Evidence mapPaperPMID 32476455Full record

ArticleClinical rehabilitation2020

A multicomponent intervention to decrease sedentary time during hospitalization: a quasi-experimental pilot study.

D Conijn, L van Bodegom-Vos, W G Volker, Bja Mertens, H M Vermeulen, Val Huurman, J van Schaik, Tpm Vliet Vlieland, Jjl Meesters

Abstract read
In one paragraph

Article in Clinical rehabilitation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors.

D ConijnDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-8985-590X
L van Bodegom-VosDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
W G VolkerDepartment for Innovation, Quality + Research, Basalt Rehabilitation Center, The Hague/Leiden, The Netherlands.
Bja MertensDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
H M VermeulenDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Val HuurmanDepartment of Transplantation Surgery, Leiden University Medical Center, Leiden, The Netherlands.
J van SchaikDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Tpm Vliet VlielandDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.
Jjl MeestersDepartment of Orthopaedics, Rehabilitation and Physical Therapy, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the feasibility and preliminary effects of a multicomponent intervention to decrease sedentary time during and shortly after hospitalization.

designThis is a quasi-experimental pilot study comparing outcomes in patients admitted before and after the implementation of the intervention.

settingThe study was conducted in a university hospital. SUBJECTS: Participants were adult patients undergoing elective organ transplantation or vascular surgery.

interventionsIn the control phase, patients received usual care, whereas in the intervention phase, patients also received a multicomponent intervention to decrease sedentary time. The intervention comprised eight elements: paper and digital information, an exercise movie, an activity planner, a pedometer and Fitbit Flex™, a personal activity coach and an individualized digital training program. MEASURES: Measures of feasiblity were the self-reported use of the intervention components (yes/no) and satisfaction (low-high = 0-10). Main outcome measure was the median % of sedentary time measured by an accelerometer worn during hospitalization and 7-14 days thereafter.

resultsA total of 42 controls (mean age = 59 years, 62% male) and 52 intervention patients (58 years, 52%) were included. The exercise movie, paper information and Fitbit Flex were the three most frequently used components, with highest satisfaction scores for the fitbit, paper information, exercise movie and digital training. Median sedentary time decreased from 99.6% to 95.7% and 99.3% to 91.0% between Days 1 and 6 in patients admitted in the control and intervention phases, respectively. The difference at Day 6 reached statistical significance (difference = 41 min/day,

conclusionImplementing a multicomponent intervention to reduce sedentary time appeared feasible and may be effective during but not directly after hospitalization.

Indexed as

Exercise TherapyHospitalizationSedentary BehaviorActigraphyAdultAgedControlled Before-After StudiesFemaleHumansMaleMiddle AgedPilot ProjectsexercisehospitalizationPhysical therapysedentary behaviortelemedicine

Identifiers

PMID32476455
PMCPMC7472834

What Socratic holds

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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.