Evidence map›Paper›PMID 25887078›Full record

Trial reportBMC musculoskeletal disorders2015

Effectiveness and cost-effectiveness of a health coaching intervention to improve the lifestyle of patients with knee osteoarthritis: cluster randomized clinical trial.

Victoria Carmona-Terés, Iris Lumillo-Gutiérrez, Lina Jodar-Fernández, Teresa Rodriguez-Blanco, Joanna Moix-Queraltó, Enriqueta Pujol-Ribera, Xavier Mas, Enrique Batlle-Gualda, Milena Gobbo-Montoya, Anna Berenguera

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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  7. The 5Rs dilemma of radiotherapy for non-malignant diseases: 5Rs to darken OR 5Rs to shine.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
    Review
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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

10 authors at 5 institutions in 2 countries.

Victoria Carmona-TerésDepartamento de Psicología Básica, Universitat Autònoma de Barcelona; Facultad de Psicología, evolutiva y de la Salud. Edificio B. Campus de la UAB, Bellaterra, 08193, Barcelona, Spain. victoriacarmona@copc.cat.
Iris Lumillo-GutiérrezCentro Atención Primaria Can Bou, Calle Ciutat de Màlaga, 18-20, Castelldefels, 08860, Barcelona, Spain. irislumillo@gmail.com.
Lina Jodar-FernándezCentro Atención Primaria Sant Ildefons, Avda República Argentiana s/n, Cornellà de Llobregat, 08940, Barcelona, Spain. ljodar74@gmail.com.
Teresa Rodriguez-BlancoInstitut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Gran Via Corts Catalanes, 587, àtic, Barcelona, 08007, Spain. trodriguez@idiapjgol.org.
Joanna Moix-QueraltóDepartamento de Psicología Básica, Universitat Autònoma de Barcelona; Facultad de Psicología, evolutiva y de la Salud. Edificio B. Campus de la UAB, Bellaterra, 08193, Barcelona, Spain. jenny.moix@uab.cat.
Enriqueta Pujol-RiberaInstitut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Gran Via Corts Catalanes, 587, àtic, Barcelona, 08007, Spain. epujol@idiapjgol.org.
Xavier MasCentro de Atención Primaria Amadeu Torner, Calle Amadeu Torner, 63, l'Hospitalet de Llobregat, 08902, Barcelona, Spain. 22716xmg@comb.cat.
Enrique Batlle-GualdaHospital Universitario de San Juan de Alicante; Unidad de Reumatología, Ctra N-332, Sant Joan d'Alacant, Alicante-Valencia, 03550, Spain. batlle_enr@gva.es.
Milena Gobbo-MontoyaPsicología del dolor y en enfermedades reumáticas, Av. Presidente Carmona, 10 bis 1ºA, Madrid, 28020, Spain. milena.gobbo@ser.es.
Anna BerengueraInstitut Universitari d'Investigació en Atenció Primària (IDIAP Jordi Gol), Gran Via Corts Catalanes, 587, àtic, Barcelona, 08007, Spain. aberenguera@idiapjgol.org.
Universitat Autònoma de Barcelona · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESCatalonian Research and Innovation Centre · ESConsorci d’Atenció Primària de Salut Barcelona Esquerra · ESHospital Universitari Sant Joan D'Alacant · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of osteoarthritis and knee osteoarthritis in the Spanish population is estimated at 17% and 10.2%, respectively. The clinical guidelines concur that the first line treatment for knee osteoarthritis should be non-pharmacological and include weight loss, physical activity and self-management of pain. Health Coaching has been defined as an intervention that facilitates the achievement of health improvement goals, the reduction of unhealthy lifestyles, the improvement of self-management for chronic conditions and quality of life enhancement. The aim of this study is to analyze the effectiveness, cost-effectiveness and cost-utility of a health coaching intervention on quality of life, pain, overweight and physical activity in patients from 18 primary care centres of Barcelona with knee osteoarthritis. METHODS/

designMethodology from the Medical Research Council on developing complex interventions. Phase 1: Intervention modelling and operationalization through a qualitative, socioconstructivist study using theoretical sampling with 10 in-depth interviews to patients with knee osteoarthritis and 4 discussion groups of 8-12 primary care professionals, evaluated using a sociological discourse analysis. Phase 2: Effectiveness, cost-effectiveness and cost-utility study with a community-based randomized clinical trial.

participants360 patients with knee osteoarthritis (180 in each group). Randomization unit: Primary Care Centre. Intervention Group: will receive standard care plus 20-hour health coaching and follow-up sessions. CONTROL GROUP: will receive standard care. MAIN OUTCOME VARIABLE: quality of life as measured by the WOMAC index. Data Analyses: will include standardized response mean and multilevel analysis of repeated measures. Economic analysis: based on cost-effectiveness and cost-utility measures. Phase 3: Evaluation of the intervention programme with a qualitative study. Methodology as in Phase 1. DISCUSSION: If the analyses show the cost-effectiveness and cost-utility of the intervention the results can be incorporated into the clinical guidelines for the management of knee osteoarthritis in primary care.

trial registrationISRCTN57405925. Registred 20 June 2014.

Indexed as

Health BehaviorHealth Care CostsHealth Knowledge, Attitudes, PracticeResearch DesignRisk Reduction BehaviorArthralgiaClinical ProtocolsCost-Benefit AnalysisCounselingDietExerciseFemaleHumansMaleOsteoarthritis, KneePatient Education as Topic

Identifiers

PMID25887078
PMCPMC4344994
OpenAlexW2011194040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.