Evidence map›Paper›PMID 32618578›Full record

Trial reportJMIR mHealth and uHealth2020

Effects of a 12-Week Multifaceted Wearable-Based Program for People With Knee Osteoarthritis: Randomized Controlled Trial.

Linda C Li, Lynne M Feehan, Hui Xie, Na Lu, Christopher D Shaw, Diane Gromala, Siyi Zhu, J Antonio Aviña-Zubieta, Alison M Hoens, Cheryl Koehn and 5 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02585323 (Supporting Physical Activity and Reducing Sedentary Behavior in Arthritis), which is not on this map. Cited by 37 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 18 pooled it
6.0field-weighted citation impact, top 3% 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.

NCT02585323 nacompletednot on this map

Supporting Physical Activity and Reducing Sedentary Behavior in Arthritis

TypeinterventionalSponsorUniversity of British ColumbiaRan2017 to 2019Enrolled51ConditionsJoint Diseases, Knee OsteoarthritisArmsEducation session, Fitbit/FitViz, PT counselling, Same intervention with a 3 month delay
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 18 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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  10. Exercise for osteoarthritis of the knee.The Cochrane database of systematic reviews · 2024
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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

15 authors at 7 institutions in 3 countries.

Linda C LiDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6280-0511
Lynne M FeehanDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-5758-4241
Hui XieArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0003-0526-9204
Na LuArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0003-1075-5573
Christopher D ShawSchool of Interactive Art & Technology, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0002-6940-7971
Diane GromalaSchool of Interactive Art & Technology, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0002-7737-9173
Siyi ZhuArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0001-8213-7622
J Antonio Aviña-ZubietaArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0001-5526-663X
Alison M HoensDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-9533-9079
Cheryl KoehnArthritis Consumer Experts, Vancouver, BC, Canada.ORCID 0000-0001-8952-6292
Johnathan TamArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0001-5469-9126
Stephanie TherrienArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0002-9242-7559
Anne F TownsendDivision of Health Research, Faculty of Health & Medicine, Lancaster University, Lancashire, United Kingdom.ORCID 0000-0001-8114-752X
Gregory NoonanMary Pack Arthritis Program, Vancouver General Hospital, Vancouver, BC, Canada.ORCID 0000-0001-9266-6253
Catherine L BackmanArthritis Research Canada, Richmond, BC, Canada.ORCID 0000-0003-4190-7947
University of British Columbia · CAResearch Canada · CASimon Fraser University · CAArthritis Research Centre of Canada · CASichuan University · CNUniversity of Lancashire · GBVancouver General Hospital · CA

Funding

CIHR KAL-135772CIHR THC-135235
6 · The paper itself

Abstract

backgroundCurrent guidelines emphasize an active lifestyle in the management of knee osteoarthritis (OA), but up to 90% of patients with OA are inactive. In a previous study, we demonstrated that an 8-week physiotherapist (PT)-led counseling intervention, with the use of a Fitbit, improved step count and quality of life in patients with knee OA, compared with a control.

objectiveThis study aimed to examine the effect of a 12-week, multifaceted wearable-based program on physical activity and patient outcomes in patients with knee OA.

methodsThis was a randomized controlled trial with a delay-control design. The immediate group (IG) received group education, a Fitbit, access to FitViz (a Fitbit-compatible app), and 4 biweekly phone calls from a PT over 8 weeks. Participants then continued using Fitbit and FitViz independently up to week 12. The delay group (DG) received a monthly electronic newsletter in weeks 1 to 12 and started the same intervention in week 14. Participants were assessed in weeks 13, 26, and 39. The primary outcome was time spent in daily moderate-to-vigorous physical activity (MVPA; in bouts ≥10 min) measured with a SenseWear Mini. Secondary outcomes included daily steps, time spent in purposeful activity and sedentary behavior, Knee Injury and OA Outcome Score, Patient Health Questionnaire-9, Partners in Health Scale, Theory of Planned Behavior Questionnaire, and Self-Reported Habit Index.

resultsWe enrolled 51 participants (IG: n=26 and DG: n=25). Compared with the IG, the DG accumulated significantly more MVPA time at baseline. The adjusted mean difference in MVPA was 13.1 min per day (95% CI 1.6 to 24.5). A significant effect was also found in the adjusted mean difference in perceived sitting habit at work (0.7; 95% CI 0.2 to 1.2) and during leisure activities (0.7; 95% CI 0.2 to 1.2). No significant effect was found in the remaining secondary outcomes.

conclusionsA 12-week multifaceted program with the use of a wearable device, an app, and PT counseling improved physical activity in people with knee OA.

trial registrationClinicalTrials.gov NCT02585323; https://clinicaltrials.gov/ct2/show/NCT02585323.

Indexed as

Fitness TrackersOsteoarthritis, KneeAgedCanadaExerciseFemaleHumansMaleMiddle AgedQuality of Lifecounselingknee osteoarthritisphysical activityphysiotherapywearables

Identifiers

PMID32618578
PMCPMC7367519
OpenAlexW3039158816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.