Evidence map›Paper›PMID 40638625›Full record

ArticlePloS one2025

A behaviour change intervention promoting physical activity following dysvascular amputation: Protocol for a pilot study.

Crystal MacKay, Diana Zidarov, Brian Chan, Steven Dilkas, Sander L Hitzig, Andresa R Marinho-Buzelli, Amanda L Mayo, Michael W Payne, Amy Schneeberg, Julia O Totosy de Zepetnek and 7 more

Abstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Crystal MacKayFaculty of Health Sciences, School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.ORCID https://orcid.org/0000-0003-3503-7025
Diana ZidarovCentre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada.
Brian ChanKite Research Institute, University Health Network, Toronto, Ontario, Canada.
Steven DilkasKite Research Institute, University Health Network, Toronto, Ontario, Canada.
Sander L HitzigSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Andresa R Marinho-BuzelliSt. John's Rehab Research Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Amanda L MayoDivision of Physical Medicine and Rehabilitation, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Michael W PayneDepartment of Physical Medicine and Rehabilitation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-5511-166X
Amy SchneebergUniversity of British Columbia, Vancouver, British Columbia, Canada.
Julia O Totosy de ZepetnekFaculty of Kinesiology and Health Studies, University of Regina, Regina, Saskatchewan, Canada.
Dalton WolfeLawson Health Research Institute, London, Ontario, Canada.ORCID https://orcid.org/0000-0002-8680-7360
José ZariffaKite Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8842-745X
Audrey Zucker-LevinSchool of Rehabilitation Science, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.ORCID https://orcid.org/0000-0001-9712-4947
Susan JaglalKite Research Institute, University Health Network, Toronto, Ontario, Canada.
Brittany PousettUniversity of British Columbia, Vancouver, British Columbia, Canada.ORCID https://orcid.org/0000-0002-2272-7847
Heather UnderwoodGF Strong Rehabilitation, Vancouver, British Columbia, Canada.
William C MillerOccupational Science and Occupational Therapy, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetes-related lower limb amputation (LLA) is a leading cause of disability globally, impacting individuals' physical and mental health, and ultimately their quality of life. Physical activity can reduce risk of chronic disease and mortality while improving quality of life. However, people with LLA often have reduced balance and walking ability resulting in sedentary behaviour. We co-created a physical activity intervention, IMproving Physical Activity through Coaching and Technology following Lower Limb Loss (IMPACT-L3), to support physical activity behaviour change in people with dysvasular LLA. To date, no studies have assessed a peer-led physical activity behaviour change intervention for people with LLA. Prior to launching a large trial, a pilot study is required to assess feasibility and optimize design of a future trial.

methodsThis pilot study is a parallel group randomized controlled trial (RCT) with an embedded qualitative component. The intervention group will have access to once-weekly virtual peer coaching sessions with a peer trained in brief action planning; web-based physical activity modules; and a wearable activity monitor for 8 weeks. The control group will continue usual care and be offered the intervention at the end of the follow-up period. Data on feasibility will be collected including assessment of process, resource, management and treatment indicators. The proposed primary outcomes will be measured at baseline, post-intervention and one month later: total physical activity counts per day measured by the ActiGraphTM activity monitor and self-efficacy measured by the Self-efficacy for Exercise scale. Secondary measures include patient reported outcome measures of physical activity, mobility, depression, social participation, balance confidence and quality of life. Semi-structured interviews will explore feasibility and acceptability of the intervention to participants and peers. DISCUSSION: This study will inform the design of a definitive RCT to determine the effectiveness of a peer-led physical activity intervention for people with dysvascular LLA.

Indexed as

Amputation, SurgicalExerciseFemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeRandomized Controlled Trials as Topic

Identifiers

PMID40638625
PMCPMC12244559

What OpenQuestion holds

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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.