Evidence map›Paper›PMID 32416715›Full record

ArticleBMC musculoskeletal disorders2020

Osteoarthritis physical activity care pathway (OA-PCP): results of a feasibility trial.

Kelli Allen, Maihan B Vu, Leigh F Callahan, Rebecca J Cleveland, Abigail L Gilbert, Yvonne M Golightly, Ida Griesemer, Kimberlea Grimm, Derek P Hales, David G Hu and 6 more

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

Article in BMC musculoskeletal disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03780400 (Physical Activity Pathway for Patients With Osteoarthritis in Primary Care), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT03780400 nacompletednot on this map

Physical Activity Pathway for Patients With Osteoarthritis in Primary Care

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2019 to 2019Enrolled60ConditionsOsteoarthritisArmsOsteoarthritis Physical Activity Care Pathway
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

16 authors.

Kelli AllenDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA. kdallen@email.unc.edu.ORCID http://orcid.org/0000-0002-3886-0677
Maihan B VuCenter for Health Promotion and Disease Prevention, University of North Carolina, 1700 M.L.K. Jr Blvd #7426, Chapel Hill, NC, USA.
Leigh F CallahanDepartments of Medicine, Orthopaedics and Social Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Rebecca J ClevelandDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Abigail L GilbertDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Yvonne M GolightlyDepartment of Epidemiology, Injury Prevention Research Center, Division of Physical Therapy and Thurston Arthritis Research Center, |University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Ida GriesemerDepartment of Health Behavior, Gillings School of Global Public Health, University of North Carolina, 170 Rosenau Hall, CB #7600, Chapel Hill, NC, USA.
Kimberlea GrimmDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Derek P HalesDepartment of Nutrition Gillings School of Global Public Health and Center for Health Promotion and Disease Prevention, University of North Carolina, 1700 M.L.K. Jr Blvd #7426, Chapel Hill, NC, USA.
David G HuDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Katie HuffmanDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Amanda E NelsonDepartment of Medicine and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, USA.
Ami PathakMedical Facilities of North Carolina, Chapel Hill, USA.
Jennifer ReesNorth Carolina Translational and Clinical Sciences Institute, School of Medicine, University of North Carolina, Brinkhous-Bullitt Building, 160 Medical Dr, Chapel Hill, NC, USA.
Zachary D RethornDepartment of Orthopedic Surgery, Duke University, 311 Trent Drive, Durham, NC, USA.
Anne E WandishinDepartment of Exercise and Sport Science and Thurston Arthritis Research Center, University of North Carolina, 3330 Thurston Bldg, CB #7280, Chapel Hill, NC, #7280, USA.

Funding

Physical Activity Pathway for Patients with Osteoarthritis in Primary CareR21AG056568 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ALLEN, KELLI D. · 2018 to 2019
$499k
NIA NIH HHS R21 AG056568NIA NIH HHS R21AG056568
6 · The paper itself

Abstract

backgroundTo obtain information on feasibility and acceptability, as well as preliminary data on efficacy, of an Osteoarthritis Physical activity Care Pathway (OA-PCP).

methodsThis was a single group pilot study involving 60 participants with symptomatic, physician diagnosed knee or hip OA, recruited from primary care clinics. Participants self-reported completing less than 150 min per week of moderate-to-vigorous physical activity (MVPA) at baseline. The 3-month OA-PCP intervention involved 3 physical activity (PA) coaching calls (focused on goal setting), three check-in emails and linkage with community-based or online resources to support PA. Efficacy outcomes were collected at baseline and 4-month follow-up. The primary efficacy outcome was minutes of MVPA, assessed via accelerometer. Secondary outcomes included minutes of light intensity activity, sedentary minutes, step counts, and Western Ontario and McMaster Universities (WOMAC) pain and function subscales. Participants were also asked to rate the helpfulness of the OA-PCP intervention on a scale of 0-10. Differences in efficacy outcomes between baseline and 4-month follow-up were assessed using paired t-tests.

resultsAmong participants beginning the study, 88% completed follow-up assessments and ≥ 90% completed each of the intervention calls. Average daily minutes of MVPA was 8.0 at baseline (standard deviation (SD) = 9.9) and 8.9 at follow-up (SD = 12.1, p = 0.515). There were no statistically significant changes in light intensity activity, sedentary time or step counts. The mean WOMAC pain score improved from 8.1 (SD = 3.6) at baseline to 6.2 (SD = 3.8) at follow-up (p < 0.001); the mean WOMAC function score improved from 26.2 (SD = 13.2) to 20.2 (SD = 12.5; p < 0.001). The mean rating of helpfulness was 7.6 (SD = 2.5).

conclusionsResults supported the feasibility and acceptability of the study, and participants reported clinically relevant improvements in pain and function. PA metrics did not improve substantially. Based on these results and participant feedback, modifications including enhanced self-monitoring are being made to increase the impact of the OA-PCP intervention on PA behavior.

trial registrationNCT03780400, December 19, 2018.

Indexed as

AgedExercise TherapyFeasibility StudiesFemaleHumansMaleNorth CarolinaOsteoarthritis, HipOsteoarthritis, KneeOutcome Assessment, Health CarePain MeasurementPilot ProjectsTelemedicineFunctionOsteoarthritisPainPhysical activity

Identifiers

PMID32416715
PMCPMC7229580

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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.