Evidence map›Paper›PMID 30048501›Full record

SynthesisPloS one2018

Barriers and enablers to walking in individuals with intermittent claudication: A systematic review to conceptualize a relevant and patient-centered program.

Ukachukwu Abaraogu, Elochukwu Ezenwankwo, Philippa Dall, Garry Tew, Wesley Stuart, Julie Brittenden, Chris Seenan

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03204825 (Pain Management and Patient Education for Physical Activity in Intermittent Claudication), which is not on this map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 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.

NCT03204825 nacompletednot on this map

Pain Management and Patient Education for Physical Activity in Intermittent Claudication (PrEPAID): Feasibility Randomised Controlled Trial

TypeinterventionalSponsorGlasgow Caledonian UniversityRan2017 to 2020Enrolled95ConditionsPeripheral Arterial Disease, Intermittent ClaudicationArmsActive TENS, Patient-Centred Education, Placebo TENS
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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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

7 authors.

Ukachukwu AbaraoguUniversity of Nigeria Department of Medical Rehabilitation, Enugu, Nigeria.ORCID 0000-0002-1967-1459
Elochukwu EzenwankwoUniversity of Nigeria Department of Medical Rehabilitation, Enugu, Nigeria.ORCID 0000-0001-8483-9302
Philippa DallGlasgow Caledonian University School of Health and Life Sciences, Glasgow, United Kingdom.
Garry TewNorthumbria University Department of Sport, Exercise and Rehabilitation, Newcastle, United Kingdom.
Wesley StuartVascular Surgery NHS Greater Glasgow and Clyde Health Board, Glasgow, United Kingdom.
Julie BrittendenInstitute of Cardiovascular and Medical Sciences University of Glasgow, Glasgow, United Kingdom.
Chris SeenanGlasgow Caledonian University School of Health and Life Sciences, Glasgow, United Kingdom.ORCID 0000-0003-4379-7913

Funding

Chief Scientist Office TCS/16/55
6 · The paper itself

Abstract

backgroundWalking limitation in patients with peripheral arterial disease (PAD) and intermittent claudication (IC) contributes to poorer disease outcomes. Identifying and examining barriers to walking may be an important step in developing a comprehensive patient-centered self-management intervention to promote walking in this population.

aimTo systematically review the literature regarding barriers and enablers to walking exercise in individuals with IC.

methodsA systematic review was conducted utilizing integrative review methodology. Five electronic databases and the reference lists of relevant studies were searched. Findings were categorized into personal, walking activity related, and environmental barriers and enablers using a social cognitive framework.

resultsEighteen studies including quantitative (n = 12), qualitative (n = 5), and mixed method (n = 1) designs, and reporting data from a total of 4376 patients with IC, were included in the review. The most frequently reported barriers to engaging in walking were comorbid health concerns, walking induced pain, lack of knowledge (e.g. about the disease pathology and walking recommendations), and poor walking capacity. The most frequently reported enablers were cognitive coping strategies, good support systems, and receiving specific instructions to walk. Findings suggest additionally that wider behavioral and environmental obstacles should be addressed in a patient-centered self-management intervention.

conclusionsThis review has identified multidimensional factors influencing walking in patients with IC. Within the social cognitive framework, these factors fall within patient level factors (e.g. comorbid health concerns), walking related factors (e.g. claudication pain), and environmental factors (e.g. support systems). These factors are worth considering when developing self-management interventions to increase walking in patients with IC. Systematic review registration CRD42018070418.

Indexed as

Intermittent ClaudicationWalkingHumans

Identifiers

PMID30048501
PMCPMC6062088

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.