Evidence map›Paper›PMID 33878341›Full record

Trial reportChest2021

A Mobile Health Intervention to Increase Physical Activity in Pulmonary Arterial Hypertension.

Anna R Hemnes, Luke G Silverman-Lloyd, Shi Huang, Grant MacKinnon, Jeffrey Annis, Carolyn S Whitmore, Ravinder Mallugari, Rashundra N Oggs, Rezzan Hekmat, Rongzi Shan and 5 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03069716 (A Mobile Health Intervention in Pulmonary Arterial Hypertension), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT03069716 nacompletednot on this map

A Mobile Health Intervention in Pulmonary Arterial Hypertension

TypeinterventionalSponsorVanderbilt University Medical CenterRan2017 to 2020Enrolled49ConditionsPulmonary Arterial Hypertension, Idiopathic Pulmonary Arterial Hypertension, Heritable Pulmonary Arterial Hypertension, Associated Pulmonary Arterial HypertensionArmsSmartphone Text Messaging, Fitbit Charge HR
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  9. Remote exercise assessment in pulmonary hypertension.Current opinion in pulmonary medicine · 2026
    Review
  10. Observational
  11. Review
  12. Article
  13. A bibliometric analysis and mapping of global research trends in antihypertensive medication adherence (1975-2024).The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Review
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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 4 institutions in 1 country.

Anna R HemnesDivision of Allergy Pulmonary and Critical Care Medicine, Vanderbilt University Medical Center, Nashville, TN.
Luke G Silverman-LloydUniversity of California, San Francisco School of Medicine, San Francisco, CA.
Shi HuangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.
Grant MacKinnonVanderbilt University School of Medicine, Nashville, TN.
Jeffrey AnnisDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN.
Carolyn S WhitmoreDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN.
Ravinder MallugariDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN.
Rashundra N OggsDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN.
Rezzan HekmatDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN.
Rongzi ShanDivision of Cardiology and Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins Hospital, Baltimore, MD.
Pauline P HuynhDivision of Cardiology and Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins Hospital, Baltimore, MD.
Chang YuDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN.
Seth S MartinDivision of Cardiology and Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins Hospital, Baltimore, MD.
Michael J BlahaDivision of Cardiology and Ciccarone Center for the Prevention of Cardiovascular Disease, Johns Hopkins Hospital, Baltimore, MD.
Evan L BrittainDivision of Cardiovascular Medicine and Vanderbilt Translational and Clinical Cardiovascular Research Center, Nashville, TN. Electronic address: evan.brittain@vumc.org.
Johns Hopkins Hospital · USVanderbilt University Medical Center · USUniversity of California, San Francisco · USVanderbilt University · US

Funding

A Mobile Health Intervention in Pulmonary Arterial HypertensionR34HL136989 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BRITTAIN, EVAN L · 2017 to 2019
$719k
NHLBI NIH HHS R34 HL136989
6 · The paper itself

Abstract

backgroundSupervised exercise training improves outcomes in patients with pulmonary arterial hypertension (PAH). The effect of an unsupervised activity intervention has not been tested. RESEARCH QUESTION: Can a text-based mobile health intervention increase step counts in patients with PAH? STUDY DESIGN AND

methodsWe performed a randomized, parallel arm, single-blind clinical trial. We randomized patients to usual care or a text message-based intervention for 12 weeks. The intervention arm received three automated text messages per day with real-time step count updates and encouraging messages rooted in behavioral change theory. Individual step targets increased by 20% every 4 weeks. The primary end point was mean week 12 step counts. Secondary end points included the 6-min walk test, quality of life, right ventricular function, and body composition.

resultsAmong 42 randomized participants, the change in raw steps between baseline and week 12 was higher in the intervention group (1,409 steps [interquartile range, -32 to 2,220] vs -149 steps [interquartile range, -1,010 to 735]; P = .02), which persisted after adjustment for age, sex, baseline step counts, and functional class (model estimated difference, 1,250 steps; P = .03). The intervention arm took a higher average number of steps on all days between days 9 and 84 (P < .05, all days). There was no difference in week 12 six-minute walk distance. Analysis of secondary end points suggested improvements in the emPHasis-10 score (adjusted change, -4.2; P = .046), a reduction in visceral fat volume (adjusted change, -170 mL; P = .023), and nearly significant improvement in tricuspid annular plane systolic excursion (model estimated difference, 1.2 mm; P = .051).

interpretationThis study demonstrated the feasibility of an automated text message-based intervention to increase physical activity in patients with PAH. Additional studies are warranted to examine the effect of the intervention on clinical outcomes. CLINICAL

trial registrationClinicalTrials.gov; No. NCT03069716; URL: www.clinicaltrials.gov.

Indexed as

Pulmonary Arterial HypertensionQuality of LifeRemote Sensing TechnologyTelemedicineVentricular Function, RightEchocardiographyExerciseFemaleHumansIntra-Abdominal FatMaleMiddle AgedOrgan SizeOutcome and Process Assessment, Health CareSingle-Blind MethodText Messagingclinical trialexercisemobile health technologypulmonary arterial hypertension

Identifiers

PMID33878341
PMCPMC8449004
OpenAlexW3152773939

What OpenQuestion holds

Textmetadata
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.