Evidence map›Paper›PMID 33386901›Full record

Trial reportRheumatology international2021

The feasibility of an exercise intervention to improve sleep (time, quality and disturbance) in people with rheumatoid arthritis: a pilot RCT.

Sean G McKenna, Alan Donnelly, Bente Appel Esbensen, Laura Comber, Wan Lin Ng, Aqeel Maqsoon Anjum, Alexander Fraser, Norelee M Kennedy

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Rheumatology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03140995 (Does Exercise Have an Impact on Sleep and Mood in People Who Have Rheumatoid Arthritis), which is not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT03140995 nacompletednot on this map

Does Exercise Have an Impact on Sleep and Mood in People Who Have Rheumatoid Arthritis: a Pilot Randomised Controlled Trial

TypeinterventionalSponsorUniversity Hospital of LimerickRan2017 to 2018Enrolled20ConditionsRheumatoid Arthritis, Inflammatory ArthritisArmsWalking Programme
3 · Its place in the literature

Who cites it

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

  1. Effects of different types of exercise on sleep quality based on Pittsburgh Sleep Quality Index in middle-aged and older adults: a network meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 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

8 authors.

Sean G McKennaDiscipline of Physiotherapy, School of Allied Health, University of Limerick, Limerick, Ireland. seangmck@hotmail.com.ORCID http://orcid.org/0000-0003-4707-6654
Alan DonnellyDepartment of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland.
Bente Appel EsbensenCopenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Center for Head and Orthopaedics, , Rigshospitalet, Copenhagen, Denmark.
Laura ComberDiscipline of Physiotherapy, School of Allied Health, University of Limerick, Limerick, Ireland.
Wan Lin NgDepartment of Rheumatology, University Hospitals Group Limerick, Limerick, Ireland.
Aqeel Maqsoon AnjumDepartment of Rheumatology, University Hospitals Group Limerick, Limerick, Ireland.
Alexander FraserDepartment of Rheumatology, University Hospitals Group Limerick, Limerick, Ireland.
Norelee M KennedyDiscipline of Physiotherapy, School of Allied Health, University of Limerick, Limerick, Ireland.

Funding

Irish Research Council for the Humanities and Social Sciences GOIPG/2016/58
6 · The paper itself

Abstract

Current rheumatology guidelines recommend exercise as a key component in the management of people with RA, however, what is lacking is evidence on its impact on sleep. Objective is to assess the feasibility of a walking-based intervention on TST, sleep quality, and sleep disturbance and to generate potential effect size estimates for a main trial. Participants were recruited at weekly rheumatology clinics and through social media. Patients with RA were randomized to a walking-based intervention consisting of 28 sessions, spread over 8 weeks (2-5 times/week), with 1 per week being supervised by a physiotherapist, or to a control group who received verbal and written advice on the benefits of exercise. Primary outcomes were recruitment, retention, protocol adherence and participant experience. The study protocol was published and registered in ClinicalTrials.gov NCT03140995. One hundred and one (101) people were identified through clinics, 36 through social media. Of these, 24 met the eligibility criteria, with 20 randomized (18% recruitment; 100% female; mean age 57 (SD 7.3 years). Ten intervention participants (100%) and eight control participants (80%) completed final assessments, with both groups equivalent for all variables at baseline. Participants in the intervention group completed 87.5% of supervised sessions and 93% of unsupervised sessions. No serious adverse events were related to the intervention. Pittsburgh Sleep Quality Index global score showed a significant mean improvement between the exercise group-6.6 (SD 3.3) compared to the control group-0.25 (SD 1.1) (p = 0.012); Intervention was feasible, safe and highly acceptable to study participants, with those participants in the exercise group reporting improvements in sleep duration and sleep quality compared to the control group. Based on these findings, a fully powered randomized trial is recommended. Trial registration number: ClinicalTrials.gov Identifier: NCT03140995 (April 25th, 2017).

Indexed as

AgedArthritis, RheumatoidExercise TherapyFeasibility StudiesFemaleHumansMiddle AgedPilot ProjectsSingle-Blind MethodSleep Wake DisordersWalkingAccelerometerInflammatory arthritisPhysical activitySleep durationSleep quality

Identifiers

What OpenQuestion holds

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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.