Evidence map›Paper›PMID 37133445›Full record

ArticlePhysical therapy2023

Mobile Health Pulmonary Rehabilitation Compared to a Center-Based Program for Cost-Effectiveness and Effects on Exercise Capacity, Health Status, and Quality of Life in People With Chronic Obstructive Pulmonary Disease: A Protocol for a Randomized Controlled Trial.

Sally L Wootton, Marita T Dale, Jennifer A Alison, Sarah Brown, Hannah Rutherford, Andrew S L Chan, Marlien Varnfield, Ian A Yang, Michelle Cunich, Sarah Dennis and 1 more

Open access · hybridAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 13% 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.

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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Patient-managed interventions for adults with bronchiectasis: evidence, challenges and prospects.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  5. Article
  6. 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

11 authors at 6 institutions in 1 country.

Sally L WoottonChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, North Ryde, NSW, Australia.
Marita T DaleFaculty of Medicine and Health, Sydney School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Jennifer A AlisonFaculty of Medicine and Health, Sydney School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Sarah BrownChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, North Ryde, NSW, Australia.
Hannah RutherfordFaculty of Medicine and Health, Sydney School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Andrew S L ChanChronic Disease Community Rehabilitation Service, Northern Sydney Local Health District, North Ryde, NSW, Australia.
Marlien VarnfieldAustralian eHealth Research Centre, CSIRO, Brisbane, Queensland, Australia.
Ian A YangThe Prince Charles Hospital and The University of Queensland, Brisbane, Queensland, Australia.
Michelle CunichBoden Initiative, Charles Perkins Centre, Central Clinical School, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.
Sarah DennisFaculty of Medicine and Health, Sydney School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
Zoe J McKeoughFaculty of Medicine and Health, Sydney School of Health Sciences, University of Sydney, Sydney, NSW, Australia.
The University of Sydney · AUCommonwealth Scientific and Industrial Research Organisation · AUConcord Repatriation General Hospital · AUIngham Institute · AUNorthern Sydney Local Health District · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe use of digital health is a novel way to improve access to comprehensive pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD). This study aims to determine if a home-based pulmonary rehabilitation program supported by mobile health (mHealth) technology is equivalent to center-based pulmonary rehabilitation in terms of improvements in exercise capacity and health status in people with COPD.

methodsThis study is a prospective, multicenter, equivalence randomized controlled trial (RCT) with intention-to-treat analysis. A hundred participants with COPD will be recruited from 5 pulmonary rehabilitation programs. Following randomization, participants will be assigned in a concealed manner to receive either home-based pulmonary rehabilitation supported by mHealth or center-based pulmonary rehabilitation. Both programs will be 8 weeks and will include progressive exercise training, disease management education, self-management support, and supervision by a physical therapist. Co-primary outcome measures will be the 6-Minute Walk Test and the COPD Assessment Test. Secondary outcome measures will include the St George's Respiratory Questionnaire, the EuroQol 5 Dimension 5 Level, the modified Medical Research Council dyspnea scale, the 1-minute sit-to-stand test, the 5 times sit-to-stand test, the Hospital Anxiety and Depression Scale, daily physical activity levels, health care utilization, and costs. Outcomes will be measured at baseline and at the end of the intervention. Participant experience will be assessed through semi-structured interviews at the end of the intervention. Utilization of health care and costs will be measured again after 12 months. IMPACT: This study will be the first rigorous RCT to examine the effects of a home-based pulmonary rehabilitation program supported by mHealth technology that includes comprehensive clinical outcome evaluation, assessment of daily physical activity, a health economic analysis, and qualitative analysis. If findings demonstrate that there is equivalence in clinical outcomes, that the mHealth program costs the least amount (and is thus cost-effective), and that the mHealth program is acceptable to participants, such programs should be widely implemented to improve access to pulmonary rehabilitation.

Indexed as

Pulmonary Disease, Chronic ObstructiveTelemedicineCost-Benefit AnalysisExercise ToleranceHealth StatusHumansMulticenter Studies as TopicQuality of LifeRandomized Controlled Trials as TopicChronic Obstructive Pulmonary DiseaseExercisemHealthPhysical ActivityPulmonary RehabilitationQuality of Life

Identifiers

PMID37133445
PMCPMC10321381
OpenAlexW4367834686

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.