Evidence map›Paper›PMID 27689608›Full record

Trial reportNeuroRehabilitation2016

Enhanced Medical Rehabilitation: Effectiveness of a clinical training model.

Marghuretta D Bland, Rebecca L Birkenmeier, Peggy Barco, Emily Lenard, Catherine E Lang, Eric J Lenze

Registry-linked trialAbstract readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in NeuroRehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02114879 (Enhanced Medical Rehabilitation in Older Adults), 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
0.8field-weighted citation impact, top 22% 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.

NCT02114879 nacompletednot on this map

Enhanced Medical Rehabilitation in Older Adults

TypeinterventionalSponsorWashington University School of MedicineRan2014 to 2018Enrolled229ConditionsDisabling Medical Events, Disabled, DepressionArmsEnhanced Medical Rehabilitation, Standard of Care Rehabilitation
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

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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 at 2 institutions in 1 country.

Marghuretta D BlandProgram in Physical Therapy, Washington University, Saint Louis, MO, USA.
Rebecca L BirkenmeierProgram in Occupational Therapy, Maryville University, Saint Louis, MO, USA.
Peggy BarcoProgram in Occupational Therapy, Washington University, Saint Louis, MO, USA.
Emily LenardDepartment of Psychiatry, Healthy Mind Laboratory, Washington University, Saint Louis, MO, USA.
Catherine E LangProgram in Physical Therapy, Washington University, Saint Louis, MO, USA.
Eric J LenzeDepartment of Psychiatry, Healthy Mind Laboratory, Washington University, Saint Louis, MO, USA.
Washington University in St. Louis · USMaryville University · US

Funding

ENHANCED MEDICAL REHABILITATION FOR OLDER ADULTSR01MH099011 · NIMH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2013 to 2017
$2.7M
NIMH NIH HHS R01 MH099011
6 · The paper itself

Abstract

backgroundPatient engagement in medical rehabilitation can be greatly influenced by their provider during therapy sessions. We developed Enhanced Medical Rehabilitation (EMR), a set of provider skills grounded in theories of behavior change. EMR utilizes 18 motivational techniques focused on providing frequent feedback to patients on their effort and progress and linking these to patient goals.

objectiveTo examine the effectiveness of a clinical training protocol for clinicians to do EMR, as measured by clinician adherence.

methodsA physical therapist, physical therapist assistant, occupational therapist, and certified occupational therapist assistant were trained in EMR. Training consisted of five formal training sessions and individual and group coaching. Adherence to EMR techniques was measured during two phases: Pre-Training and Maintenance, with an a priori target of 90% adherence by clinicians to each EMR technique.

resultsWith training and coaching, clinician adherence per therapeutic activity significantly improved in 13 out of 18 items (p < 0.05). The target of 90% adherence was not achieved for many items.

conclusionsOur training and coaching program successfully trained clinicians to promote patient engagement during therapeutic service delivery, although not typically to 90% or greater adherence. Ongoing coaching efforts were necessary to increase adherence.

Indexed as

AdultClinical ProtocolsExercise TherapyFemaleGuideline AdherenceHumansMaleMiddle AgedMotivationOccupational TherapistsOccupational TherapyPatient ParticipationPhysical TherapistsTreatment Outcomerehabilitationskilled nursing facilityTherapeutic engagement

Identifiers

PMID27689608
PMCPMC5555367
OpenAlexW2526961617

What OpenQuestion holds

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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.