ArticleJournal of clinical epidemiology2009
Seniors' self-reported multimorbidity captured biopsychosocial factors not incorporated into two other data-based morbidity measures.
Article in Journal of clinical epidemiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
109 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Outcomes and instruments used in social prescribing: a modified umbrella review.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Pooled it
- Pooled it
- Does the chronic care model meet the emerging needs of people living with multimorbidity? A systematic review and thematic synthesis.PloS one · 2018Pooled it
- Measures of multimorbidity and morbidity burden for use in primary care and community settings: a systematic review and guide.Annals of family medicinePooled it
- Symptom management interventions influence unscheduled health services use among cancer survivors and caregivers.Journal of cancer survivorship : research and practice · 2026Trial
- Exercise therapy and self-management support for individuals with multimorbidity: a randomized and controlled trial.Nature medicine · 2025Trial
- Cost-Effectiveness of a Multi-faceted Workplace Intervention to Reduce Musculoskeletal Pain in Nursing Staff: A Cluster-Randomized Controlled Trial (INTEVAL_Spain).Journal of occupational rehabilitation · 2025Trial
- Feasibility of a digital palliative care intervention (Convoy-Pal) for older adults with heart failure and multiple chronic conditions and their caregivers: a waitlist randomized control trial.BMC palliative care · 2024Trial
- Chair-based yoga programme for older adults with multimorbidity: RCT with embedded economic and process evaluations.Health technology assessment (Winchester, England) · 2024Trial
- A sequential multiple assignment randomized trial of symptom management for cancer survivors during treatment and their informal caregivers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Trial
- A Randomized Controlled Trial Testing the Effects of a Social Needs Navigation Intervention on Health Outcomes and Healthcare Utilization among Medicaid Members with Type 2 Diabetes.International journal of environmental research and public health · 2024Trial
- A Sequential Multiple Assignment Randomized Trial of Symptom Management After Chemotherapy.Journal of pain and symptom management · 2023Trial
- Reflexology and meditative practices for symptom management among people with cancer: Results from a sequential multiple assignment randomized trial.Research in nursing & health · 2021Trial
- Symptom response analysis of a randomized controlled trial of reflexology for symptom management among women with advanced breast cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020Trial
- Effectiveness of Community-Links Practitioners in Areas of High Socioeconomic Deprivation.Annals of family medicine · 2019Trial
- Healthcare service utilization and work-related productivity in reflexology intervention for advanced breast cancer women.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Trial
- PROMIS and legacy measures compared in a supportive care intervention for breast cancer patients and caregivers: Experience from a randomized trial.Psycho-oncology · 2018Trial
- Trial
- Protocol for the ROSE sustainment (ROSES) study, a sequential multiple assignment randomized trial to determine the minimum necessary intervention to maintain a postpartum depression prevention program in prenatal clinics serving low-income women.Implementation science : IS · 2018Trial
- Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach.Lancet (London, England) · 2018Trial
49 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
objectiveTo explore the constructs underlying a self-report assessment of multimorbidity. STUDY DESIGN AND
settingWe conducted a cross-sectional survey of 352 HMO members aged 65 years or more with, at a minimum, diabetes, depression, and osteoarthritis. We assessed self-reported 'disease burden' (a severity-adjusted count of conditions) as a function of biopsychosocial factors, two data-based comorbidity indices, and demographic variables.
resultsIn multivariate regression, age, 'compound effects of conditions' (treatments and symptoms interfering with each other), self-efficacy, financial constraints, and physical functioning were significantly (p<or=0.05) associated with disease burden. An ICD-9-based morbidity index did not significantly contribute to disease burden, and a pharmacy-data-based morbidity index was minimally significant.
conclusionThis measure of self-reported disease burden represents an amalgamation of functional capabilities, social considerations, and medical conditions that are not captured by two administrative data-based measures of morbidity. This suggests that (a) self-reported descriptions of multimorbidity incorporate biopsychosocial constructs that reflect the perceived burden of multimorbidity, (b) a simple count of diagnoses should be supplemented by an assessment of activity limitations imposed by these conditions, and (c) choice of the morbidity measurement instrument should be based on the outcome of interest rather than on the most convenient method of measurement.
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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.