Evidence map›Paper›PMID 33247001›Full record

Trial reportBritish journal of sports medicine2021

Randomised controlled trial of an augmented exercise referral scheme using web-based behavioural support for inactive adults with chronic health conditions: the e-coachER trial.

Adrian Taylor, Rod S Taylor, Wendy Ingram, Sarah Gerard Dean, Kate Jolly, Nanette Mutrie, Jeff Lambert, Lucy Yardley, Adam Streeter, Colin Greaves and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 5 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

13 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review and narrative synthesis of physical activity referral schemes' components.The international journal of behavioral nutrition and physical activity · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. The National ReferAll Database: An Open Dataset of Exercise Referral Schemes Across the UK.International journal of environmental research and public health · 2021
    Article
  11. Article
  12. Article
  13. 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

14 authors.

Adrian TaylorPeninsula School of Medicine, Faculty of Health, University of Plymouth, Plymouth, Devon, UK adrian.taylor@plymouth.ac.uk.
Rod S TaylorInstitute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Wendy IngramPeninsula Clinical Trials Unit, University of Plymouth, Plymouth, Devon, UK.ORCID http://orcid.org/0000-0003-0182-9462
Sarah Gerard DeanUniversity of Exeter Medical School, Exeter, Devon, UK.ORCID http://orcid.org/0000-0002-3682-5149
Kate JollyPublic Health, Epidemiology and Biostatistics, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-6224-2115
Nanette MutriePhysical Activity for Health Research Centre, The University of Edinburgh, Edinburgh, UK.
Jeff LambertDepartment of Health, University of Bath, Bath, Somerset, UK.
Lucy YardleyPublic Health, Epidemiology and Biostatistics, University of Birmingham, Birmingham, UK.
Adam StreeterMedical Statistics, University of Plymouth, Plymouth, Devon, UK.ORCID http://orcid.org/0000-0001-9921-2369
Colin GreavesSchool of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, UK.
Chloe McAdamPhysical Activity for Health Research Centre, The University of Edinburgh, Edinburgh, UK.
Lisa PriceSchool of Sport and Health Sciences, University of Exeter, Exeter, Devon, UK.
Nana Kwame AnokyeDepartment of Clinical Sciences, Brunel University, Uxbridge, Middlesex, UK.
John CampbellUniversity of Exeter Medical School, Exeter, Devon, UK.

Funding

Department of Health 13/25/20Wellcome Trust
6 · The paper itself

Abstract

objectiveTo determine whether adding web-based support (e-coachER) to an exercise referral scheme (ERS) increases objectively assessed physical activity (PA).

designMulticentre trial with participants randomised to usual ERS alone (control) or usual ERS plus e-coachER (intervention).

settingPrimary care and ERS in three UK sites from 2015 to 2018.

participants450 inactive ERS referees with chronic health conditions.

interventionsParticipants received a pedometer, PA recording sheets and a user guide for the web-based support. e-coachER interactively encouraged the use of the ERS and other PA options.

main outcome measuresPrimary and key secondary outcomes were: objective moderate-to-vigorous PA (MVPA) minutes (in ≥10 min bouts and without bouts), respectively, after 12 months. Secondary outcomes were: other accelerometer-derived and self-reported PA measures, ERS attendance, EQ-5D-5L, Hospital Anxiety and Depression Scale and beliefs about PA. All outcomes were collected at baseline, 4 and 12 months. Primary analysis was an intention to treat comparison between intervention and control arms at 12-month follow-up.

resultsThere was no significant effect of the intervention on weekly MVPA at 12 months between the groups recorded in ≥10 min bouts (mean difference 11.8 min of MVPA, 95% CI: -2.1 to 26.0; p=0.10) or without bouts (mean difference 13.7 min of MVPA, 95% CI: -26.8 to 54.2; p=0.51) for 232 participants with usable data. There was no difference in the primary or secondary PA outcomes at 4 or 12 months.

conclusionAugmenting ERS referrals with web-based behavioural support had only a weak, non-significant effect on MVPA. TRIAL REGISTRATION NUMBER: ISRCTN15644451.

Indexed as

Health BehaviorSocial SupportAdolescentAdultAgedBehavior TherapyChronic DiseaseExercise TherapyFemaleHumansInternetMaleMiddle AgedReferral and ConsultationSedentary BehaviorYoung Adultaccelerometerbehaviourchronicphysical activityprimary care

Identifiers

PMID33247001
PMCPMC8020080

What OpenQuestion holds

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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.