Evidence map›Paper›PMID 38152927›Full record

Trial reportRheumatology (Oxford, England)2025

Effect of digital monitoring and counselling on self-management ability in patients with rheumatoid arthritis: a randomised controlled trial.

Linda C Li, Hui Xie, Lynne M Feehan, Chris Shaw, Na Lu, Smruthi Ramachandran, Ellen Wang, Stephanie Therrien, Julia Mucha, Alison M Hoens and 7 more

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Rheumatology (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 5 pooled it
3.2field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 5 syntheses or guidelines pooled it, 11 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

17 authors at 4 institutions in 1 country.

Linda C LiDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-6280-0511
Hui XieFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0003-3328-7135
Lynne M FeehanDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Chris ShawSchool of Interactive Arts and Technology, Simon Fraser University, Surrey, BC, Canada.
Na LuArthritis Research Canada, Vancouver, BC, Canada.
Smruthi RamachandranDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Ellen WangDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Stephanie TherrienArthritis Research Canada, Vancouver, BC, Canada.
Julia MuchaDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Alison M HoensDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Kelly EnglishArthritis Research Canada, Vancouver, BC, Canada.
Eileen DavidsonArthritis Research Canada, Vancouver, BC, Canada.
Teresa Liu-AmbroseDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-8297-5308
Catherine L BackmanDepartment of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0003-4190-7947
John M EsdaileArthritis Research Canada, Vancouver, BC, Canada.
Kimberly J MillerNew Knowledge and Innovation, BC Children's Hospital and BC Women's Hospital and Health Centre, Vancouver, BC, Canada.
Diane LacailleArthritis Research Canada, Vancouver, BC, Canada.
University of British Columbia · CAResearch Canada · CASimon Fraser University · CAB.C. Women's Hospital & Health Centre · CA

Funding

Arthritis Society Strategic Operating SOG-16-391Canadian Institutes of Health Research Personalized Health Catalyst 155552
6 · The paper itself

Abstract

objectivesTo assess a remote physiotherapist (PT) counselling intervention using self-monitoring tools for improving self-management ability, physical activity participation and health outcomes in people with rheumatoid arthritis (RA).

methodsEligible participants were randomly assigned to receive group education, a Fitbit®, a self-monitoring app, and PT counselling phone calls (Immediate Group). The Delayed Group received a monthly e-newsletter until week 26, and then the intervention. The primary outcome was Patient Activation Measure (PAM-13). Participants were assessed at baseline, 27 weeks (the primary end point) and 53 weeks. Secondary outcomes included disease activity, pain, fatigue, depression, sitting/walking habits, daily physical activity time and daily awake sedentary time. Generalized Linear Mixed-effect Models (GLMMs) were used to assess the effect of the intervention on the change of each outcome measure from the initiation to 27 weeks after the intervention.

resultsAnalysis included 131 participants (91.6% women; 80.2% completed during the COVID-19 pandemic). The mean change of PAM-13 at 27 weeks was 4.6 (Standard Deviation [SD] = 14.7) in the Immediate Group vs -1.6 (SD = 12.5) in the Delayed Group. The mean change in Delayed Group at 53 weeks (after the 26-week intervention) was 3.6 (SD = 14.6). Overall, the intervention improved PAM-13 at 27 weeks post-intervention from the GLMM analysis (adjusted coefficient: 5.3; 95% CI: 2.0, 8.7; P ≤ 0.001). Favourable intervention effects were also found in disease activity, fatigue, depression and self-reported walking habit.

conclusionRemote counselling paired with self-monitoring tools improved self-management ability in people with RA. Findings of secondary outcomes indicate that the intervention had a positive effect on symptom management.

Indexed as

Arthritis, RheumatoidCounselingCOVID-19Self-ManagementAdultAgedExerciseFemaleHumansMaleMiddle AgedSARS-CoV-2e-healthpatient activationphysical activityrheumatoid arthritisself-managementself-monitoring

Identifiers

PMID38152927
PMCPMC11701315
OpenAlexW4390340700

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.