Evidence map›Paper›PMID 26557787›Full record

ArticleBMC nursing2015

Examining the influence of treatment preferences on attrition, adherence and outcomes: a protocol for a two-stage partially randomized trial.

Souraya Sidani, Mary Fox, David L Streiner, Joyal Miranda, Suzanne Fredericks, Dana R Epstein

Registry-linked trialAbstract read
In one paragraph

Article in BMC nursing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02513017 (Insomnia and Cardiovascular Diseases), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT02513017 nacompletednot on this map

Insomnia and Cardiovascular Diseases: Influence of Behavioral Treatments and Preferences

TypeinterventionalSponsorToronto Metropolitan UniversityRan2009 to 2013Enrolled204ConditionsInsomnia, Cardiovascular DiseaseArmsStimulus Control Instructions and Sleep Restriction Therapy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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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

6 authors.

Souraya SidaniSchool of Nursing, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2 K3 Canada.
Mary FoxSchool of Nursing, York University, Toronto, ON Canada.
David L StreinerDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON Canada.
Joyal MirandaSchool of Nursing, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2 K3 Canada.
Suzanne FredericksSchool of Nursing, Ryerson University, 350 Victoria Street, Toronto, ON M5B 2 K3 Canada.
Dana R EpsteinNursing Research and Evidence-Based Practice, Phoenix Veterans Affairs Health Care System, Phoenix, AZ USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmpirical evidence pertaining to the influence of treatment preferences on attrition, adherence and outcomes in intervention evaluation trials is inconsistent. The inconsistency can be explained by the method used for allocating treatment and measuring preferences. The current methodological study is designed to address these factors by implementing the two-stage partially randomized or preference trial design, and administering a validated measure to assess participants' preferences for the treatments under evaluation. It aims to compare attrition, adherence and outcomes for participants allocated randomly or by preference to treatment. The study is in its final stages of data collection; its protocol is presented in this paper. METHODS/

designA partially randomized clinical or preference trial is used. Eligible participants are randomized to two trial arms. First is the random arm involving random assignment to treatments, and second is the preference arm involving allocation to the chosen treatment. Participants with chronic insomnia are targeted. Two behavioral treatments are offered, stimulus control therapy and sleep restriction therapy, in the same format (small group) and dose (two sessions given over a 4-week period). A participant log is used to collect data on attrition. Adherence is evaluated in terms of exposure and enactment of treatment. Sleep-related outcomes (sleep parameters and perceived insomnia severity) are measured at pretest, posttest, 6 and 12 month follow-up. Treatment preferences, adherence and outcomes are assessed with reliable and valid measures. DISCUSSION: The advantages and limitations of the preference trial design are highlighted. The challenges in implementing the trial are discussed relative to the distribution of participants in the groups defined by treatment received and method of treatment allocation.

trial registrationClinicalTrials.gov Registry NCT02513017.

Indexed as

Adherence to treatmentAttritionBehavioral therapyInsomniaOutcomesTreatment preferenceTwo-stage randomized clinical trial

Identifiers

PMID26557787
PMCPMC4640378

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Registered trials

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.