Evidence map›Paper›PMID 40463777›Full record

ArticleArchives of rehabilitation research and clinical translation2025

Qualitative Exploration of a Tele-exercise Program to Inform the Design of Adaptive Intervention Strategies for Adults With Multiple Sclerosis.

Yumi Kim, Elizabeth A Barstow, Byron Lai, Dorothy W Pekmezi, Hui-Ju Young, Jereme Wilroy, Soumya J Niranjan, James H Rimmer, Tapan Mehta

Abstract read
In one paragraph

Article in Archives of rehabilitation research and clinical translation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Observational
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

9 authors.

Yumi KimDepartment of Physical Medicine and Rehabilitation, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Elizabeth A BarstowDepartment of Occupational Therapy, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.
Byron LaiUniversity of Alabama at Birmingham Research Collaborative, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.
Dorothy W PekmeziDepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL.
Hui-Ju YoungUniversity of Alabama at Birmingham Research Collaborative, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.
Jereme WilroyDepartment of Physical Medicine and Rehabilitation, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Soumya J NiranjanDepartment of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.
James H RimmerUniversity of Alabama at Birmingham Research Collaborative, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.
Tapan MehtaUniversity of Alabama at Birmingham Research Collaborative, School of Health Professions, University of Alabama at Birmingham, Birmingham, AL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: (1) To examine the experiences and perceptions of people with multiple sclerosis (MS) who previously completed a 3-month tele-exercise program; (2) to identify modifiable factors regarding the program components and implementation procedures that could be used to develop an adaptive tele-exercise intervention. Design: A qualitative study using a semistructured interview guide. Setting: An extension of a comparative effectiveness trial delivered for 761 people with MS between 2016 and 2021. Interviews were conducted over Zoom or phone. Participants: Twenty-two adults with MS who completed the 3-month program (age range, 24-67y, 86% women, 73% Caucasian, 68% relapsing-remitting MS). Participants presented a wide range of mobility disabilities, ranging from no mobility limitation to wheelchair or scooter (n=22). Interventions: Not applicable. Main Outcome Measures: Thematic analysis of the transcribed interview led to the identification of desirable components and delivery mechanisms of the tele-exercise program. Results: Our analysis indicated the importance of individualized and ongoing modification of exercise program content to accommodate changes in participants' functional abilities and health status. Participants reported an ideal timepoint of human support, preferably every 3 weeks, via phone or videoconference calls to capture the intervention modification needs (eg, exercise position, intensity, and clarification of exercise instruction). We further identified desirable components for behavioral modifications, such as inclusion of an exercise companion and self-monitoring tool and postintervention resources for sustaining exercise participation during follow-up periods. Conclusions: The findings of this study offer insights into tailoring future adaptive tele-exercise intervention designs aimed at promoting engaging and sustainable exercise participation in people with MS.

Indexed as

Exercise therapyHealth behaviorMultiple sclerosisQualitative researchRehabilitation

Identifiers

PMID40463777
PMCPMC12128601

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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.