{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:47:16Z","timestamp":1790113636358,"version":"4.0.1"},"reference-count":70,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005440","name":"Center for Scientific Review","doi-asserted-by":"publisher","award":["NIH K12 HD055931"],"award-info":[{"award-number":["NIH K12 HD055931"]}],"id":[{"id":"10.13039\/100005440","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007217","name":"Health Services Research and Development","doi-asserted-by":"publisher","award":["VA RR&D I21RX002054"],"award-info":[{"award-number":["VA RR&D I21RX002054"]}],"id":[{"id":"10.13039\/100007217","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["NIH\/NCATS UL1TR001082"],"award-info":[{"award-number":["NIH\/NCATS UL1TR001082"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PM&amp;R"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lower\u2010limb amputation (LLA) due to non\u2010traumatic vascular etiology is linked to extremely low physical activity and high disability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To test the feasibility of a biobehavioral intervention designed to promote physical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A randomized, single\u2010blind feasibility trial with a crossover design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Veterans Administration Medical Center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Military veterans (age: 65.7 [7.8] years; mean [standard deviation]) with nontraumatic lower\u2010limb amputation (LLA), randomized to two groups: GROUP1 (n\u2009=\u200916) and GROUP2 (n\u2009=\u200915). Both groups had similar baseline amputation characteristics (level of amputation and time since amputation).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Twelve weekly, 30\u2010minute telehealth sessions of physical activity behavior\u2010change intervention, with GROUP1 participating in weeks 1\u201012 and GROUP2 in weeks 13\u201024. GROUP1 noncontact phase in weeks 13\u201024 and GROUP2 attention control telehealth phase in weeks 1\u201012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Feasibility (participant retention, dose goal attainment, intervention acceptability [Intrinsic Motivation Inventory [IMI] Interest and Enjoyment scale], safety) and signal of efficacy (free\u2010living physical activity [accelerometer\u2010based average daily step count], Late Life Function and Disability Index \u2010 Disability Scale [LLFDI\u2010DS]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participant retention rate was high (90%), with three participants lost to follow\u2010up during the intervention period. Dose goal attainment was low, with only 10% of participants achieving an a priori walking dose goal. Intervention was rated as acceptable, with mean IMI Interest and Enjoyment score (5.8) statistically higher than the null value of 5.0 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.002). There were no between\u2010group differences in adverse event rates (falls:\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.19, lower extremity wounds:\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.60). There was no signal of efficacy for change in average daily step count (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.15) or LLFDI\u2010DS (\n                      <jats:italic>d<\/jats:italic>\n                      \u2009=\u2009\u22120.22 and 0.17 for frequency and limitations scales, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Telehealth delivered biobehavioral intervention resulted in acceptable participant retention, low dose goal attainment, high participant acceptability, and low safety risk, while having no signal of efficacy (physical activity, disability) for people with nontraumatic LLA.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmrj.12374","type":"journal-article","created":{"date-parts":[[2020,4,5]],"date-time":"2020-04-05T09:31:41Z","timestamp":1586079101000},"page":"957-966","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Biobehavioral Intervention Targeting Physical Activity Behavior Change for Older Veterans after Nontraumatic Amputation: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3273-1169","authenticated-orcid":false,"given":"Cory L.","family":"Christiansen","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado  Aurora CO"},{"name":"VA Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center  Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1301-7149","authenticated-orcid":false,"given":"Matthew J.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy and Rehabilitation Science University of California  San Francisco San Francisco CA"},{"name":"Division of Geriatrics University of California  San Francisco San Francisco CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3567-4748","authenticated-orcid":false,"given":"Paul W.","family":"Kline","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado  Aurora CO"},{"name":"VA Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center  Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas T.","family":"Fields","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Rocky Mountain Regional Medical Center  Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William J.","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Vanderbilt University Medical Center  Nashville TN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Blatchford","sequence":"additional","affiliation":[{"name":"VA Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center  Aurora CO"},{"name":"Department of Biostatistics and Informatics University of Colorado  Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8118-378X","authenticated-orcid":false,"given":"Jennifer E.","family":"Stevens\u2010Lapsley","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado  Aurora CO"},{"name":"VA Eastern Colorado Geriatric Research, Education, and Clinical Center, Rocky Mountain Regional VA Medical Center  Aurora CO"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"issue":"8","key":"e_1_2_6_2_1","first-page":"875","article-title":"Limb amputation and limb deficiency: epidemiology and recent trends in the United States","volume":"95","author":"Dillingham TR","year":"2002","journal-title":"South Med J"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.11.005"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc11-0807"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10029"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-017-0626-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2017.07.015"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-1775"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.190134"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2015.08.0161"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2013.08.011"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/pmrj.12121"},{"key":"e_1_2_6_13_1","unstructured":"VA\/DoD Clinical Practice Guideline for Rehabilitation of Lower Limb Amputation. Department of Veterans Affairs & Department of Defense;2008."},{"key":"e_1_2_6_14_1","unstructured":"VA\/DoD Clinical Practice Guideline for Rehabilitation of Lower Limb Amputation. Department of Veterans Affairs & Department of Defense;2017."},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2014.08.018"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/000331970005100201"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd12.140574"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2399"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.7231"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.04.011"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cct.2017.01.008"},{"issue":"4","key":"e_1_2_6_22_1","first-page":"709","article-title":"Geriatric depression scale","volume":"24","author":"Yesavage JA","year":"1988","journal-title":"Psychopharmacol Bull"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3109\/03093649809164475"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2004.10.018"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.08.034"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.963066"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/her\/cyq017"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.1989.10607413"},{"key":"e_1_2_6_30_1","first-page":"E113","article-title":"A catalog of rules, variables, and definitions applied to accelerometer data in the National Health and Nutrition Examination Survey, 2003\u20102006","volume":"9","author":"Tudor\u2010Locke C","year":"2012","journal-title":"Prev Chronic Dis"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/57.4.M209"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2004.52422.x"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638280902998789"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-14-12"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0033"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(98)90090-9"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afi196"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp225"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2018.05.016"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200005000-00007"},{"key":"e_1_2_6_41_1","doi-asserted-by":"publisher","DOI":"10.1080\/02701367.2003.10609088"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.26.2.222"},{"key":"e_1_2_6_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.1990.9674095"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215509339001"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638280410001708878"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb01616.x"},{"key":"e_1_2_6_48_1","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/80.9.896"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2006.10.015"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2007.04.016"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1923"},{"key":"e_1_2_6_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-009-0246-z"},{"key":"e_1_2_6_53_1","doi-asserted-by":"publisher","DOI":"10.3109\/03093649309164360"},{"key":"e_1_2_6_54_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2001.25153"},{"key":"e_1_2_6_55_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.34600"},{"key":"e_1_2_6_56_1","volume-title":"ACSM's Guidelines for Exercise Testing and Prescription","author":"American College of Sports Medicine"},{"key":"e_1_2_6_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.07.010"},{"key":"e_1_2_6_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2014.09.009"},{"key":"e_1_2_6_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/2251-6581-13-63"},{"key":"e_1_2_6_60_1","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-8-80"},{"key":"e_1_2_6_61_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0154587"},{"key":"e_1_2_6_62_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2018.01.002"},{"key":"e_1_2_6_63_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1422031"},{"key":"e_1_2_6_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2018.10.005"},{"key":"e_1_2_6_65_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2017.05.039"},{"key":"e_1_2_6_66_1","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2018.1492031"},{"key":"e_1_2_6_67_1","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2017-0196"},{"key":"e_1_2_6_68_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181943826"},{"key":"e_1_2_6_69_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2015.1104258"},{"key":"e_1_2_6_70_1","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED-D-16-00262"},{"key":"e_1_2_6_71_1","doi-asserted-by":"publisher","DOI":"10.1002\/jnr.23896"}],"container-title":["PM&amp;R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fpmrj.12374","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12374","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.12374","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.12374","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T17:42:29Z","timestamp":1693935749000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.12374"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,6]]},"references-count":70,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1002\/pmrj.12374"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.12374","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,6]]},"assertion":[{"value":"2020-01-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-06","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}