Aortic & peripheral vascular disease

Effect of a Home-Based Exercise Intervention of Wearable Technology and Telephone Coaching on Walking Performance in Peripheral Artery Disease: The HONOR Randomized Clinical Trial

JAMAPublished Randomised controlled trial

An erratum to this article was published (JAMA, 3 Jul 2018 ↗)

Primary resultResult — go to the resultDifference −8.9 m 95% CI −26.0 to 8.2

Authors' conclusion

Among patients with PAD, a home-based exercise intervention consisting of a wearable activity monitor and telephone coaching, compared with usual care, did not improve walking performance at 9-month follow-up.

Study context

Population
Patients with PAD182 (91%) completed 9-month follow-up
Participants
200 patients
Comparison
Home-based exercise vs usual care
  • EXERCISEn = 99
  • USUAL CAREn = 101reference
Primary endpoint
Change in 6-minute walk distance (MCID 20 m)
Follow-up
9 months
Methodological details3 US medical centres
  • 3 US medical centres

Primary result

As reported in the abstract

Difference

−8.9 m

95% CI −26.0 to 8.2

P = 0.31

By group

Exercise interventionvs Usual care
difference −8.9 m (95% CI −26.0 to 8.2); P = 0.31

Secondary outcomes

Walking Impairment Questionnaire (WIQ), SF-36 physical functioning, Patient-Reported Outcomes Measurement Information System (PROMIS) mobility, PROMIS satisfaction with social roles

No significant between-group differences

Safety

OutcomeUSUAL CAREDifference (95% CI)P value
PROMIS pain interference (lower = better) · 9 monthsExercise interventionvs Usual careWorsened with exercisemean change −2.83.5 (1.3–5.8)P = 0.002
  • PROMIS pain interference (lower = better): Exercise intervention mean change 0.7

Original publication

Effect of a Home-Based Exercise Intervention of Wearable Technology and Telephone Coaching on Walking Performance in Peripheral Artery Disease: The HONOR Randomized Clinical Trial. JAMA. Published 24 April 2018. doi:10.1001/jama.2018.3275

Composed by AI from the published abstract and checked against it. How Briefs are made →

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