Evidence map›Paper›PMID 36939818›Full record

ArticleJMIR rehabilitation and assistive technologies2023

Using Wearable Technology to Quantify Physical Activity Recovery: Secondary Report From the AFTER (App-Facilitated Tele-Rehabilitation) Program for COVID-19 Survivors Randomized Study.

Laura Churchill, Mary Morrow, Jacob J Capin, Sarah E Jolley, Kristine Hare, Samantha MaWhinney, Jennifer E Stevens-Lapsley, Kristine M Erlandson

Registry-linked trialAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04663945 (Predictors of Recovery and the App-Facilitated Tele-Rehabilitation), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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.

NCT04663945 nacompletednot on this map

Predictors of Recovery and the App-Facilitated Tele-Rehabilitation (AFTER) Program for COVID Survivors

TypeinterventionalSponsorUniversity of Colorado, DenverRan2020 to 2021Enrolled49ConditionsCovid-19, DeconditioningArmsBiobehavioral Tele-rehabilitation Sessions
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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.

Laura ChurchillDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0001-5615-0823
Mary MorrowDepartment of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-2115-4864
Jacob J CapinDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0001-9361-3700
Sarah E JolleyDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-4616-7792
Kristine HareDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0009-0007-8638-6977
Samantha MaWhinneyDepartment of Biostatistics and Informatics, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-9818-0059
Jennifer E Stevens-LapsleyDepartment of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-8118-378X
Kristine M ErlandsonDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.ORCID https://orcid.org/0000-0003-0808-6729

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Predictors of Recovery and the App-Facilitated Tele-Rehabilitation (AFTER) Program for COVID SurvivorsR01AG054366 · NIA · UNIVERSITY OF COLORADO DENVER · PI ERLANDSON, KRISTINE MACE, STEVENS-LAPSLEY, JENNIFER E. · 2016 to 2020
$3.4M
Prevalence of ICU-Acquired Myopathy in Patients with Alcohol Use DisordersK23AA026315 · NIAAA · UNIVERSITY OF COLORADO DENVER · PI JOLLEY, SARAH E · 2018 to 2022
$696k
Contralateral Knee Osteoarthritis Among Older Adults after Primary Total Knee ArthroplastyF32AG066274 · NIA · UNIVERSITY OF COLORADO DENVER · PI CAPIN, JACOB J · 2019 to 2021
$94k
NCATS NIH HHS UL1 TR002535NIAAA NIH HHS K23 AA026315NIA NIH HHS F32 AG066274NIA NIH HHS R01 AG054366
6 · The paper itself

Abstract

backgroundKnowledge on physical activity recovery after COVID-19 survival is limited. The AFTER (App-Facilitated Tele-Rehabilitation) program for COVID-19 survivors randomized participants, following hospital discharge, to either education and unstructured physical activity or a telerehabilitation program. Step count data were collected as a secondary outcome, and we found no significant differences in total step count trajectories between groups at 6 weeks. Further step count data were not analyzed.

objectiveThe purpose of this analysis was to examine step count trajectories and correlates among all participants (combined into a single group) across the 12-week study period.

methodsLinear mixed models with random effects were used to model daily steps over the number of study days. Models with 0, 1, and 2 inflection points were considered, and the final model was selected based on the highest log-likelihood value.

resultsParticipants included 44 adults (41 with available Fitbit [Fitbit LLC] data). Initially, step counts increased by an average of 930 (95% CI 547-1312; P<.001) steps per week, culminating in an average daily step count of 7658 (95% CI 6257-9059; P<.001) at the end of week 3. During the remaining 9 weeks of the study, weekly step counts increased by an average of 67 (95% CI -30 to 163; P<.001) steps per week, resulting in a final estimate of 8258 (95% CI 6933-9584; P<.001) steps.

conclusionsParticipants showed a marked improvement in daily step counts during the first 3 weeks of the study, followed by more gradual improvement in the remaining 9 weeks. Physical activity data and step count recovery trajectories may be considered surrogates for physiological recovery, although further research is needed to examine this relationship.

trial registrationClinicalTrials.gov NCT04663945; https://tinyurl.com/2p969ced.

Indexed as

COVID-19digital health interventionFitbithospitalizationmHealth applicationphysical activityrehabilitationstep countstepstele-rehabilitation

Identifiers

PMID36939818
PMCPMC10131697

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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.