Evidence map›Paper›PMID 25827657›Full record

Trial reportArchives of physical medicine and rehabilitation2015

Health behavior change counseling in surgery for degenerative lumbar spinal stenosis. Part I: improvement in rehabilitation engagement and functional outcomes.

Richard L Skolasky, Anica M Maggard, David Li, Lee H Riley, Stephen T Wegener

Abstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Archives of physical medicine and rehabilitation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. ON Path: outpatient nonunion pathway for lower-extremity nonunions.OTA international : the open access journal of orthopaedic trauma · 2022
    Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. What's New in Orthopaedic Rehabilitation.The Journal of bone and joint surgery. American volume · 2016
    Review
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 2 institutions in 1 country.

Richard L SkolaskyDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address: editorialservices@jhmi.edu.
Anica M MaggardDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
David LiDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
Lee H RileyDepartment of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
Stephen T WegenerDepartment of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins Medicine · USJohns 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 R01HS 017990AHRQ HHS R01 HS017990
6 · The paper itself

Abstract

objectiveTo examine whether a brief motivational interviewing [MI]-based health behavior change counseling (HBCC) intervention increased patient participation in physical therapy and/or home exercise programs (HEPs), reduced disability, and improved health status after surgery for degenerative lumbar spinal stenosis.

designProspective clinical trial.

settingAcademic medical center.

participantsFrom December 2009 through August 2012, consecutive patients (N=122) underwent surgery for degenerative lumbar spinal stenosis and, based on enrollment date, were prospectively assigned to a control (n=59) or HBCC intervention (n=63) group in a prospective, lagged-control clinical trial.

interventionsBrief MI-based HBCC versus attention control.

main outcome measuresRehabilitation participation (primary); disability and health status (secondary). Therapists assessed engagement in, and patients reported attendance at, postoperative rehabilitation (physical therapy and/or HEP). At 3 and 6 months, disability and health status were assessed (Oswestry Disability Index [ODI] and Medical Outcomes Study 12-Item Short-Form Health Survey, version 2 [SF-12v2]) (significance, P<.05).

resultsCompared with controls, HBCC patients had significantly higher rehabilitation engagement (21.20±4.56 vs 23.57±2.71, respectively; P<.001), higher physical therapy (.67±.21 vs .82±.16, respectively; P<.001) and HEP (.65±.23 vs .75±.22, respectively; P=.019) attendance, and better functional outcomes at 3 months (difference: ODI, -10.7±4.4, P=.015; SF-12v2, 6.2±2.2, P=.004) and 6 months (difference: ODI, -12.7±4.8, P=.008; SF-12v2, 8.9±2.4, P<.001). The proportion of the HBCC intervention impact on functional recovery mediated by rehabilitation participation was approximately half at 3 months and one-third at 6 months.

conclusionsHBCC can improve outcomes after spine surgery through improved rehabilitation participation.

Indexed as

Lumbar VertebraePhysical Therapy ModalitiesAcademic Medical CentersAdultAgedDisability EvaluationExerciseFemaleHealth BehaviorHealth StatusHumansMaleMental HealthMiddle AgedMotivational InterviewingPatient ParticipationLaminectomyMotivational interviewingRehabilitationSpinal stenosisSpine

Identifiers

PMID25827657
PMCPMC6153438
OpenAlexW1795371137

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.