Evidence map›Paper›PMID 33913819›Full record

ArticleJMIR research protocols2021

Development of a Novel Intervention (Mindful Steps) to Promote Long-Term Walking Behavior in Chronic Cardiopulmonary Disease: Protocol for a Randomized Controlled Trial.

Daniel Litrownik, Elizabeth A Gilliam, Peter M Wayne, Caroline R Richardson, Reema Kadri, Pamela M Rist, Marilyn L Moy, Gloria Y Yeh

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03003780 (Mindful Steps), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 37% 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.

NCT03003780 nacompletednot on this map

Mindful Steps: Coupling Technology and Mind-Body Exercise to Facilitate Physical Activity in Patients With Cardiopulmonary Disease

TypeinterventionalSponsorBeth Israel Deaconess Medical CenterRan2019 to 2021Enrolled42ConditionsCopd, Heart FailureArmsMindful Steps
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. The Science of Tai Chi andJournal of integrative and complementary medicine · 2025
    Review
  3. Review
  4. Article
  5. Day-night patterns in heart rate variability and complexity: differences with age and cardiopulmonary disease.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  6. Article
  7. Article
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 at 4 institutions in 1 country.

Daniel LitrownikDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0002-5352-0224
Elizabeth A GilliamDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0003-4265-0979
Peter M WayneOsher Center for Integrative Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0002-7561-3560
Caroline R RichardsonDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0002-1945-6046
Reema KadriDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, United States.ORCID https://orcid.org/0000-0003-0935-3761
Pamela M RistOsher Center for Integrative Medicine, Harvard Medical School and Brigham and Women's Hospital, Boston, MA, United States.ORCID https://orcid.org/0000-0003-3543-045X
Marilyn L MoyPulmonary and Critical Care Section, Department of Medicine, Veterans Administration Boston Healthcare System, Boston, MA, United States.ORCID https://orcid.org/0000-0002-2471-9218
Gloria Y YehDivision of General Medicine, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, United States.ORCID https://orcid.org/0000-0002-6043-5722
Brigham and Women's Hospital · USBeth Israel Deaconess Medical Center · USUniversity of Michigan · USVA Boston Healthcare System · US

Funding

Mentoring and Patient-Oriented Research in Mind-Body ExerciseK24AT009465 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI GLORIA Y YEH · 2017 to 2026
$1.3M
Effects of Vitamin D and Omega-3 on Cerebrovascular DiseaseK01HL128791 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI RIST, PAMELA M. · 2016 to 2020
$858k
Mentoring and research in mind-body and integrative therapiesK24AT009282 · NCCIH · BRIGHAM AND WOMEN'S HOSPITAL · PI WAYNE, PETER MICHAEL · 2017 to 2021
$834k
Coupling Technology with Mind-Body Exercise to Facilitate Physical Activity in Patients with Chronic Cardiopulmonary DiseaseR34AT009354 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI YEH, GLORIA Y · 2017 to 2019
$754k
NCCIH NIH HHS K24 AT009282NCCIH NIH HHS K24 AT009465NCCIH NIH HHS R34 AT009354NHLBI NIH HHS K01 HL128791
6 · The paper itself

Abstract

backgroundDespite current rehabilitation programs, long-term engagement in physical activity remains a significant challenge for patients with chronic obstructive pulmonary disease (COPD) and heart failure (HF). Novel strategies to promote physical activity in these populations are greatly needed. Emerging literature on the benefits of both mind-body interventions and web-based interventions provide the rationale for the development of the Mindful Steps intervention for increasing walking behavior.

objectiveThis study aims to develop a novel multimodal mind-body exercise intervention through adaptation of an existing web-based physical activity intervention and incorporation of mind-body exercise, and to pilot test the delivery of the new intervention, Mindful Steps, in a randomized controlled feasibility trial in older adults with COPD and/or HF.

methodsIn phase 1, guided by a theoretical conceptual model and review of the literature on facilitators and barriers of physical activity in COPD and HF, we convened an expert panel of researchers, mind-body practitioners, and clinicians to inform development of the novel, multimodal intervention. In phase 2, we are conducting a pilot randomized controlled feasibility trial of the Mindful Steps intervention that includes in-person mind-body exercise classes, an educational website, online mind-body videos, and a pedometer with step-count feedback and goals to increase walking behavior in patients with COPD and/or HF. Outcomes include feasibility measures as well as patient-centered measures.

resultsThe study is currently ongoing. Phase 1 intervention development was completed in March 2019, and phase 2 data collection began in April 2019.

conclusionsThrough the integration of components from a web-based physical activity intervention and mind-body exercise, we created a novel, multimodal program to impact long-term physical activity engagement for individuals with COPD and HF. This developmental work and pilot study will provide valuable information needed to design a future clinical trial assessing efficacy of this multimodal approach.

trial registrationClinicalTrials.gov NCT03003780; https://clinicaltrials.gov/ct2/show/NCT03003780. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/27826.

Indexed as

behavior changeCOPDheart failureinternet-mediated interventionmind–body exercisephysical activity

Identifiers

PMID33913819
PMCPMC8120426
OpenAlexW3130634950

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.