Evidence map›Paper›PMID 23816487›Full record

Trial reportContemporary clinical trials2013

Functional recovery in lumbar spine surgery: a controlled trial of health behavior change counseling to improve outcomes.

Richard L Skolasky, Lee H Riley, Anica M Maggard, Saaniya Bedi, Stephen T Wegener

Abstract readClinical Trial
In one paragraph

Trial report in Contemporary clinical trials, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Post-discharge care interventions to support patient recovery after elective degenerative spine surgery: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
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  6. Multidomain postoperative recovery trajectories after lumbar and thoracolumbar spine surgery.The spine journal : official journal of the North American Spine Society · 2025
    Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Richard L SkolaskyDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD 21287, USA. ehenze1@jhmi.edu
Lee H Riley
Anica M Maggard
Saaniya Bedi
Stephen T Wegener
Johns Hopkins University · US

Funding

Functional recovery in lumbar spine surgery: Influence of a brief Health BehaviorR01HS017990 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI SKOLASKY, RICHARD L. · 2009 to 2012
$971k
AHRQ HHS 1 R01 HS 017990AHRQ HHS R01 HS017990
6 · The paper itself

Abstract

In 2001, the Institute of Medicine issued a challenge to the American health care system to improve the quality of care by focusing on six major areas: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. The patient-centered model of care directly addresses important limits of surgical care of the lumbar spine, i.e., the lack of effective methods for increasing patient participation and engagement in post-operative follow-up. Recent evidence indicates that post-surgical outcomes are better among those with higher patient activation. We therefore developed an intervention based on the principles of motivational interviewing to increase patient activation: the Functional Recovery in Lumbar Spine Surgery Health Behavior Change Counseling (HBCC) intervention. The HBCC was designed to maximize post-operative engagement and participation in physical therapy and home exercise, to improve functional recovery, and to decrease pain in individuals undergoing elective lumbar spine surgery. From December 2009 through October 2012, 120 participants were recruited and divided into two groups: those receiving (intervention group, 60) and not receiving (control group, 60) the HBCC intervention. The current manuscript provides a detailed description of the theoretical framework and study design of the HBCC and describes the implementation of this health behavior intervention in a university-based spine service. The HBCC provides a model for conducting health behavioral research in a real-world setting.

Indexed as

Recovery of FunctionResearch DesignAgedDisability EvaluationFemaleHealth BehaviorHealth StatusHumansLumbosacral RegionMaleMental HealthMiddle AgedMotivational InterviewingOrthopedic ProceduresPain MeasurementPatient-Centered CareFRiLSSFunctional Recovery in Lumbar Spine SurgeryHBCCHealth Behavior Change CounselingHEPhome exercise programsLumbar spineMImotivational interviewingMotivational interviewingODIOswestry Disability IndexPAMPatient activationpatient activation measuresphysical therapyPhysical therapyPTRehabilitationSDSpine surgerystandard deviation.

Identifiers

PMID23816487
PMCPMC6153435
OpenAlexW1984881344

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.