Evidence map›Paper›PMID 39789623›Full record

Trial reportBMC musculoskeletal disorders2025

Effects of self-monitoring physical activity with wearable activity trackers on perceived joint function and health-related quality of life in people with hip and knee osteoarthritis: a secondary analysis of a cluster-randomised clinical trial.

Elin Östlind, Frida Eek, Kjerstin Stigmar, Eva Ekvall Hansson

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03354091 (Active@Work - Optimizing Physical Activity at Work With Personalized Decision Support Among Individuals With Osteoarthritis.), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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

NCT03354091 nacompletednot on this map

Active@Work - Optimizing Physical Activity at Work With Personalized Decision Support Among Individuals With Osteoarthritis.

TypeinterventionalSponsorLund UniversityRan2017 to 2020Enrolled160ConditionsOsteoarthritis, Knee, Osteoarthritis, Hip, Physical ActivityArmsFitBit Flex 2
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  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

4 authors.

Elin ÖstlindDepartment of Health Sciences, Faculty of Medicine, Lund University, Box 117, Lund, 221 00, Sweden. elin.ostlind@med.lu.se.
Frida EekDepartment of Health Sciences, Faculty of Medicine, Lund University, Box 117, Lund, 221 00, Sweden.
Kjerstin StigmarDepartment of Health Sciences, Faculty of Medicine, Lund University, Box 117, Lund, 221 00, Sweden.
Eva Ekvall HanssonDepartment of Health Sciences, Faculty of Medicine, Lund University, Box 117, Lund, 221 00, Sweden.

Funding

Vetenskapsrådet 2016-02327_VR
6 · The paper itself

Abstract

backgroundOsteoarthritis (OA) often leads to pain and functional limitations, impacting work and daily life. Physical activity (PA) is an important part of the treatment. Wearable activity trackers (WATs) offer a novel approach to promote PA but could also aid in finding a sustainable PA level over time. The aim of this secondary analysis was to examine the effects of self-monitoring PA with a WAT on perceived joint function and health-related quality of life in people with hip and knee OA.

methodA two-armed cluster-randomized controlled trial (C-RCT) was conducted in southern Sweden including 160 individuals with hip or knee OA. The participants were cluster-randomized to a Supported Osteoarthritis Self-management Program (SOASP) with the addition of self-monitoring PA using a commercial WAT for 12 weeks (n = 86), or only the SOASP (n = 74). The outcomes include perceived joint function measured with HOOS/KOOS and health-related quality of Life (HRQoL) measured with EQ-5D-3L index and EQ VAS. Participants responded to the questionnaires at baseline and at follow-up after 3, 6 and 12 months. Statistical analyses involved linear mixed models, ANCOVA and paired t-test.

resultsParticipants with data from baseline and at least one follow-up were included in the analyses (n = 124). The analyses showed no statistically significant differences in changes between the groups in perceived joint function or HRQoL throughout the study period. Both groups improved in pain and symptoms, but the changes were small.

conclusionThe addition of WAT-use did not have any effect on perceived joint function or HRQoL. The participants' relatively high baseline scores might have influenced the outcomes of this study. We suggest that future WAT-interventions target inactive people with OA and use devices that also captures other activities such as cycling or aquatic exercise.

trial registrationClinicalTrials.gov, NCT03354091. Registered 15/11/2017.

Indexed as

ExerciseFitness TrackersOsteoarthritis, HipOsteoarthritis, KneeQuality of LifeAgedExercise TherapyFemaleHip JointHumansKnee JointMaleMiddle AgedSelf-ManagementSwedenTreatment OutcomeHip osteoarthritisHRQoLJoint functionKnee osteoarthritisPhysical activityWearable activity tracker

Identifiers

PMID39789623
PMCPMC11715198

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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.