Evidence map›Paper›PMID 41458410›Full record

Trial reportFrontiers in public health2025

Effectiveness of a BCW theory-based exercise adherence intervention protocol in Chinese maintenance hemodialysis patients: a randomized controlled trial.

Qianqian Wei, Hailin Zhang, Fei Chen, Yanan Ban, Xiaoyan Wen, Lixia Yin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Qianqian WeiBlood Purification Centre, Lianyungang Clinical College of Nanjing Medical University, Lianyungang, China.
Hailin ZhangBlood Purification Centre, Lianyungang Clinical College of Nanjing Medical University, Lianyungang, China.
Fei ChenNursing Department, The Fourth People's Hospital of Lianyungang, Lianyungang, China.
Yanan BanBlood Purification Centre, Lianyungang Clinical College of Nanjing Medical University, Lianyungang, China.
Xiaoyan WenBlood Purification Centre, The Affiliated Lianyungang Hospital of Xuzhou Medical University, Lianyungang, China.
Lixia YinBlood Purification Centre, Lianyungang Clinical College of Nanjing Medical University, Lianyungang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To develop and implement a theory-based exercise adherence intervention grounded in the behavior change wheel (BCW) framework, with the goal of improving exercise adherence among maintenance hemodialysis (MHD) patients, enhancing clinical outcomes, and maximizing the benefits of physical activity. Methods: This study included two phases. In Phase I (Development), we used the BCW framework to develop the intervention. This process involved semi-structured patient interviews and evidence synthesis, followed by refinement with an expert panel. In Phase II (Evaluation), we performed an assessor-blinded randomized controlled trial (RCT). We randomly assigned 80 MHD patients (1:1) to either the intervention or control group. A computer-generated sequence determined allocation, which was concealed with opaque, sealed envelopes. The intervention group received the BCW-based exercise protocol via mobile health (mHealth) technology, and the control group received standard nursing care. Throughout the trial, outcome assessors and data analysts remained blinded to group assignment. Results: Following the 12-week intervention, the intervention group demonstrated significantly greater exercise adherence scores compared to controls ( Conclusion: The study findings demonstrate the efficacy of a BCW-based exercise adherence intervention program in enhancing exercise adherence, physical functioning, dialysis adequacy, nutritional status, and glucose-lipid metabolism among MHD patients. Clinical trial registration: https://www.chictr.org.cn; identifier (ChiCTR2400091015).

Indexed as

ExerciseExercise TherapyPatient ComplianceRenal DialysisAdherence InterventionsAdultAgedChinaEast Asian PeopleFemaleHumansMaleMiddle Agedadherencebehavior change wheelexercisemaintenance hemodialysismHealth technology

Identifiers

PMID41458410
PMCPMC12741123

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.