Evidence map›Paper›PMID 31509196›Full record

Trial reportPain medicine (Malden, Mass.)2020

Acceptability and Effects of Commercially Available Activity Trackers for Chronic Pain Management Among Older African American Adults.

Mary R Janevic, Varick Shute, Susan L Murphy, John D Piette

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  13. Physical activity monitoring-based interventions in geriatric patients: a scoping review on intervention components and clinical applicability.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2023
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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

4 authors.

Mary R JanevicDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Varick ShuteDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan.
Susan L MurphyPhysical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, Michigan.
John D PietteAnn Arbor VA Center for Clinical Management Research and Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.

Funding

Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Michigan Center for Urban African American Aging Research - RESEARCH CORE (REC)P30AG015281 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Briana Mezuk · 1997 to 2026
$19.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
A low-intensity, cognitive-behavioral self-management intervention for chronic musculoskeletal pain in older adultsK01AG050706 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JANEVIC, MARY ROSE · 2016 to 2020
$580k
NIA NIH HHS K01 AG050706NIA NIH HHS P30 AG015281NIA NIH HHS P30 AG024824NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundWearable activity trackers may facilitate walking for chronic pain management.

objectiveWe assessed the acceptability of a commercially available tracker and three alternative modes of reporting daily steps among older adults in a low-income, urban community. We examined whether using the tracker (Fitbit ZipTM) was associated with improvements in functioning and activity.

designRandomized controlled pilot and feasibility trial. SUBJECTS: Fifty-one African American adults in Detroit, Michigan, aged 60 to 85 years, with chronic musculoskeletal pain (28 in the intervention group, 23 controls).

methodsParticipants completed telephone surveys at baseline and eight weeks. Intervention participants wore trackers for six weeks, alternately reporting daily step counts via text messages, automated telephone calls, and syncing (two weeks each). We used multimethods to assess satisfaction with trackers and reporting modalities. Adherence was indicated by the proportion of expected days on which valid step counts were reported. We assessed changes in pain interference, physical function, social participation, walking frequency, and walking duration.

resultsMore than 90% of participants rated trackers as easy to use, but some had technical or dexterity-related difficulties. Text reporting yielded 79% reporting adherence vs 69% each for automated calls and syncing. Intervention participants did not show greater improvement in functioning or walking than controls.

conclusionsWith appropriate support, wearable activity trackers and mHealth reporting for chronic pain self-care are feasible for use by vulnerable older adults. Future research should test whether the effects of trackers on pain-related outcomes can be enhanced by incorporating behavior change strategies and training in evidence-based cognitive-behavioral techniques.

Indexed as

Fitness TrackersPatient Acceptance of Health CarePatient ComplianceAgedAged, 80 and overBlack or African AmericanChronic PainFeasibility StudiesFemaleHumansMaleMiddle AgedMobile ApplicationsPain ManagementPilot ProjectsPovertyAfrican AmericansChronic PainmHealthOlder AdultsPhysical Activity

Identifiers

PMID31509196
PMCPMC7049259

What OpenQuestion holds

Textmetadata
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.