Evidence map›Paper›PMID 27978782›Full record

Observational studyScandinavian journal of primary health care2016

A primary care lifestyle programme suitable for socioeconomically vulnerable groups - an observational study.

Maria Waller, Ann Blomstrand, Tine Högberg, Nashmil Ariai, Jörgen Thorn, Dominique Hange, Cecilia Björkelund

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Scandinavian journal of primary health care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.9field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
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

7 authors at 1 institution in 1 country.

Maria Wallera Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Ann Blomstranda Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Tine Högberga Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Nashmil Ariaia Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Jörgen Thorna Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Dominique Hangea Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
Cecilia Björkelunda Department of Primary Health Care, Institute of Medicine , The Sahlgrenska Academy, University of Gothenburg , Gothenburg, Sweden.
University of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore whether a primary health care (PHC) health promotion programme reaches and engages socioeconomically vulnerable groups in a community to the same extent as higher socioeconomic groups.

designComparison of level of engagement and lifestyle improvements stratified by socioeconomic vulnerability level.

settingHisingen PHC catchment area (130,000 inhabitants) Gothenburg, Sweden.

participantsMen and women aged 18-79, visiting any of the eight public PHC centres during an eight-month period 2007-2008, were presented with a short intervention health questionnaire and offered a health dialogue with a nurse, including a health profile, p-glucose and blood pressure check. Participants were classified according to four socioeconomic vulnerability factors: education, employment, ethnicity and living situation.

resultsOut of 3691 participants, 27% had low education (Hisingen community level 23%), 18% were unemployed (community level 22%), and 16% were born outside Scandinavia (community level 22%). At the one-year follow-up, 2121 (57%) attended. At baseline, 3% of the individuals in the sample had three out of four socioeconomic vulnerability factors, 17% had two vulnerability factors, 43% had one vulnerability factor, and 37% had no vulnerability factors. Improved biological markers were seen in all vulnerability groups (1-3) and odds ratios for improvement were significantly higher in the most socioeconomically vulnerable group for smoking and stress compared to the group with no vulnerability factors.

conclusionSocioeconomically vulnerable groups were reached and lifestyle changes were accomplished to the same extent as in the higher socioeconomic groups in a PHC lifestyle intervention programme. KEY POINTS Primary care plays a major part in prevention of chronic diseases. However, non-pharmacological primary and secondary prevention is often less successful, especially concerning socioeconomically vulnerable groups. The health promoting intervention programme "Pro-Health" reached and engaged socioeconomically vulnerable groups. Participants from the socioeconomically vulnerable groups had comparable odds for lifestyle improvements after one year, compared to participants without vulnerability factors.

Indexed as

Health Services AccessibilityLife StylePreventive Health ServicesPrimary Health CareSocial ClassVulnerable PopulationsAdolescentAdultAgedEducational StatusEmigrants and ImmigrantsEmploymentEthnicityFemaleHealth BehaviorHealth Promotiongeneral practiceLifestyle programmeprimary carereachabilitySwedenvulnerability

Identifiers

PMID27978782
PMCPMC5217284
OpenAlexW2566668122

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.