Evidence map›Paper›PMID 41862587›Full record

Observational studyScientific reports2026

Construct validity of real-world digital mobility outcomes in patients after proximal femoral fracture: a cross-sectional observational study.

Tobias Eckert, Martin Aursand Berge, Michael Long, Martí de Las Heras, Paula Alvarez, Hubert Blain, Julia Braun, Joren Buekers, Brian Caulfield, Monika Engdal and 12 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Real-world walking and activity patterns in community-dwelling older adults: a cross-sectional analysis of baseline data from the SMART-AGE trial.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Article
  3. Article
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

22 authors.

Tobias Eckert *Robert Bosch Foundation for Medical Research, Stuttgart, Germany. tobias.eckert@med.uni-heidelberg.de.
Martin Aursand Berge *Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway. martin.a.berge@ntnu.no.
Michael Long *Department of Computer Science, University of Sheffield, Sheffield, UK.
Martí de Las HerasISGlobal, Barcelona, Spain.
Paula AlvarezISGlobal, Barcelona, Spain.
Hubert BlainUniversity Hospital of Montpellier, Montpellier, France.
Julia BraunEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Joren BuekersISGlobal, Barcelona, Spain.
Brian CaulfieldSchool of Public Health, Physiotherapy & Population Science, University College Dublin, Dublin, Ireland.
Monika EngdalDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Anja FreiEpidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.
Jorunn L HelbostadDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Anisoara IonescuÉcole Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Carl-Philipp JansenRobert Bosch Foundation for Medical Research, Stuttgart, Germany.
Lars Gunnar JohnsenDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Jochen KlenkRobert Bosch Foundation for Medical Research, Stuttgart, Germany.
Sarah KochISGlobal, Barcelona, Spain.
Vita LanfranchiDepartment of Computer Science, University of Sheffield, Sheffield, UK.
Lynn RochesterTranslational and Clinical Research Institute, Newcastle University, Newcastle Upon Tyne, UK.
Clemens BeckerRobert Bosch Foundation for Medical Research, Stuttgart, Germany.
Beatrix VereijkenDepartment of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.
Judith Garcia-AymerichISGlobal, Barcelona, Spain. judith.garcia@isglobal.org.

Funding

European Union-NextGenerationEU Code 100046TC19Innovative Medicines Initiative 2 Joint Undertaking 820820MCIN/AEI/ 10.13039/501100011033 CEX2023-0001290-SNational Institute for Health and Care Research NIHR203321
6 · The paper itself

Abstract

Digital mobility outcomes (DMOs) offer unique insights into recovery of real-world mobility after proximal femoral fracture (PFF), but their clinical validity remains to be established. This study assessed construct validity (convergent, divergent, and known-groups) of 24 DMOs measuring walking activity (amount, pattern) and gait (pace, rhythm, bout-to-bout variability) in patients within one year after PFF. Patients were recruited from inpatient and outpatient lists at five European sites, resulting in 505 included participants (66% female), with mean age of 77.6 ± 9.4 years and supervised gait speed of 0.7 ± 0.4 m/s. Mobility was monitored over seven days using a single wearable device on the lower back. Convergent and divergent validity analyses were stratified by two groups: acute (≤ 14 days since surgery) and non-acute (≥ 15 days since surgery). Correlations between DMOs and related (clinical- and patient-reported mobility outcomes) and unrelated constructs (hearing impairment and systolic blood pressure) were compared to a priori expected correlations. Known-groups validity was assessed across four recovery phases. The results were evaluated individually by experts and in a subsequent consensus meeting, with 17 of 24 DMOs showing evidence of construct validity in non-acute PFF patients. These findings represent an initial step in a larger process towards regulatory endorsement.

Indexed as

Proximal Femoral FracturesWalkingAgedAged, 80 and overCross-Sectional StudiesDigital HealthFemaleGaitHumansMaleRecovery of FunctionWearable Electronic DevicesDigital mobility outcomesHip fractureValidityWalkingWearable device

Identifiers

PMID41862587
PMCPMC13005024

What OpenQuestion holds

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LicenceCC BY
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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.