Evidence map›Paper›PMID 28962558›Full record

Trial reportBMC public health2017

BETTER HEALTH: Durham -- protocol for a cluster randomized trial of BETTER in community and public health settings.

Lawrence Paszat, Rinku Sutradhar, Mary Ann O'Brien, Aisha Lofters, Andrew Pinto, Peter Selby, Nancy Baxter, Peter D Donnelly, Regina Elliott, Richard H Glazier and 8 more

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

Trial report in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03052959 (Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Public Health), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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.

NCT03052959 nacompletednot on this map

Building on Existing Tools To Improve Chronic Disease Prevention and Screening in Public Health: Durham

TypeinterventionalSponsorUnity Health TorontoRan2017 to 2020Enrolled126ConditionsCancer and Chronic Disease PreventionArmsImmediate Intervention, Wait List Intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. 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

18 authors at 7 institutions in 1 country.

Lawrence PaszatSunnybrook Research Institute, Sunnybrook Health Sciences Centre, University of Toronto, 2075 Bayview Avenue, Toronto, ON, M4N3M5, Canada. lawrence.paszat@ices.on.ca.ORCID 0000-0002-3595-1493
Rinku SutradharInstitute for Clinical Evaluative Sciences, University of Toronto, St. Michael's Hospital, 2075 Bayview Avenue, Toronto, ON, M4N3M5, Canada.
Mary Ann O'BrienDepartment of Family and Community Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G1V7, Canada.
Aisha LoftersUniversity of Toronto, St Michael's Hospital Family Practice Unit, 30 Bond St, Toronto, ON, M5B1W8, Canada.
Andrew PintoUniversity of Toronto, 410 Sherbourne St, 4th Floor, Toronto, ON, M5, Canada.
Peter SelbyUniversity of Toronto, Centre for Addiction and Mental Health, 175 College Street, Toronto, ON, M5T1R8, Canada.
Nancy BaxterUniversity of Toronto, St Michael's Hospital, 30 Bond Street, Toronto, ON, M5B1W8, Canada.
Peter D DonnellyInstitute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, 155 College Street, Toronto, ON, M5T 3M7, Canada.
Regina ElliottDurham Region Health Department, 605 Rossland Road E, Whitby, ON, L1N6A3, Canada.
Richard H GlazierInstitute for Clinical Evaluative Sciences, University of Toronto, St. Michael's Hospital, 2075 Bayview Avenue, Toronto, ON, M4N3M5, Canada.
Robert KyleDurham Region Health Department, 605 Rossland Road E, Whitby, ON, L1N6A3, Canada.
Donna MancaDepartment of Family Medicine, Grey Nuns Family Medicine Clinic, University of Alberta, 2927 - 66th St NW, Edmonton, AB, T6K4C1, Canada.
Mary-Anne PietrusiakDurham Region Health Department, 605 Rossland Road E, Whitby, ON, L1N6A3, Canada.
Linda RabeneckCancer Care Ontario, 620 University Avenue, Toronto, ON, M5, Canada.
Nicolette SopcakDepartment of Family Medicine, University of Alberta, 6 - 10 University Terrace, Edmonton, AB, T6G2T4, Canada.
Jill TinmouthUniversity of Toronto, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, M4N3M5, Canada.
Becky WallDurham Region Health Department, 605 Rossland Road E, Whitby, ON, L1N6A3, Canada.
Eva GrunfeldDepartment of Family and Community Medicine, University of Toronto, 500 University Avenue, Toronto, ON, M5G1V7, Canada.
Regional Municipality of Durham · CASt. Michael's Hospital · CAUniversity of Toronto · CASunnybrook Health Science Centre · CAUniversity of Alberta · CACancer Care Ontario · CACentre for Addiction and Mental Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER) cluster randomized trial in primary care settings demonstrated a 30% improvement in adherence to evidence-based Chronic Disease Prevention and Screening (CDPS) activities. CDPS activities included healthy activities, lifestyle modifications, and screening tests. We present a protocol for the adaptation of BETTER to a public health setting, and testing the adaptation in a cluster randomized trial (BETTER HEALTH: Durham) among low income neighbourhoods in Durham Region, Ontario (Canada).

methodsThe BETTER intervention consists of a personalized prevention visit between a participant and a prevention practitioner, which is focused on the participant's eligible CDPS activities, and uses Brief Action Planning, to empower the participant to set achievable short-term goals. BETTER HEALTH: Durham aims to establish that the BETTER intervention can be adapted and proven effective among 40-64 year old residents of low income areas when provided in the community by public health nurses trained as prevention practitioners. Focus groups and key informant interviews among stakeholders and eligible residents of low income areas will inform the adaptation, along with feedback from the trial's Community Advisory Committee. We have created a sampling frame of 16 clusters composed of census dissemination areas in the lowest urban quintile of median household income, and will sample 10 clusters to be randomly allocated to immediate intervention or six month wait list control. Accounting for the clustered design effect, the trial will have 80% power to detect an absolute 30% difference in the primary outcome, a composite score of completed eligible CDPS actions six months after enrollment. The prevention practitioner will attempt to link participants without a primary care provider (PCP) to a local PCP. The implementation of BETTER HEALTH: Durham will be evaluated by focus groups and key informant interviews. DISCUSSION: The effectiveness of BETTER HEALTH: Durham will be tested for delivery in low income neighbourhoods by a public health department.

trial registrationNCT03052959, registered February 10, 2017.

Indexed as

Poverty AreasPublic HealthAdultChronic DiseaseClinical ProtocolsCluster AnalysisEvidence-Based MedicineFemaleFocus GroupsHealthy LifestyleHumansMaleMass ScreeningMiddle AgedOntarioPrimary Health CareChronic diseaseCluster randomized trialDeprivationPreventionScreening

Identifiers

PMID28962558
PMCPMC5622533
OpenAlexW2760774672

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.