Evidence mapPaperPMID 33816600Full record

ArticleERJ open research2021

Mechanisms associated with increased physical activity in patients undergoing self-management behaviour modification in the randomised PHYSACTO trial.

Jean Bourbeau, Maria Sedeno, Pei Zhi Li, Thierry Troosters, Alan Hamilton, Dorothy De Sousa, François Maltais, Damijan Erzen, Kim L Lavoie

Open access · goldAbstract read
In one paragraph

Article in ERJ open research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. 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 at 6 institutions in 3 countries.

Jean BourbeauResearch Institute of the McGill University Health Centre, Montréal, Canada.ORCID https://orcid.org/0000-0002-7649-038X
Maria SedenoResearch Institute of the McGill University Health Centre, Montréal, Canada.ORCID https://orcid.org/0000-0001-7108-1512
Pei Zhi LiResearch Institute of the McGill University Health Centre, Montréal, Canada.
Thierry TroostersDept of Rehabilitation Sciences, University of Leuven, Leuven, Belgium.
Alan HamiltonBoehringer Ingelheim, Burlington, Canada.
Dorothy De SousaBoehringer Ingelheim, Burlington, Canada.
François MaltaisInstitut Universitaire de Cardiologie et de Pneumologie de Québec, Québec City, Canada.
Damijan ErzenBoehringer Ingelheim Pharma GmbH & Co. KG, Biberach an der Riss, Germany.
Kim L LavoieUniversity of Québec at Montréal/CIUSSS-NIM - Hôpital du Sacré-Coeur de Montréal, Montréal, Canada.
McGill University Health Centre · CABoehringer Ingelheim (Canada) · CABoehringer Ingelheim (Germany) · DEInstitut universitaire de cardiologie et de pneumologie de Québec · CAKU Leuven · BEUniversité du Québec à Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn this analysis of the PHYSACTO® study, we assessed the efficacy of a self-management behaviour modification (SMBM) programme to improve physical activity (PA) levels, and the extent to which effects were mediated by readiness to change, motivation and confidence.

methodsPHYSACTO® was a randomised, partially double-blind, parallel-group, 12-week trial to evaluate the effects of treatment on exercise capacity and PA. COPD patients received placebo, tiotropium 5 µg or tiotropium/olodaterol 5/5 µg, with or without exercise training, all with an SMBM intervention (the Living Well with COPD programme). Changes were assessed in readiness to change (stage of change visual analogue scale [VAS]), motivation (Treatment Self-Regulation Questionnaire [TSRQ]) and confidence (Perceived Competence Scale [PCS]) to engage in PA.

resultsPA was increased in all patients with complete PA data at Week 12 (n=262; +6038 steps·week

conclusionOur study demonstrated that an SMBM programme delivered to COPD patients increased PA, mediated by an improvement of three key hypothesised mechanisms of change: readiness to change, autonomous motivation and confidence. For the first time, this study shows that an SMBM programme can be successful in altering the mechanisms of change targeted by the intervention.

Identifiers

PMID33816600
PMCPMC8005679
OpenAlexW3120557658

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.