Evidence map›Paper›PMID 29746823›Full record

Trial reportArchives of physical medicine and rehabilitation2018

Behavior-Change Intervention Targeting Physical Function, Walking, and Disability After Dysvascular Amputation: A Randomized Controlled Pilot Trial.

Cory L Christiansen, Matthew J Miller, Amanda M Murray, Ryan O Stephenson, Jennifer E Stevens-Lapsley, William R Hiatt, Margaret L Schenkman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 7 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.

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

24 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Technology for monitoring everyday prosthesis use: a systematic review.Journal of neuroengineering and rehabilitation · 2020
    Pooled it
  7. Pooled it
  8. Trial
  9. Recovery After Nontraumatic Lower Limb Amputation: A Scoping Review of Longitudinal Research Studies.Archives of rehabilitation research and clinical translation · 2026
    Review
  10. Article
  11. Article
  12. Commentary on Marzolini et al.Physiotherapy Canada. Physiotherapie Canada · 2024
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. COVID-19: A catalyst for change in virtual health care utilization for persons with limb loss.PM & R : the journal of injury, function, and rehabilitation · 2021
    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

7 authors.

Cory L ChristiansenDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, Colorado; Department of Geriatrics, Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, Colorado. Electronic address: cory.christiansen@ucdenver.edu.
Matthew J MillerDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, Colorado; Department of Geriatrics, Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, Colorado.
Amanda M MurraySchool of Exercise and Rehabilitation Sciences, Doctor of Physical Therapy Program, School of Exercise & Rehabilitation Sciences, University of Toledo, Toledo, Ohio.
Ryan O StephensonDepartment of Physical Medicine and Rehabilitation, University of Colorado, Aurora, Colorado; Department of Physical Medicine and Rehabilitation, VA Eastern Colorado Healthcare System, Denver, Colorado.
Jennifer E Stevens-LapsleyDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, Colorado; Department of Geriatrics, Geriatric Research Education and Clinical Center, VA Eastern Colorado Healthcare System, Denver, Colorado.
William R HiattDepartment of Medicine, Division of Cardiology, University of Colorado School of Medicine and CPC Clinical Research, Aurora, Colorado, the United States of America.
Margaret L SchenkmanDepartment of Physical Medicine and Rehabilitation, Physical Therapy Program, University of Colorado, Aurora, Colorado.

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
NCATS NIH HHS UL1 TR001082NCATS NIH HHS UL1 TR002535NICHD NIH HHS K12 HD055931
6 · The paper itself

Abstract

objectiveTo determine preliminary efficacy of a home-based behavior-change intervention designed to promote exercise, walking activity, and disease self-management.

designA single-blind, randomized controlled pilot trial.

settingOne Veterans Administration and 2 regional medical centers.

participantsA total of 38 participants randomized to behavior-change intervention (n=19) or attention control (CTL; n=19) group.

interventionsWeekly 30-minute telephone sessions for 12 weeks with intervention group sessions focused on health behavior change and CTL group sessions focused on health status monitoring.

main outcome measuresPhysical function, walking activity (steps/d averaged over 10d), and disability were measured at baseline, 12 weeks (intervention end), and 24 weeks after baseline with the Timed Up and Go (TUG) test as the primary outcome measure.

resultsThe TUG test was not changed from baseline in either group and was not different between groups after 12 or 24 weeks. Several exploratory outcomes were assessed, including daily step count, which increased 1135 steps per day in the intervention group compared to 144 steps per day in the CTL group after 12 weeks (P=.03). Only the intervention group had within-group increase in steps per day from baseline to 12 (P<.001) and 24 (P=.03) weeks and spent significantly less time in sedentary activity (4.8% decrease) than the CTL group (0.2% decrease) at 24 weeks (P=.04). There were no other between-group differences in physical function or disability change over time.

conclusionThe behavior-change intervention demonstrates promise for increasing walking activity for people with dysvascular transtibial amputation (TTA). The efficacy of implementing such intervention in the scope of conventional TTA rehabilitation should be further studied.

Indexed as

Health BehaviorAgedAmputation, SurgicalAmputeesBehavior TherapyDisability EvaluationExerciseFemaleHumansMaleMiddle AgedPilot ProjectsPostoperative PeriodSelf-ManagementSingle-Blind MethodTreatment OutcomeAmputationExerciseRehabilitationWalking

Identifiers

PMID29746823
PMCPMC6215727

What OpenQuestion holds

Textmetadata
LicenceTDM
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.