Evidence map›Paper›PMID 34318759›Full record

ArticleJMIR cancer2021

Usability, Acceptability, and Safety Analysis of a Computer-Tailored Web-Based Exercise Intervention (ExerciseGuide) for Individuals With Metastatic Prostate Cancer: Multi-Methods Laboratory-Based Study.

Holly El Evans, Cynthia C Forbes, Daniel A Galvão, Corneel Vandelanotte, Robert U Newton, Gary Wittert, Suzanne Chambers, Andrew D Vincent, Ganessan Kichenadasse, Danielle Girard and 2 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JMIR cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 21% 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.

NCT07032584 narecruitingnot on this mapstarted 2025, after this paper: background citation

Impact of Multimodal Telerehabilitation on Reducing Disparities in Rural Survivors of Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled74ConditionsProstate Cancer, Metastatic Prostate Cancer, Androgen Deprivation TherapyArmsTelerehabilitation Intervention
NCT07093177 narecruitingnot on this mapstarted 2026, after this paper: background citation

Multimodal Telerehabilitation of Rural Patients With Advanced Prostate Cancer

TypeinterventionalSponsorUniversity of UtahRan2026 to 2028Enrolled30ConditionsProstate CancerArmsTelerehabilitation Unit
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Inclusivity in prostate cancer and exercise research: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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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

12 authors at 9 institutions in 2 countries.

Holly El Evans *Freemasons Centre for Male Health & Wellbeing, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0003-4593-8839
Cynthia C ForbesWolfson Palliative Care Research Centre, Institute of Clinical and Applied Health Research, Hull York Medical School, University of Hull, Hull, United Kingdom.ORCID https://orcid.org/0000-0002-3259-1832
Daniel A GalvãoExercise Medicine Research Institute, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0002-8209-2281
Corneel VandelanottePhysical Activity Research Group, Appleton Institute, Central Queensland University, North Rockhampton, Australia.ORCID https://orcid.org/0000-0002-4445-8094
Robert U NewtonExercise Medicine Research Institute, Edith Cowan University, Joondalup, Australia.ORCID https://orcid.org/0000-0003-0302-6129
Gary WittertFreemasons Centre for Male Health & Wellbeing, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0001-6818-6065
Suzanne ChambersFaculty of Health Sciences, Australian Catholic University, Brisbane, Australia.ORCID https://orcid.org/0000-0003-2369-6111
Andrew D VincentFreemasons Centre for Male Health & Wellbeing, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0002-6428-1070
Ganessan KichenadasseCollege of Medicine and Public Health, Flinders Centre for Innovation in Cancer, Bedford Park, Australia.ORCID https://orcid.org/0000-0001-9923-5149
Danielle GirardAlliance for Research in Exercise, Nutrition and Activity, Allied Health and Human Performance, University of South Australia, Adelaide, Australia.ORCID https://orcid.org/0000-0001-7680-5604
Nicholas BrookDepartment of Surgery, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0002-8196-6944
Camille E Short *Freemasons Centre for Male Health & Wellbeing, School of Medicine, University of Adelaide, Adelaide, Australia.ORCID https://orcid.org/0000-0002-4177-4251
Freemasons Foundation Centre for Men's Health · AUEdith Cowan University · AUAustralian Catholic University · AUCentral Queensland University · AUFlinders University · AUThe University of Adelaide · AUThe University of Melbourne · AUUniversity of Hull · GBUniversity of South Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital health interventions such as tailored websites are emerging as valuable tools to provide individualized exercise and behavioral change information for individuals diagnosed with cancer.

objectiveThe aim of this study is to investigate and iteratively refine the acceptability and usability of a web-based exercise intervention (ExerciseGuide) for men with metastatic prostate cancer and determine how well individuals can replicate the video-based exercise prescription.

methodsA laboratory-based multi-methods design was used, incorporating questionnaires, think-aloud tests, interviews, and movement screening among 11 men aged 63 to 82 years with metastatic prostate cancer. Overall, 9 participants were undergoing androgen deprivation therapy, and 2 were completing chemotherapy. Data were collected in two waves, with changes made for quality improvement after participant 5.

resultsThe intervention's usability score was deemed moderate overall but improved after modifications (from 60, SD 2.9 to 69.6, SD 2.2 out of 100). Overall, the participants found the intervention acceptable, with scores improving from wave 1 (24.2, SD 1.1 out of 30) to wave 2 (26.3, SD 2.1 out of 30). The personalized multimodal exercise prescription and computer-tailored education were seen as valuable. After wave 1, website navigation videos were added, medical terminology was simplified, and a telehealth component was included after expert real-time telehealth support was requested. Wave 2 changes included the added variety for aerobic exercise modes, reduced computer-tailoring question loads, and improved consistency of style and grammar. Finally, the participants could replicate the resistance exercise videos to a satisfactory level as judged by the movement screen; however, additional technique cueing within the videos is recommended to address safety concerns.

conclusionsThe acceptability and usability of ExerciseGuide were deemed satisfactory. Various problems were identified and resolved. Notably, the participants requested the inclusion of personalized expert support through telehealth. The resistance training algorithms were shown to provide appropriate content safely, and the users could replicate the exercise technique unaided to a satisfactory level. This study has optimized the ExerciseGuide intervention for further investigation in this population.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) ACTRN12618001978257; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001978257.

Indexed as

acceptabilitybehavioral changecomputer-tailoringeHealthexercisemetastatic prostate cancerusability

Identifiers

PMID34318759
PMCPMC8367181
OpenAlexW3171625822

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.