Evidence map›Paper›PMID 35910893›Full record

Trial reportFrontiers in public health2022

Feasibility and Potential Effectiveness of a Smartphone Zero-Time Exercise Intervention for Promoting Physical Activity and Fitness in Patients With Coronary Heart Disease: A Pilot Randomized Controlled Trial.

Noel P T Chan, Agnes Y K Lai, Hau K Choy, Derek Y T Cheung, Alice N T Wan, Victor Y H Cheng, Ka Y Chan, Yuk K Lau, Chi Y Yung, George O C Cheung and 1 more

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

Trial report in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03464331 (Effectiveness of a Smartphone App in Promoting Zero-time Exercise and Fitness in Patients With Coronary Heart Disease), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 17% 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.

NCT03464331 naunknown statusnot on this map

Effectiveness of a Smartphone App in Promoting Zero-time Exercise and Fitness in Patients With Coronary Heart Disease: a Pilot Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2016 to 2018Enrolled100ConditionsExercise AdherenceArmsZero-time exercises, relaxation exercises and deep-breathing exercises
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Noel P T ChanSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Agnes Y K LaiSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Hau K ChoyFaculty of Medicine, Poznon University of Medical Sciences, Poznan, Poland.
Derek Y T CheungSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Alice N T WanSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
Victor Y H ChengDivision of Cardiology, Department of Medicine and Geriatrics, Pok Oi Hospital, New Territories, Hong Kong SAR, China.
Ka Y ChanIntensive Care Unit, Hong Kong Sanatorium Hospital, Happy Valley, Hong Kong SAR, China.
Yuk K LauPrivate Practice, Hong Kong, Hong Kong SAR, China.
Chi Y YungDivision of Cardiology, Department of Medicine, Ruttonjee and Tang Shiu Kin Hospitals, Wan Chai, Hong Kong SAR, China.
George O C CheungSchool of Nursing, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
T H LamSchool of Public Health, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.
University of Hong Kong · HKHong Kong Sanatorium and Hospital · HKPoznan University of Medical Sciences · PLTang Shiu Kin Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Zero-time Exercise (ZTEx), a simple strength- and stamina-enhancing physical activity (PA) requiring no extra equipment, can potentially increase PA and fitness. This pilot trial examined the feasibility and potential effectiveness of a smartphone ZTEx intervention to promote PA and fitness in patients with coronary heart disease (CHD). Methods: A parallel-group assessor-blinded pilot randomized controlled trial was conducted on Chinese patients with stable coronary heart disease (CHD) in three cardiology clinics. The experimental group received a 15-min brief individual face-to-face session and a 12-week ZTEx instant messaging with 28 picture e-messages and a smartphone ZTEx application (ZTExApp). The control group received the same duration of individual session and number and format of e-messages, but the content was healthy eating and breathing exercise. The feasibility was assessed based on: attrition rate, usage, response rate and perception of the intervention. The outcome evaluation included primary outcome (PA), fitness, exercise self-efficacy and intention, perceived happiness and health, and quality of life. A linear mixed model was used with intention-to-treat analysis adjusting for sex, age and baseline values. A semi-structured interview was conducted to collect feedback from the experiment group. Results: One hundred thirty-nine patients (mean age 59.8 ± 6.6; 71.2% male) were randomized to the experimental group ( Conclusions: This pilot study showed using a brief ZTEx face-to-face session with picture e-messages empowered patients with CHD to integrate PA into daily life. Future definitive trials with a longer follow-up and a more user-friendly ZTExApp interface are necessary to determine the effectiveness of the smartphone ZTEx intervention in enhancing PA and related outcomes. Trial Registration: The research protocol was registered at the Hong Kong University Clinical Trials Registry (HKUCTR) on 22 Jul 2016 (Study identifier: HKUCTR-2165) and was also retrospectively registered at the National Institutes of Health (identifier number: NCT03464331) on 14 March 2018.

Indexed as

Coronary DiseaseSmartphoneAgedExerciseExercise TherapyFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeUnited Statescoronary heart diseasee-messageinterventionphysical activityphysical fitnessrandomized controlled (clinical) trialsmartphone appszero-time exercise

Identifiers

PMID35910893
PMCPMC9330491
OpenAlexW4285387572

What OpenQuestion holds

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LicenceCC BY
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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.