Evidence map›Paper›PMID 25962515›Full record

Trial reportBMC family practice2015

OPTIMAL, an occupational therapy led self-management support programme for people with multimorbidity in primary care: a randomized controlled trial.

Jess Garvey, Deirdre Connolly, Fiona Boland, Susan M Smith

Abstract readRandomized Controlled TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC family practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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

61 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  11. Occupational Therapy Interventions for Productive Aging Among Community-Dwelling Older Adults.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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  16. Effect of the OPTIMAL programme on self-management of multimorbidity in primary care: a randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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  19. Addressing Diabetes in Primary Care: Hybrid Effectiveness-Implementation Study of Lifestyle RedesignThe American journal of occupational therapy : official publication of the American Occupational Therapy Association
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1 more citing papers are in PubMed but not listed here.

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

4 authors.

Jess GarveyDepartment of Occupational Therapy, Trinity College Dublin, Trinity Centre, St James's Hospital, Dublin 8, Ireland. garveyjm@tcd.ie.
Deirdre ConnollyDepartment of Occupational Therapy, Trinity College Dublin, Trinity Centre, St James's Hospital, Dublin 8, Ireland. connoldm@tcd.ie.
Fiona BolandHRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeon's in Ireland, Beaux Lane House, Lower Mercer Street, 2, 123 St Stephen's Green, Dublin 2, Ireland. fionaboland@rcsi.ie.
Susan M SmithHRB Centre for Primary Care Research, Department of General Practice, Royal College of Surgeon's in Ireland, Beaux Lane House, Lower Mercer Street, 2, 123 St Stephen's Green, Dublin 2, Ireland. susansmith@rcsi.ie.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe investigated the effectiveness of an occupational therapy led self-management support programme, OPTIMAL, designed to address the challenges of living with multiple chronic conditions or multimorbidity in a primary care setting.

methodsPragmatic feasibility randomised controlled trial including fifty participants with multimorbidity recruited from family practice and primary care settings. OPTIMAL is a six-week community-based programme, led by occupational therapy facilitators and focuses on problems associated with managing multimorbidity. The primary outcome was frequency of activity participation. Secondary outcomes included self-perception of, satisfaction with and ability to perform daily activities, independence in activities of daily living, anxiety and depression, self-efficacy, health-related quality of life, self-management support, healthcare utilisation and individualised goal attainment. Outcomes were collected within two weeks of intervention completion.

resultsThere was a significant improvement in frequency of activity participation, measured using the Frenchay Activities Index, for the intervention group compared to the control group (Adjusted Mean Difference at follow up 4.22. 95% Confidence Interval 1.59-6.85). There were also significant improvements in perceptions of activity performance and satisfaction, self-efficacy, independence in daily activities and quality of life. Additionally, the intervention group demonstrated significantly higher levels of goal achievement, following the intervention. No significant differences were found between the two groups in anxiety, depression, self-management scores or healthcare utilisation.

conclusionsOPTIMAL significantly improved frequency of activity participation, self-efficacy and quality of life for patients with multimorbidity. Further work is required to test the sustainability of these effects over time but this study indicates that it is a promising intervention that can be delivered in primary care and community settings.

trial registrationTRIAL NUMBER: ISRCTN67235963.

Indexed as

Chronic DiseaseOccupational TherapyQuality of LifeActivities of Daily LivingCommunity-Based Participatory ResearchComorbidityFemaleHumansMaleMiddle AgedOutcome and Process Assessment, Health CarePrimary Health CareSelf CareSelf Concept

Identifiers

PMID25962515
PMCPMC4438474

What OpenQuestion holds

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Registered trials

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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.