Evidence map›Paper›PMID 41187172›Full record

Trial reportPloS one2025

Telehealth Exercise Training in Peripheral Arterial Disease (TEXTPAD) study: A pilot randomised controlled trial in socioeconomically disadvantaged populations.

James Prentis, Arathi Radhakrishnan, Eileen Kaner, Sandip Nandhra, Gerard Stansby, Mackenzie Fong, Paul Court, Gabriel Grizzo Cucato

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

James PrentisDepartment of Perioperative and Critical Care Medicine, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Arathi RadhakrishnanDepartment of Perioperative and Critical Care Medicine, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Eileen KanerPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.ORCID https://orcid.org/0000-0002-7169-9344
Sandip NandhraNorthern Vascular Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Gerard StansbyNorthern Vascular Unit, Freeman Hospital, Newcastle upon Tyne, United Kingdom.
Mackenzie FongPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Paul CourtHealthworks, Newcastle upon Tyne, United Kingdom.
Gabriel Grizzo CucatoSchool of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, United Kingdom.ORCID https://orcid.org/0000-0002-2060-8852

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeripheral arterial disease (PAD) is a common condition among older adults, particularly those in socioeconomically disadvantaged populations. Supervised exercise is a key treatment for PAD-related claudication, but access to such programs is limited, especially following the COVID-19 pandemic. Telehealth interventions offer a promising alternative, but their feasibility and effectiveness in these populations remain unclear.

objectiveThis study aimed to assess the feasibility of a home-based telehealth intervention combining exercise and behaviour change counselling for patients with PAD from socioeconomically deprived areas of the UK.

methodsA pilot randomised controlled trial (RCT) was conducted with PAD patients (n = 36) recruited from the Vascular Unit of Freeman Hospital, Newcastle upon Tyne, UK. Participants were randomly assigned to either a telehealth intervention group (n = 19) or a control group (n = 17). The intervention consisted of weekly phone-based behaviour change counselling and twice-weekly virtual supervised exercise sessions for 12 weeks. Primary feasibility outcomes included recruitment, retention, and adherence. Secondary outcomes assessed functional capacity, quality of life, smoking and alcohol use, and dietary habits.

resultsOf the 102 eligible patients, 36 were recruited, falling short of the target recruitment goal of 60 participants. The intervention group attended a median of 20 supervised exercise sessions (max 24) and 11 sessions with the health improvement practitioner (max 12). Exploratory analyses suggested improvements in subjective functional capacity, as measured by walking speed and stair-climbing ability (P < 0.01), and quality of life (P < 0.01) in the intervention group compared to the control group. A 50% smoking cessation rate was observed among baseline smokers in the intervention group, while no changes were observed in the control group. No significant differences were observed between groups in objective functional capacity (as measured by the 6-minute walk test), alcohol intake, or dietary quality.

conclusionThis digitally delivered, home-based telehealth intervention was feasible for PAD patients in socioeconomically disadvantaged areas. Exploratory findings suggest potential benefits in subjective function capacity and health behaviours; however, the study was not powered to evaluate effectiveness, and findings should be interpreted with caution. These data support the suitability of outcome measures and provide essential insights for designing a fully powered definitive trial to evaluate long-term clinical outcomes.

Indexed as

Exercise TherapyPeripheral Arterial DiseaseAgedCOVID-19FemaleHumansMaleMiddle AgedPilot ProjectsQuality of LifeSARS-CoV-2TelemedicineUnited KingdomVulnerable Populations

Identifiers

PMID41187172
PMCPMC12585064

What Socratic holds

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LicenceCC BY
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Registered trials

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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.