa, Iowa City, Iowa, United States of America.
Philip M PolgreenSignal Center for Healthcare Innovation, University of Iowa Health Systems, Iowa City, Iowa, United States of America.
University of Iowa · USUnityPoint Health · US

Funding

Observational data and treatment effectiveness: which methods work best?K25HL122305 · NHLBI · UNIVERSITY OF IOWA · PI POLGREEN, LINNEA ANN · 2015 to 2018
$588k
An mHealth Intervention to Increase Activity Among Patients at Risk for Type 2 DiabetesR21DK108019 · NIDDK · UNIVERSITY OF IOWA · PI POLGREEN, PHILIP M., SEGRE, ALBERTO MARIA · 2016 to 2017
$419k
NHLBI NIH HHS K25 HL122305NIDDK NIH HHS R21 DK108019NIH HHS 5R21DK108019NIH HHS K25 HL122405
6 · The paper itself

Abstract

introductionActivity-monitoring devices may increase activity, but their effectiveness in sedentary, diseased, and less-motivated populations is unknown.

methodsSubjects with diabetes or pre-diabetes were given a Fitbit and randomized into three groups: Fitbit only, Fitbit with reminders, and Fitbit with both reminders and goal setting. Subjects in the reminders group were sent text-message reminders to wear their Fitbit. The goal-setting group was sent a daily text message asking for a step goal. All subjects had three in-person visits (baseline, 3 and 6 months). We modelled daily steps and goal setting using linear mixed-effects models.

results138 subjects participated with 48 in the Fitbit-only, 44 in the reminders, and 46 in the goal-setting groups. Daily steps decreased for all groups during the study. Average daily steps were 7123, 6906, and 6854 for the Fitbit-only, the goal-setting, and the reminders groups, respectively. The reminders group was 17.2 percentage points more likely to wear their Fitbit than the Fitbit-only group. Setting a goal was associated with a significant increase of 791 daily steps, but setting more goals did not lead to step increases.

conclusionIn a population of patients with diabetes or pre-diabetes, individualized reminders to wear their Fitbit and elicit personal step goals did not lead to increases in daily steps, although daily steps were higher on days when goals were set. Our intervention improved engagement and data collection, important goals for activity surveillance. This study demonstrates that new, more-effective interventions for increasing activity in patients with pre-diabetes and diabetes are needed.

Indexed as

GoalsText MessagingAdultAutomationDiabetes Mellitus, Type 2FemaleHumansMalePatient ComplianceWalking

Identifiers

PMID29718931
PMCPMC5931450
OpenAlexW2802588208

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.