Evidence map›Paper›PMID 39148084›Full record

Trial reportBMC health services research2024

Utilizing technology for diet and exercise change in complex chronic conditions across diverse environments (U-DECIDE): feasibility randomised controlled trial.

Riley C C Brown, Shelley E Keating, Dev K Jegatheesan, Hannah L Mayr, Amandine Barnett, Marguerite M Conley, Lindsey Webb, Jaimon T Kelly, Centaine L Snoswell, Heidi M Staudacher and 6 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
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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

16 authors.

Riley C C BrownSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
Shelley E KeatingSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
Dev K JegatheesanDepartment of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Hannah L MayrFaculty of Medicine, The University of Queensland, Brisbane, Australia.
Amandine BarnettCentre for Online Health, The University of Queensland, Brisbane, Australia.
Marguerite M ConleyDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, 199 Ipswich Road Woolloongabba, Brisbane, 4012, Australia.
Lindsey WebbDepartment of Nutrition and Dietetics, Princess Alexandra Hospital, 199 Ipswich Road Woolloongabba, Brisbane, 4012, Australia.
Jaimon T KellyCentre for Online Health, The University of Queensland, Brisbane, Australia.
Centaine L SnoswellCentre for Online Health, The University of Queensland, Brisbane, Australia.
Heidi M StaudacherFood & Mood Centre, Institute for Mental and Physical Health and Clinical Translation, Deakin University, Geelong, Australia.
Graeme A MacdonaldFaculty of Medicine, The University of Queensland, Brisbane, Australia.
Nicola W BurtonSchool of Applied Psychology, Griffith University, Brisbane, Australia.
Jeff S CoombesSchool of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.
Katrina L CampbellCentre for Health Services Research, The University of Queensland, Brisbane, Australia.
Nicole M IsbelDepartment of Kidney and Transplant Services, Princess Alexandra Hospital, Brisbane, Australia.
Ingrid J HickmanFaculty of Medicine, The University of Queensland, Brisbane, Australia. i.hickman@uq.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiet and exercise are important components of treatment for complex chronic conditions, however access to allied health support is limited. When available, support is often siloed and fragmented. Digital health incorporating patient choice may help to align health care services with preferences and goals. This study evaluated the implementation of a ubiquitously accessible patient-centred digital health diet and exercise service.

methodsU-DECIDE was a single-centre, 26-week randomised controlled trial set in kidney and liver disease clinics in a tertiary hospital in Brisbane, Australia. Participants were adults with a complex chronic condition referred for dietetic consultation with at least one feature of the metabolic syndrome. All participants received a dietary consultation, an activity monitor and usual care. Intervention participants were offered one text message per week and access to additional digital health options (increased text message frequency, nutrition app, exercise app, group-based diet and/or exercise video consultations). The primary outcome of feasibility was determined by safety (study-related serious adverse events: SRSAEs), recruitment (≥ 50% eligible patients), retention (≥ 70%), exposure uptake (≥ 75% of intervention group had greater access to health professional contact than comparator) and video consultation adherence (≥ 80% attendance). Secondary outcomes included process evaluation metrics and clinical outcomes.

resultsOf 67 participants (intervention n = 33, comparator n = 34), 37 (55%) were men, median (IQR) age was 51 (41-58) years. The most chosen digital health options were the nutrition app (n = 29, 88%) and exercise video consultations (n = 26, 79%). Only one participant chose no additional digital health options. The intervention group had no SRSAEs. The study exceeded targets for recruitment (52%), retention (81%) and exposure uptake (94%). Video consultation adherence was 42%. Engagement across digital health options was inconsistent.

conclusionsDigital health options incorporating patient choice were feasible and can be offered to people with complex chronic disease as a service model option.

trial registrationAustralia and New Zealand Trials Register: Trial Registration Number: ACTRN12620001282976. Registered 27th November 2020.

Indexed as

Feasibility StudiesAdultAgedAustraliaChronic DiseaseExerciseExercise TherapyFemaleHumansMaleMiddle AgedMobile ApplicationsTelemedicineText MessagingComplex chronic diseaseDietDigital healthExerciseKidney diseaseLiver diseaseMetabolic syndromeTelehealth

Identifiers

PMID39148084
PMCPMC11325816

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.