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ArticleJournal of cancer survivorship : research and practice2025

Effects of self-monitoring physical activity with a smartphone application combined with physiotherapy coaching in patients with cancer: a randomised controlled trial (SMART-COACH trial).

Harm L Ormel, Elizabeth H van Zutphen, Gabriela G F van der Schoot, Jourik A Gietema, Annemiek M E Walenkamp

Registry-linked trialAbstract read
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In one paragraph

Article in Journal of cancer survivorship : research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03128333 (Effectiveness of Self-monitoring Physical Activity With a Smartphone Application and Physiotherapy Coaching in Cancer Patients), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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.

NCT03128333 nacompletednot on this map

Effectiveness of Self-monitoring Physical Activity With a Smartphone Application and Physiotherapy Coaching in Cancer Patients: a Randomized Controlled Trial (SMART-COACH Trial)

TypeinterventionalSponsorUniversity Medical Center GroningenRan2017 to 2020Enrolled63ConditionsCancerArmsRunKeeper app + physiotherapy coaching, Usual care
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

5 authors.

Harm L OrmelDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Elizabeth H van ZutphenDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Gabriela G F van der SchootDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Jourik A GietemaDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands.
Annemiek M E WalenkampDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands. a.walenkamp@umcg.nl.ORCID http://orcid.org/0000-0003-4958-8960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRegardless of the compelling evidence showing that facility-based exercise effectively improves cancer treatment outcome, exercise programs are confronted with low participation and adherence rates. This study aimed to investigate a low-threshold modality to improve self-reported leisure-time physical activity (LTPA).

methodsIn this single-centre, prospective randomised controlled trial, patients living with or beyond cancer were randomised to use the smartphone application "RunKeeper" to self-monitor LTPA with remote physiotherapy coaching for 12 weeks or usual care. The primary endpoint was between-group difference in LTPA at 12 weeks. Secondary endpoints were LTPA measured at 6 and 26 weeks, adhering to the national physical activity guideline, quality of life, cancer-specific functioning and symptoms, self-efficacy, and exercise motivation.

resultsIn total, 63 patients with a median age of 46.0 range [34.0 to 57.0] were included. No significant between-group differences were found in LTPA. Significant between-group differences in favour of the group that self-monitored LTPA were found in emotional functioning (P = .044), insomnia (P = .029) (week 12) and self-efficacy (P = .040) (week 26).

conclusionsSelf-monitoring LTPA with RunKeeper and remote physiotherapy coaching did not significantly improve LTPA compared to usual care. The intervention did positively affect self-efficacy, emotional functioning, and insomnia. IMPLICATIONS FOR CANCER SURVIVORS: Further research is needed to study the effectiveness of self-monitoring LTPA with remote physiotherapy coaching in a more homogeneous sample of patients with cancer.

trial registration(NCT03128333).

Indexed as

CancerEHealthHealthy lifestylePhysical activityPhysiotherapy coachingSmartphone application

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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.