Evidence map›Paper›PMID 34304267›Full record

SynthesisAge and ageing2022

Behaviour change interventions to increase physical activity in hospitalised patients: a systematic review, meta-analysis and meta-regression.

Nicholas F Taylor, Katherine E Harding, Amy M Dennett, Samantha Febrey, Krystal Warmoth, Abi J Hall, Luke A Prendergast, Victoria A Goodwin

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Age and ageing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 8 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

21 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  6. Behaviour change interventions to improve physical activity in adults: a systematic review of economic evaluations.The international journal of behavioral nutrition and physical activity · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Nicholas F TaylorCollege of Science, Health and Engineering, La Trobe University, Bundoora, Victoria 3086, Australia.
Katherine E HardingCollege of Science, Health and Engineering, La Trobe University, Bundoora, Victoria 3086, Australia.
Amy M DennettCollege of Science, Health and Engineering, La Trobe University, Bundoora, Victoria 3086, Australia.
Samantha FebreyCollege of Medicine and Health, University of Exeter, Exeter, EX1 2LU, UK.
Krystal WarmothNIHR ARC East of England, University of Hertfordshire, Centre for Research In Public Health And Community Care (CRIPACC), Hatfield AL10 9AB, UK.
Abi J HallCollege of Medicine and Health, University of Exeter, Exeter, EX1 2LU, UK.
Luke A PrendergastCollege of Science, Health and Engineering, La Trobe University, Bundoora, Victoria 3086, Australia.
Victoria A GoodwinCollege of Medicine and Health, University of Exeter, Exeter, EX1 2LU, UK.

Funding

Department of Health
6 · The paper itself

Abstract

backgroundLow physical activity levels are a major problem for people in hospital and are associated with adverse outcomes.

objectiveThis systematic review, meta-analysis and meta-regression aimed to determine the effect of behaviour change interventions on physical activity levels in hospitalised patients.

methodsRandomised controlled trials of behaviour change interventions to increase physical activity in hospitalised patients were selected from a database search, supplemented by reference list checking and citation tracking. Data were synthesised with random-effects meta-analyses and meta-regression analyses, applying Grades of Recommendation, Assessment, Development and Evaluation criteria. The primary outcome was objectively measured physical activity. Secondary measures were patient-related outcomes (e.g. mobility), service level outcomes (e.g. length of stay), adverse events and patient satisfaction.

resultsTwenty randomised controlled trials of behaviour change interventions involving 2,568 participants (weighted mean age 67 years) included six trials with a high risk of bias. There was moderate-certainty evidence that behaviour change interventions increased physical activity levels (SMD 0.34, 95% CI 0.14-0.55). Findings in relation to mobility and length of stay were inconclusive. Adverse events were poorly reported. Meta-regression found behaviour change techniques of goal setting (SMD 0.29, 95% CI 0.05-0.53) and feedback (excluding high risk of bias trials) (SMD 0.35, 95% CI 0.11-0.60) were independently associated with increased physical activity.

conclusionsTargeted behaviour change interventions were associated with increases in physical activity in hospitalised patients. The trials in this review were inconclusive in relation to the patient-related or health service benefits of increasing physical activity in hospital.

Indexed as

ExerciseAgedBiasHumansRandomized Controlled Trials as TopicBehaviour changeinpatientmeta-analysisolder peoplephysical activitysystematic review

Identifiers

PMID34304267
PMCPMC8753032

What OpenQuestion holds

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Registered trials

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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.