Evidence map›Paper›PMID 41124672›Full record

Trial reportAdvanced science (Weinheim, Baden-Wurttemberg, Germany)2026

The Adaptive Physical Activity Study in Stroke (TAPAS): A Feasibility Sequential Multiple Assignment Randomized Trial.

Aoife Whiston, Emma Carr, Nathan Cardy, Padraic Rocliffe, Siobhan M O'Reilly, Daniel Carter, Mairead O'Donoghue, Aine Cronin, James G Bradley, Mike Butler and 11 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Advanced science (Weinheim, Baden-Wurttemberg, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

  1. Pooled it
  2. Trial
  3. Review
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

21 authors.

Aoife WhistonHealth Research Institute, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Emma CarrUniversity of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Nathan CardyDonnybrook Sports Medicine, County Dublin, Dublin, D04 EY28, Ireland.
Padraic RocliffeHealth Research Institute, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Siobhan M O'ReillyHealth Research Institute, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Daniel CarterPalliative and Advanced Illness Research Center, University of Pennsylvania, Philadelphia, PA, 19104-6021, USA.
Mairead O'DonoghueSchool of Public Health, Physiotherapy and Population Science, University College Dublin, Dublin 4, Belfield, D04 C1P1, Ireland.
Aine CroninSchool of Allied Health, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
James G BradleyUniversity of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Mike ButlerUniversity of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Liam GlynnHealth Research Institute, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Jane C WalshSchool of Psychology, University of Galway, Galway, H91 TK33, Ireland.
Cathal WalshSchool of Medicine, Trinity College Dublin, Dublin, D02 R590, Ireland.
Kelley KidwellDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA.
Margaret O'ConnorSchool of Medicine, Trinity College Dublin, Dublin, D02 R590, Ireland.
Chris MaceyIrish Heart Foundation, Dublin, D06 C780, Ireland.
Lorna PaulSchool of Health and Life Science, Glasgow Caledonian University, Glasgow, G40BA, Scotland.
Claire FitzsimonsPhysical Activity for Health Research Centre, Institute for Sport, Physical Education and Health Sciences, Moray House School of Education and Sport, The University of Edinburgh, St. Leonard's Land, Holyrood Road, Edinburgh, EH8 8AQ, Scotland.
Julie BernhardtFlorey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, VIC 3052, Australia.
Jon SalsbergSchool of Medicine, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.
Sara HayesHealth Research Institute, University of Limerick, County Limerick, Limerick, V94 T9PX, Ireland.ORCID https://orcid.org/0000-0002-0300-5910

Funding

Health Research Board of Ireland DIFA- 2018-023
6 · The paper itself

Abstract

Physical inactivity post-stroke increases risk of recurrent stroke. Adaptive physical activity (PA) interventions are recommended, and alternative designs, such as sequential multiple assignment randomized trials (SMARTs) can be used. This SMART investigates the feasibility of a mobile health (mHealth) PA intervention post-stroke. People post-stroke are randomized to 12-week online exercise (EX) or lifestyle PA (LPA). Six-week daily step count data are used to classify participants as responders or nonresponses. Nonresponders are re-randomized to switch or augment their mHealth intervention, responders continue unchanged. Primary outcomes include recruitment, retention and adherence rates. Secondary outcomes include PA, sedentary behavior, fatigue, quality of life, psychological distress, and activities of daily living. General linear models estimate trends regarding first-stage interventions, nonresponse strategies, and adaptive interventions are examined using weighted and replicated regressions. Fifty participants are included. Recruitment, retention, and adherence rates are 85%, 84%, and 82%. Positive trends are seen for nonresponse strategies, switching interventions, on step count, fatigue, and quality of life. Starting with EX and switching to LPA show potential benefits for fatigue, quality of life and return to normal living. Potential benefits of these interventions are preliminary and require validation in a full-scale trial. This SMART offers novel evidence supporting the design of adaptive mHealth PA interventions post-stroke, confirming the feasibility of a definitive SMART.

Indexed as

ExerciseExercise TherapyStrokeStroke RehabilitationActivities of Daily LivingAgedFeasibility StudiesFemaleHumansMaleMiddle AgedQuality of LifeTelemedicineadaptive interventionmobile healthphysical activitysequential multiple assignment randomized trialstrokestroke prevention

Identifiers

PMID41124672
PMCPMC12767112

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.