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mHealth

Fitbit wear during an activity trial

Hartman SJ, Nelson SH, Weiner LS · JMIR mHealth and uHealth · 2018

Open access · cc by · source: Europe PMC

Survivors wore Fitbits most days and roughly doubled ActiGraph MVPA over 12 weeks in the intervention arm.

Study at a glance

Design
Other — Secondary analysis of the exercise arm of a 12-week physical-activity RCT
N
N=42 · 42 of 43 exercise-arm completers (parent RCT randomized 87)
Population
Female breast cancer survivors in a physical-activity intervention
Outcome
Fitbit wear adherence and ActiGraph MVPA over 12 weeks

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Among 42 survivors, mean wear was 6.2/7 days weekly. Intervention MVPA rose from 93.8 to 195.3 min/week.

Methodology

Exploratory analysis of Fitbit use among women in a 12-week activity intervention, relating wear adherence to ActiGraph MVPA.

Limitations

Small exploratory subsample; describes use patterns rather than proving Fitbit alone causes gains.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsMixed-Effects Modelmethod

    Single-arm and exploratory mixed-model papers describe trajectories without a randomised comparator. Among 105 IntelliCare users enrolled at PHQ-9 ≥10 and/or GAD-7 ≥8, paired outcomes improved and 37% reached PHQ-9 <5 and 42% GAD-7 <5 by end of treatment. Among 42 cancer survivors in a Fitbit subsample, mean wear was 6.2 of 7 days weekly and intervention MVPA rose from 93.8 to 195.3 min/week — use patterns, not a Fitbit-only causal test.

    Evidence for the claim as stated.

  • SupportsMixed-Effects Modelmethod

    A mixed model with a randomised control (MoodGYM, Kokoro-app, Facebook walking, Glucose Buddy) answers a different question from a mixed model of change inside one arm (IntelliCare field trial, Fitbit wear). Significant PHQ-9/GAD-7 improvement to 37%/42% below 5, or MVPA doubling from 93.8 to 195.3 min/week, can be expectancy, concurrent care, or the surrounding activity trial. Those papers do not licence the same causal sentence as a 2.5-point randomised PHQ-9 gap.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

  • Scope difference — different assays, populations, or outcomes

    A mixed model with a randomised control (MoodGYM, Kokoro-app, Facebook walking, Glucose Buddy) answers a different question from a mixed model of change inside one arm (IntelliCare field trial, Fitbit wear). Significant PHQ-9/GAD-7 improvement to 37%/42% below 5, or MVPA doubling from 93.8 to 195.3 min/week, can be expectancy, concurrent care, or the surrounding activity trial. Those papers do not licence the same causal sentence as a 2.5-point randomised PHQ-9 gap.

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Same topic cluster — not a recommendation engine.