Evidence map›Paper›PMID 10669447›Full record

Trial reportBMJ (Clinical research ed.)2000

A randomised controlled trial and economic evaluation of a referrals facilitator between primary care and the voluntary sector.

C Grant, T Goodenough, I Harvey, C Hine

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 7 pooled it
11.9field-weighted citation impact, top 2% of its field
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

62 citing papers in PubMed, 7 syntheses or guidelines pooled it, 148 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Can Social Prescribing Foster Individual and Community Well-Being? A Systematic Review of the Evidence.International journal of environmental research and public health · 2021
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Primary care mental health workers: models of working and evidence of effectiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002
    Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Cluster randomised controlled trial of the effectiveness of primary care mental health workers.The British journal of general practice : the journal of the Royal College of General Practitioners · 2007
    Trial
  13. Review
  14. Linking Social Prescribing and Lifestyle RedesignCanadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2026
    Article
  15. Article
  16. Article
  17. Impact of the rollout of the national social prescribing link worker programme on population outcomes: evidence from a repeated cross-sectional survey.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  18. Article
  19. Observational
  20. Article

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 2 countries.

C GrantDivision of Primary Health Care, University of Bristol, Bristol BS8 2PR. clare.grant@bristol.ac.uk
T Goodenough
I Harvey
C Hine
Primary Health Care · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare outcome and resource utilisation among patients referred to the Amalthea Project, a liaison organisation that facilitates contact between voluntary organisations and patients in primary care, with patients receiving routine general practitioner care.

designRandomised controlled trial with follow up at one and four months.

setting26 general practices in Avon.

participants161 patients identified by their general practitioner as having psychosocial problems.

main outcome measuresPrimary outcomes were psychological wellbeing (assessed with the hospital anxiety and depression scale) and social support (assessed using the Duke-UNC functional social support questionnaire). Secondary outcomes were quality of life measures (the Dartmouth COOP/WONCA functional health assessment charts and the delighted-terrible faces scale), cost of contacts with the primary healthcare team and Amalthea Project, cost of prescribing in primary care, and cost of referrals to other agencies, over four months.

resultsThe Amalthea group showed significantly greater improvements in anxiety (average difference between groups after adjustment for baseline -1.9, 95% confidence interval -3.0 to -0.7), other emotional feelings (average adjusted difference -0.5, -0.8 to -0.2), ability to carry out everyday activities (-0.5, -0.8 to -0.2), feelings about general health (-0.4, -0.7 to -0.1), and quality of life (-0.5, -0.9 to -0.1). No difference was detected in depression or perceived social support. The mean cost was significantly greater in the Amalthea arm than the general practitioner care arm ( pound153 v pound133, P=0. 025).

conclusionReferral to the Amalthea Project and subsequent contact with the voluntary sector results in clinically important benefits compared with usual general practitioner care in managing psychosocial problems, but at a higher cost.

Indexed as

AdolescentAdultAgedAged, 80 and overAnxietyFamily PracticeFemaleFollow-Up StudiesHealth ResourcesHumansMaleMiddle AgedOutcome and Process Assessment, Health CareReferral and ConsultationUnited KingdomVoluntary Health Agencies

Identifiers

PMID10669447
PMCPMC27287
OpenAlexW2040589457

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.