Evidence map›Paper›PMID 19732415›Full record

Trial reportBMC family practice2009

Activity Increase Despite Arthritis (AIDA): design of a Phase II randomised controlled trial evaluating an active management booklet for hip and knee osteoarthritis [ISRCTN24554946].

Nefyn H Williams, Elvis Amoakwa, Kim Burton, Maggie Hendry, John Belcher, Ruth Lewis, Kerenza Hood, Jeremy Jones, Paul Bennett, Rhiannon T Edwards and 3 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 6% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. The Hip and Knee Book: developing an active management booklet for hip and knee osteoarthritis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Brief Fear of Movement Scale for osteoarthritis.Arthritis care & research · 2012
    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

13 authors at 5 institutions in 1 country.

Nefyn H WilliamsDepartment of Primary Care and Public Health, Cardiff University, School of Medicine, North Wales Clinical School, Gwenfro Units 6-7, Wrexham Technology Park, LL13 7YP, UK. williamsnh@cf.ac.uk
Elvis Amoakwa
Kim Burton
Maggie Hendry
John Belcher
Ruth Lewis
Kerenza Hood
Jeremy Jones
Paul Bennett
Rhiannon T Edwards
Richard D Neal
Glynne Andrew
Clare Wilkinson
Cardiff University · GBBangor University · GBUniversity of Huddersfield · GBUniversity of Wales · GBVersus Arthritis · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHip and knee osteoarthritis is a common cause of pain and disability, which can be improved by exercise interventions. However, regular exercise is uncommon in this group because the low physical activity level in the general population is probably reduced even further by pain related fear of movement. The best method of encouraging increased activity in this patient group is not known. A booklet has been developed for patients with hip or knee osteoarthritis. It focuses on changing disadvantageous beliefs and encouraging increased physical activity. METHODS/

designThis paper describes the design of a Phase II randomised controlled trial (RCT) to test the effectiveness of this new booklet for patients with hip and knee osteoarthritis in influencing illness and treatment beliefs, and to assess the feasibility of conducting a larger definitive RCT in terms of health status and exercise behaviour. A computerised search of four general medical practice patients' record databases will identify patients older than 50 years of age who have consulted with hip or knee pain in the previous twelve months. A random sample of 120 will be invited to participate in the RCT comparing the new booklet with a control booklet, and we expect 100 to return final questionnaires. This trial will assess the feasibility of recruitment and randomisation, the suitability of the control intervention and outcome measurement tools, and will provide an estimate of effect size. Outcomes will include beliefs about hip and knee pain, beliefs about exercise, fear avoidance, level of physical activity, health status and health service costs. They will be measured at baseline, one month and three months. DISCUSSION: We discuss the merits of testing effectiveness in a phase II trial, in terms of intermediate outcome measures, whilst testing the processes for a larger definitive trial. We also discuss the advantages and disadvantages of testing the psychometric properties of the primary outcome measures concurrently with the trial.

trial registrationCurrent Controlled Trials ISRCTN24554946.

Indexed as

PamphletsResearch DesignActivities of Daily LivingAttitude to HealthClinical Trials, Phase II as TopicDisability EvaluationDisease ManagementExercise TherapyHealth StatusHumansMusculoskeletal ManipulationsOsteoarthritis, HipOsteoarthritis, KneeOutcome Assessment, Health CarePatient Education as TopicQuality of Life

Identifiers

PMID19732415
PMCPMC2744666
OpenAlexW2152631832

What Socratic holds

Textmetadata
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 Socratic graph.