Evidence map›Paper›PMID 28414254›Full record

Trial reportThe journal of spinal cord medicine2019

Lifestyle intervention for adults with spinal cord injury: Results of the USC-RLANRC Pressure Ulcer Prevention Study.

Mike Carlson, Cheryl L P Vigen, Salah Rubayi, Erna Imperatore Blanche, Jeanine Blanchard, Michal Atkins, Barbara Bates-Jensen, Susan L Garber, Elizabeth A Pyatak, Jesus Diaz and 8 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The journal of spinal cord medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01999816 (Lifestyle Redesign for Pressure Ulcer Prevention in Spinal Cord Injury), which is not on this map. Cited by 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
9.7field-weighted citation impact, top 3% 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.

NCT01999816 phase3completednot on this map

Lifestyle Redesign for Pressure Ulcer Prevention in Spinal Cord Injury

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2008 to 2015Enrolled170ConditionsSpinal Cord InjuriesArmsLifestyle Redesign
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Pressure Injury Data Reconciliation in a Randomized Controlled Trial.Archives of physical medicine and rehabilitation · 2023
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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

18 authors at 4 institutions in 1 country.

Mike Carlsona Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.
Cheryl L P Vigena Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0002-9789-1502
Salah Rubayib Rancho Los Amigos National Rehabilitation Center , Downey, California , USA.
Erna Imperatore Blanchea Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0003-0177-6073
Jeanine Blancharda Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.
Michal Atkinsb Rancho Los Amigos National Rehabilitation Center , Downey, California , USA.
Barbara Bates-Jensenc School of Nursing , University of California Los Angeles , Los Angeles, California , USA.ORCID 0000-0001-8490-4012
Susan L Garberd Department of Physical Medicine and Rehabilitation, Baylor College of Medicine , Houston, Texas , USA.
Elizabeth A Pyataka Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0003-3280-8912
Jesus Diaza Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.
Lucia I Florindeza Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.
Joel W Haye Leonard Schaeffer Center for Health Policy and Economics , University of Southern California , Los Angeles, California , USA.
Trudy Mallinsona Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0002-4888-5579
Jennifer B Ungerf Institute for Health Promotion & Disease Prevention Research , University of Southern California , Los Angeles, California , USA.ORCID 0000-0001-9064-6603
Stanley Paul Azeng Division of Biostatistics, Department of Preventive Medicine , University of Southern California , Los Angeles, California , USA.
Michael Scottb Rancho Los Amigos National Rehabilitation Center , Downey, California , USA.
Alison Cogana Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0002-6800-1988
Florence Clarka Division of Occupational Science and Occupational Therapy , University of Southern California , Los Angeles, California , USA.ORCID 0000-0001-7401-0824
University of Southern California · USRancho Los Amigos National Rehabilitation Center · USBaylor College of Medicine · USUniversity of California, Los Angeles · US

Funding

LIFESTYLE REDESIGN FOR PRESSURE ULCER PREVENTION IN SCIR01HD056267 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CLARK, FLORENCE A. · 2008 to 2012
$3.0M
NICHD NIH HHS R01 HD056267
6 · The paper itself

Abstract

CONTEXT/

objectiveMedically serious pressure injuries (MSPrIs), a common complication of spinal cord injury (SCI), have devastating consequences on health and well-being and are extremely expensive to treat. We aimed to test the efficacy of a lifestyle-based intervention designed to reduce incidence of MSPrIs in adults with SCI.

designA randomized controlled trial (RCT), and a separate study wing involving a nonrandomized standard care control group.

settingRancho Los Amigos National Rehabilitation Center, a large facility serving ethnically diverse, low income residents of Los Angeles County.

participantsAdults with SCI, with history of one or more MSPrIs over the past 5 years: N=166 for RCT component, N=66 in nonrandomized control group.

interventionsThe Pressure Ulcer Prevention Program, a 12-month lifestyle-based treatment administered by healthcare professionals, largely via in-home visits and phone contacts. OUTCOME MEASURES: Blinded assessments of annualized MSPrI incidence rates at 12 and 24 months, based on: skin checks, quarterly phone interviews with participants, and review of medical charts and billing records. Secondary outcomes included number of surgeries and various quality-of-life measures.

resultsAnnualized MSPrI rates did not differ significantly between study groups. At 12 months, rates were .56 for intervention recipients, .48 for randomized controls, and .65 for nonrandomized controls. At follow-up, rates were .44 and .39 respectively for randomized intervention and control participants.

conclusionsEvidence for intervention efficacy was inconclusive. The intractable nature of MSPrI threat in high-risk SCI populations, and lack of statistical power, may have contributed to this inability to detect an effect.

trial registrationClinicalTrials.gov NCT01999816.

Indexed as

AdultFemaleHumansLife StyleMaleMiddle AgedOccupational TherapyPressure UlcerSpinal Cord InjuriesOccupational therapyPressure injuryPressure ulcerRandomized controlled trialRisk reduction behaviorSpinal cord injuries

Identifiers

PMID28414254
PMCPMC6340272
OpenAlexW2605446688

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.