Evidence map›Paper›PMID 40328439›Full record

Trial reportJournal of physical activity & health2025

Working Women Walking Program: A Sequential Multiple Assignment Randomized Trial.

Susan W Buchholz, Manju Daniel, Spyros Kitsiou, Michael E Schoeny, Shannon Halloway, Tricia J Johnson, Sachin Vispute, JoEllen Wilbur

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of physical activity & health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03558828 (Testing Adaptive Interventions to Improve Physical Activity for Sedentary Women), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03558828 nacompletednot on this map

Testing Adaptive Interventions to Improve Physical Activity for Sedentary Women

TypeinterventionalSponsorRush University Medical CenterRan2018 to 2025Enrolled301ConditionsPhysical ActivityArmsStep 1: PA Monitor, Step 1: PA Monitor + Text, Step 2: PA Monitor with Calls, Step 2: PA Monitor with Meetings, Step 2: PA Monitor + Texts with Calls
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Susan W BuchholzCollege of Nursing, Michigan State University, East Lansing, MI, USA.ORCID 0000-0002-6311-9709
Manju DanielCollege of Nursing, Rush University, Chicago, IL, USA.ORCID 0000-0002-9151-2137
Spyros KitsiouCollege of Applied Health Sciences, University of Illinois Chicago, Chicago, IL, USA.ORCID 0000-0002-5281-321X
Michael E SchoenyCollege of Nursing, Rush University, Chicago, IL, USA.ORCID 0000-0002-3066-708X
Shannon HallowayCollege of Nursing, University of Illinois Chicago, Chicago, IL, USA.ORCID 0000-0001-7989-0525
Tricia J JohnsonDepartment of Health Systems Management, Rush University, Chicago, IL, USA.ORCID 0000-0003-4768-0042
Sachin VisputeCollege of Nursing, Rush University, Chicago, IL, USA.ORCID 0000-0001-6008-139X
JoEllen WilburCollege of Nursing, Rush University, Chicago, IL, USA.ORCID 0000-0001-7941-8837

Funding

Testing Adaptive Interventions to Improve Physical Activity for Sedentary WomenR01NR017635 · NINR · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHHOLZ, SUSAN WEBER, DANIEL, MANJU NARESH · 2018 to 2021
$1.9M
NINR NIH HHS R01 NR017635
6 · The paper itself

Abstract

backgroundDifferent interventions have shown efficacy in improving physical activity in women. This study aimed to determine the most effective adaptive intervention combining 4 efficacious treatments (Fitbit, text messages, personal calls, and group meetings) for improving physical activity.

methodsThe Working Women Walking program used a Sequential Multiple Assignment Randomized Trial (SMART) design with 3 phases: initial (weeks 1-8), augmented (weeks 9-34), and maintenance (weeks 35-50). Low-active women aged 18-70 working at an academic medical center were recruited. In the initial phase, participants were randomized to Fitbit or Fitbit + text messages. After 8 weeks, nonresponders were rerandomized to an augmented treatment (personal calls or group meetings). The primary outcomes (steps/day and minutes of moderate/vigorous physical activity [MVPA]/day via ActiGraph) were assessed at baseline and 8, 34, and 50 weeks.

resultsThe study had 301 women (age: 45.1 [11.6] y). During the initial phase, there were no differences by initial treatment for change in steps (P = .78) or MVPA (P = .60). During the augmented phase, there were no differences by augmented treatment among nonresponders for change in steps (P = .95) or MVPA (P = .78). A significant overall increase was seen in steps (752/d; P < .001, d = 0.56) and MVPA at 8 weeks (4.1 min/d; P < .001, d = 0.48), and this was sustained at 34 and 50 weeks.

conclusionsText messages, personal calls, and group meetings did not lead to increased physical activity. Using Fitbit and goal setting (a constant) appeared to have some benefit for many of the women in improving physical activity.

Indexed as

Health PromotionWalkingWomen, WorkingAdolescentAdultAgedExerciseFemaleFitness TrackersHumansMiddle AgedText MessagingYoung Adultadaptive interventionsphysical activitySMARTwearable

Identifiers

PMID40328439
PMCPMC12914376

What OpenQuestion holds

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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.