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
Open accessAbstract
Importance: Clinical practice guidelines support home-based exercise for patients with peripheral artery disease (PAD), but no randomized trials have tested whether an exercise intervention without periodic medical center visits improves walking performance. Objective: To determine whether a home-based exercise intervention consisting of a wearable activity monitor and telephone coaching improves walking ability over 9 months in patients with PAD. Design, Setting, and Participants: Randomized clinical trial conducted at 3 US medical centers. Patients with PAD were randomized between June 18, 2015, and April 4, 2017, to home-based exercise vs usual care for 9 months. Final follow-up was on December 5, 2017. Interventions: The exercise intervention group (n = 99) received 4 weekly medical center visits during the first month followed by 8 months of a wearable activity monitor and telephone coaching. The usual care group (n = 101) received no onsite sessions, active exercise, or coaching intervention. Main Outcomes and Measures: The primary outcome was change in 6-minute walk distance at 9-month follow-up (minimal clinically important difference [MCID], 20 m). Secondary outcomes included 9-month change in subcomponents of the Walking Impairment Questionnaire (WIQ) (0-100 score; 100, best), SF-36 physical functioning score, Patient-Reported Outcomes Measurement Information System (PROMIS) mobility questionnaire (higher = better; MCID, 2 points), PROMIS satisfaction with social roles questionnaire, PROMIS pain interference questionnaire (lower = better; MCID range, 3.5-4.5 points), and objectively measured physical activity. Results: Among 200 randomized participants (mean [SD] age, 70.2 [10.4] years; 105 [52.5%] women), 182 (91%) completed 9-month follow-up. The mean change from baseline to 9-month follow-up in the 6-minute walk distance was 5.5 m in the intervention group vs 14.4 m in the usual care group (difference, -8.9 m; 95% CI, -26.0 to 8.2 m; P = .31). The exercise intervention worsened the PROMIS pain interference score, mean change from baseline to 9 months was 0.7 in the intervention group vs -2.8 in the usual care group (difference, 3.5; 95% CI, 1.3 to 5.8; P = .002). There were no significant between-group differences in the WIQ score, the SF-36 physical functioning score, or the PROMIS mobility or satisfaction with social roles scores. Conclusions and Relevance: 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. These results do not support home-based exercise interventions of wearable devices and telephone counseling without periodic onsite visits to improve walking performance in patients with PAD. Trial Registration: clinicaltrials.gov Identifier: NCT02462824.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Other trials showed no improvement in walking ability or quality of life but improvement in exercise frequency.
“Other trials showed no improvement in walking ability or quality of life but improvement in exercise frequency90,91”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [90]
A wearable activity monitor combined with telephone coaching did not improve walking ability in a trial of 200 patients with peripheral vascular disease.
“Conversely, a wearable activity monitor combined with telephone coaching did not improve walking ability or quality of life but improved exercise frequency in a trial of 200 patients with peripheral vascular disease90.”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [90]
A wearable activity monitor combined with telephone coaching did not improve quality of life in a trial of 200 patients with peripheral vascular disease.
“Conversely, a wearable activity monitor combined with telephone coaching did not improve walking ability or quality of life but improved exercise frequency in a trial of 200 patients with peripheral vascular disease90.”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [90]
A wearable activity monitor combined with telephone coaching improved exercise frequency in a trial of 200 patients with peripheral vascular disease.
“Conversely, a wearable activity monitor combined with telephone coaching did not improve walking ability or quality of life but improved exercise frequency in a trial of 200 patients with peripheral vascular disease90.”
From Smart wearable devices in cardiovascular care: Where we are and how to move forward (2021) · cites this paper as [90]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Psychophysical bases of perceived exertion
BORG, G. A. V. (1982) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-198205000-00012 · Cited by 16,580 · see citing works
SF-36 health survey: Manual and interpretation guide
Ware, J. (2003) · Medical Entomology and Zoology · Cited by 11,424 · see citing works
Health Promotion by Social Cognitive Means
Bandura, A. (2004) · Health Education & Behavior · doi:10.1177/1090198104263660 · Cited by 7,238 · see citing works
Cella, D., Riley, W., Stone, A., Rothrock, N., Reeve, B., Yount, S., Amtmann, D., Bode, R., Buysse, D., Choi, S., et al. (2010) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2010.04.011 · Cited by 5,128 · see citing works
Self-citationMeaningful change and responsiveness in common physical performance measures in older adults.
Perera, S., Mody, S. H., Woodman, R. C., & Studenski, S. A. (2006) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2006.00701.x · Cited by 2,513 · see citing works
2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease
Gerhard-Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., Fleisher, L. A., Fowkes, F. G. R., Hamburg, N. M., Kinlay, S., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2016.11.007 · Cited by 1,941 · see citing works
Self-citationLosing control: how and why people fail at self-regulation
(1995) · Choice Reviews Online · doi:10.5860/choice.32-6508 · Cited by 1,924 · see citing works
Measurement and Interpretation of the Ankle-Brachial Index
Aboyans, V., Criqui, M. H., Abraham, P., Allison, M., Creager, M. A., Diehm, C., Fowkes, F. G. R., Hiatt, W. R., Jönsson, B., Lacroix, P., et al. (2012) · Circulation · doi:10.1161/cir.0b013e318276fbcb · Cited by 1,738 · see citing works
Self-citationInternational Journal of Geriatric Psychiatry
Robinson, L., Hutchings, D., Dickinson, H. O., Corner, L., Beyer, F., Finch, T. L., Hughes, J., Vanoli, A., Ballard, C. G., & Bond, J. (2006) · International Journal of Geriatric Psychiatry · doi:10.1002/(issn)1099-1166 · Cited by 1,301 · see citing works
Gerhard‐Herman, M. D., Gornik, H. L., Barrett, C., Barshes, N. R., Corriere, M. A., Drachman, D. E., Fleisher, L. A., Fowkes, F. G. R., Hamburg, N. M., Kinlay, S., et al. (2016) · Circulation · doi:10.1161/cir.0000000000000471 · Cited by 1,028 · see citing works
Self-citationConte, M. S., Pomposelli, F. B., Clair, D. G., Geraghty, P. J., McKinsey, J. F., Mills, J. L., Moneta, G. L., Murad, M. H., Powell, R. J., Reed, A. B., et al. (2015) · Journal of Vascular Surgery · doi:10.1016/j.jvs.2014.12.009 · Cited by 920 · see citing works
Self-citationLeg Symptoms in Peripheral Arterial Disease
McDermott, M. M., Greenland, P., Liu, K., Guralnik, J. M., Criqui, M. H., Dolan, N. C., Chan, C., Celic, L., Pearce, W. H., Schneider, J. R., et al. (2001) · JAMA · doi:10.1001/jama.286.13.1599 · Cited by 856 · see citing works
Self-citationLosing control: How and why people fail at self-regulation
Horn, D. H. A. V. (1995) · Clinical Psychology Review · doi:10.1016/0272-7358(95)90149-3 · Cited by 717 · see citing works
Jakicic, J. M., Davis, K. K., Rogers, R. J., King, W. C., Marcus, M. D., Helsel, D., Rickman, A. D., Wahed, A. S., & Belle, S. H. (2016) · JAMA · doi:10.1001/jama.2016.12858 · Cited by 621 · see citing works
McDermott, M. M., Ades, P., Guralnik, J. M., Dyer, A., Ferrucci, L., Liu, K., Nelson, M., Lloyd-Jones, D., Van Horn, L., Garside, D., et al. (2009) · JAMA · doi:10.1001/jama.2008.962 · Cited by 449 · see citing works
Self-citationBean (2004) · doi:10.1111/(issn)1532-5415 · Cited by 431 · see citing works
Evaluation of walking impairment by questionnaire in patients with peripheral arterial disease
Regensteiner, J. (1990) · Medical Entomology and Zoology · Cited by 412 · see citing works
New English and Spanish social health measures will facilitate evaluating health determinants
Hahn, E. A., PROMIS Cooperative Group, DeWalt, D. A., Bode, R. K., Garcia, S. F., DeVellis, R. F., Correia, H., & Cella, D. (2014) · Health Psychology · doi:10.1037/hea0000055 · Cited by 368 · see citing works
Self-citationReliability and validity of ten consumer activity trackers
Kooiman, T. J. M., Dontje, M. L., Sprenger, S. R., Krijnen, W. P., van der Schans, C. P., & de Groot, M. (2015) · BMC Sports Science, Medicine and Rehabilitation · doi:10.1186/s13102-015-0018-5 · Cited by 360 · see citing works
Criqui, M. H., Denenberg, J. O., Bird, C. E., Fronek, A. S., Klauber, M. R., & Langer, R. D. (1996) · Vascular Medicine · doi:10.1177/1358863x9600100112 · Cited by 345 · see citing works
Self-citationGardner, A. W., Parker, D. E., Montgomery, P. S., Scott, K. J., & Blevins, S. M. (2011) · Circulation · doi:10.1161/circulationaha.110.963066 · Cited by 323 · see citing works
Home-Based Walking Exercise Intervention in Peripheral Artery Disease
McDermott, M. M., Liu, K., Guralnik, J. M., Criqui, M. H., Spring, B. J., Tian, L., Domanchuk, K. J., Ferrucci, L., Lloyd‐Jones, D. M., Kibbe, M. R., et al. (2013) · JAMA · doi:10.1001/jama.2013.7231 · Cited by 305 · see citing works
Self-citationMcDermott, M. M., Criqui, M. H., Liu, K., Guralnik, J. M., Greenland, P., Martin, G. J., & Pearce, W. H. (2000) · Journal of Vascular Surgery · doi:10.1067/mva.2000.108640 · Cited by 277 · see citing works
Self-citationLower Extremity Manifestations of Peripheral Artery Disease
McDermott, M. M. (2015) · Circulation Research · doi:10.1161/circresaha.114.303517 · Cited by 257 · see citing works
Self-citationValidity of PROMIS physical function measured in diverse clinical samples
Schalet, B. D., Hays, R. D., Jensen, S. E., Beaumont, J. L., Fries, J. F., & Cella, D. F. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2015.08.039 · Cited by 257 · see citing works
Gardner, A. W., Parker, D. E., Montgomery, P. S., & Blevins, S. M. (2014) · Journal of the American Heart Association · doi:10.1161/jaha.114.001107 · Cited by 240 · see citing works
Kelly, L. A., McMillan, D. G., Anderson, A., Fippinger, M., Fillerup, G., & Rider, J. H. (2013) · BMC Medical Physics · doi:10.1186/1756-6649-13-5 · Cited by 220 · see citing works
McDermott, M. M., Guralnik, J. M., Criqui, M. H., Liu, K., Kibbe, M. R., & Ferrucci, L. (2014) · Circulation · doi:10.1161/circulationaha.114.007002 · Cited by 220 · see citing works
Self-citationAskew, R. L., Cook, K. F., Revicki, D. A., Cella, D., & Amtmann, D. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2015.08.035 · Cited by 212 · see citing works
Harwood, A.-E., Smith, G. E., Cayton, T., Broadbent, E., & Chetter, I. C. (2016) · Annals of Vascular Surgery · doi:10.1016/j.avsg.2016.02.009 · Cited by 199 · see citing works
Chen, C. X., Kroenke, K., Stump, T. E., Kean, J., Carpenter, J. S., Krebs, E. E., Bair, M. J., Damush, T. M., & Monahan, P. O. (2018) · Pain · doi:10.1097/j.pain.0000000000001121 · Cited by 199 · see citing works
McDermott, M. M., Guralnik, J. M., Ferrucci, L., Tian, L., Liu, K., Liao, Y., Green, D., Sufit, R. L., Hoff, F. L., Nishida, T., et al. (2008) · Circulation · doi:10.1161/circulationaha.107.736108 · Cited by 188 · see citing works
Self-citationHays, R. D., Spritzer, K. L., Fries, J. F., & Krishnan, E. (2013) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2013-204053 · Cited by 159 · see citing works
Hahn, E. A., Beaumont, J. L., Pilkonis, P. A., Garcia, S. F., Magasi, S. R., DeWalt, D. A., & Cella, D. F. (2016) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2015.08.034 · Cited by 139 · see citing works
Self-citationWard, M. M., Guthrie, L. C., & Alba, M. I. (2014) · Arthritis Care & Research · doi:10.1002/acr.22392 · Cited by 106 · see citing works
McDermott, M. M., Guralnik, J. M., Criqui, M. H., Ferrucci, L., Zhao, L., Liu, K., Domanchuk, K., Spring, B., Tian, L., Kibbe, M., et al. (2014) · Journal of the American Heart Association · doi:10.1161/jaha.113.000711 · Cited by 100 · see citing works
Self-citationMcDermott, M. M., Ferrucci, L., Tian, L., Guralnik, J. M., Lloyd‐Jones, D. M., Kibbe, M. R., Polonsky, T. S., Domanchuk, K. J., Stein, J. H., Zhao, L., et al. (2017) · JAMA · doi:10.1001/jama.2017.17437 · Cited by 85 · see citing works
Self-citationA comparative study of treadmill tests and heel raising exercise for peripheral arterial disease
Amirhamzeh, M. M. R., Chant, H., Rees, J. L., Hands, L., Powell, R. J., & Campbell, W. B. (1997) · European Journal of Vascular and Endovascular Surgery · doi:10.1016/s1078-5884(97)80102-5 · Cited by 58 · see citing works
Do consultant home visits have a future in old age psychiatry?
Orrell, M. W., & Katona, C. (1998) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199806)13:6 · Cited by 42 · see citing works
Improving Lower Extremity Functioning in Peripheral Artery Disease
McDermott, M. M., & Kibbe, M. R. (2017) · JAMA · doi:10.1001/jama.2016.20673 · Cited by 30 · see citing works
Self-citationThosar, S. S., Niederhausen, M., Lapidus, J., Fino, N. F., Cigarroa, J. E., Minnier, J., Colner, S., Nayak, A., & Burchill, L. J. (2017) · British Journal of Sports Medicine · doi:10.1136/bjsports-2017-098512 · Cited by 10 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Heun R, Papassotiropoulos A, Jennssen F. The validity of psychometric instruments for detection of dementia in the elderly general population. Int J Geriatr Psychiatry. 1998;13(6):368- 380.
Cited by
Sorted by citations
Smart wearable devices in cardiovascular care: Where we are and how to move forward
Bayoumy, K., Gaber, M., Elshafeey, A., Mhaimeed, O., Dineen, E. H., Marvel, F. A., Martin, S. S., Muse, E. D., Turakhia, M. P., Tarakji, K. G., et al. (2021) · Nature Reviews Cardiology · doi:10.1038/s41569-021-00522-7 · Cited by 829 · see citing works
Treat-Jacobson, D., McDermott, M. M., Bronas, U. G., Campia, U., Collins, T. C., Criqui, M. H., Gardner, A. W., Hiatt, W. R., Regensteiner, J. G., Rich, K., et al. (2019) · Circulation · doi:10.1161/cir.0000000000000623 · Cited by 302 · see citing works
Self-citationGornik, H. L., Aronow, H. D., Goodney, P. P., Arya, S., Brewster, L. P., Byrd, L., Chandra, V., Drachman, D. E., Eaves, J. M., Ehrman, J. K., et al. (2024) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2024.02.013 · Cited by 294 · see citing works
Self-citationFitbit-based interventions for healthy lifestyle outcomes: systematic review and meta-analysis
Ringeval, M., Wagner, G., Denford, J., Paré, G., & Kitsiou, S. (2020) · Journal of Medical Internet Research · doi:10.2196/23954 · Cited by 225 · see citing works
McDermott, M. M., Spring, B., Tian, L., Treat-Jacobson, D., Ferrucci, L., Lloyd-Jones, D., Zhao, L., Polonsky, T., Kibbe, M. R., Bazzano, L., et al. (2021) · JAMA · doi:10.1001/jama.2021.2536 · Cited by 185 · see citing works
Self-citationFranklin, B. A., Eijsvogels, T. M. H., Pandey, A., Quindry, J., & Toth, P. P. (2022) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2022.100425 · Cited by 121 · see citing works
Lynch, C., Bird, S., Lythgo, N., & Selva-Raj, I. (2020) · American Journal of Health Promotion · doi:10.1177/0890117119895204 · Cited by 58 · see citing works
Noninvasive Continuous Monitoring of Vital Signs With Wearables: Fit for Medical Use?
Jacobsen, M., Dembek, T. A., Kobbe, G., Gaidzik, P. W., & Heinemann, L. (2021) · Journal of Diabetes Science and Technology · doi:10.1177/1932296820904947 · Cited by 49 · see citing works
Collins, T. C., Lu, L., Ahluwalia, J. S., Nollen, N. L., Sirard, J., Marcotte, R., Post, S., & Zackula, R. (2019) · JAMA Network Open · doi:10.1001/jamanetworkopen.2018.7959 · Cited by 19 · see citing works
The Role of Wearable Technologies and Telemonitoring in Managing Vascular Disease
Chan, C., Sounderajah, V., Acharya, A., Normahani, P., Bicknell, C., & Riga, C. (2020) · Vascular and Endovascular Review · doi:10.15420/ver.2019.11 · Cited by 6 · see citing works
- Authors
- McDermott, M. M., Spring, B., Berger, J. S., Treat-Jacobson, D., Conte, M. S., Creager, M. A., Criqui, M. H., Ferrucci, L., Gornik, H. L., Guralnik, J. M., Hahn, E. A., Henke, P., Kibbe, M. R., Kohlman-Trigoboff, D., Li, L., Lloyd-Jones, D., McCarthy, W., Polonsky, T. S., Skelly, C., Tian, L., Zhao, L., Zhang, D., & Rejeski, W. J.
- Affiliations
- Northwestern University (US)
- New York University (US)
- Center for Aging Science and Care Innovation, University of Minnesota School of Nursing, Minneapolis
- University of California, San Francisco (US)
- Dartmouth College (US)
- University of California San Diego (US)
- National Institute on Aging (US)
- Cleveland Clinic Lerner College of Medicine (US)
- University of Maryland, Baltimore (US)
- University of Michigan (US)
- University of North Carolina at Chapel Hill (US)
- Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
- Rush University Medical Center (US)
- University of Chicago (US)
- Department of Health Research and Policy, Stanford University, Stanford, California
- Wake Forest University Health Sciences (US)
- Corresponding author
- McDermott, Mary M.
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2018-04-24
- Volume
- 319
- Issue
- 16
- Pages
- 1665
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- PMC
- PMC5933394
- OpenAlex
- W2801971446
- Cited by
- 211
- References
- 41
- Citations by year
- 2026: 10 · 2025: 21 · 2024: 29 · 2023: 23 · 2022: 35 · 2021: 35 · 2020: 22 · 2019: 23 · 2018: 12 · 2013: 1
- FWCI
- 23.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Peripheral Artery Disease Management
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- peripheral arterial disease, home-based exercise, wearable activity trackers, telephone coaching, walking performance, 6-minute walk distance, physical activity, pain interference, gait disturbance, physical function, PROMIS, Walking Impairment Questionnaire, usual care comparison, exercise adherence, patient satisfaction, social role satisfaction, older adults, chronic disease management
- MeSH terms
- Wearable Electronic Devices, Aged, Exercise Therapy, Female, Home Nursing, Humans, Male, Middle Aged, Patient Compliance, Surveys and Questionnaires, Telephone, Walking, Telemedicine, Peripheral Arterial Disease
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
