ArticleNPJ digital medicine2023
A randomized trial of a mobile health intervention to augment cardiac rehabilitation.
Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Just-in-Time Adaptive Interventions for physical activity: a systematic review of their public health impact and methodological quality.Frontiers in public health · 2026Pooled it
- Just-in-Time Adaptive Interventions for Behavior Change in Physiological Health Outcomes and the Use Case for Knee Osteoarthritis: Systematic Review.Journal of medical Internet research · 2024Pooled it
- Pooled it
- Characteristics of Tailored Text Messages Associated With Increased Physical Activity Among Cardiac Rehabilitation Enrollees: Secondary Analysis of a Microrandomized Trial.JMIR mHealth and uHealth · 2026Trial
- Efficacy of a Digital Postoperative Rehabilitation Intervention in Patients With Primary Liver Cancer: Randomized Controlled Trial.JMIR mHealth and uHealth · 2025Trial
- Text Messages to Promote Physical Activity in Patients With Cardiovascular Disease: A Micro-Randomized Trial of a Just-In-Time Adaptive Intervention.Circulation. Cardiovascular quality and outcomes · 2024Trial
- A bibliometric analysis of research on the application of just-in-time adaptive interventions in mental health.Medicine · 2026Review
- The Effect of Text Message-Based mHealth Interventions on Physical Activity and Weight Loss: A Systematic Review and Meta-Analysis.American journal of lifestyle medicine · 2026Review
- Effective monitoring of online AI decision-making algorithms in just-in-time adaptive interventions.NPJ digital medicine · 2026Article
- A cardiac-rehab home-based mHealth program to improve physical activity in patients with coronary artery disease: a randomized controlled trial.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2026Article
- Enhancing Psychological Health and Weight-Related Behaviors in Older Adults Through Digital Interventions: Findings from theClinical gerontologist · 2026Article
- Article
- Digital cardiac rehabilitation versus traditional cardiac rehabilitation in improving health parameters, patient satisfaction and adherence to guidelines-a systematic review and a meta-analysis.Cardiovascular diagnosis and therapy · 2026Article
- Beyond the digital divide: multi-group SEM examination of socioeconomic status, mHealth utilization, and urban-rural physical activity disparities in Indonesia.Frontiers in digital health · 2026Article
- Associated Factors of Different Cardiac Rehabilitation Adherence Profiles Post-PCI: A Latent Profile Analysis.Patient preference and adherence · 2026Article
- Anxiety disorders following percutaneous coronary intervention for acute myocardial infarction: A comprehensive review of clinical manifestations and interventions.World journal of psychiatry · 2025Review
- Designing digital health interventions with causal inference and multi-armed bandits: a review.Frontiers in digital health · 2025Review
- Personalized care in dilated cardiomyopathy: Rationale and study design of the activeDCM trial.ESC heart failure · 2024Article
- A Robust Mixed-Effects Bandit Algorithm for Assessing Mobile Health Interventions.Advances in neural information processing systems · 2024Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
16 authors at 5 institutions in 1 country.
Funding
Abstract
Mobile health (mHealth) interventions may enhance positive health behaviors, but randomized trials evaluating their efficacy are uncommon. Our goal was to determine if a mHealth intervention augmented and extended benefits of center-based cardiac rehabilitation (CR) for physical activity levels at 6-months. We delivered a randomized clinical trial to low and moderate risk patients with a compatible smartphone enrolled in CR at two health systems. All participants received a compatible smartwatch and usual CR care. Intervention participants received a mHealth intervention that included a just-in-time-adaptive intervention (JITAI) as text messages. The primary outcome was change in remote 6-minute walk distance at 6-months stratified by device type. Here we report the results for 220 participants enrolled in the study (mean [SD]: age 59.6 [10.6] years; 67 [30.5%] women). For our primary outcome at 6 months, there is no significant difference in the change in 6 min walk distance across smartwatch types (Intervention versus control: +31.1 meters Apple Watch, -7.4 meters Fitbit; p = 0.28). Secondary outcomes show no difference in mean step counts between the first and final weeks of the study, but a change in 6 min walk distance at 3 months for Fitbit users. Amongst patients enrolled in center-based CR, a mHealth intervention did not improve 6-month outcomes but suggested differences at 3 months in some users.
Identifiers
What OpenQuestion holds
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.