Evidence map›Paper›PMID 29371264›Full record

Trial reportBMJ open2018

Effectiveness of a nurse-supported self-management programme for dual sensory impaired older adults in long-term care: a cluster randomised controlled trial.

Lieve M Roets-Merken, Sytse U Zuidema, Myrra J F J Vernooij-Dassen, Steven Teerenstra, Pieter G J M Hermsen, Gertrudis I J M Kempen, Maud J L Graff

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01217502 (Self-management for Dual Sensory Impaired Older People and Their Caregivers), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
–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.

NCT01217502 nacompletednot on this map

Self-management for Dual Sensory Impaired Older People and Their Caregivers: an Effective Approach?

TypeinterventionalSponsorRadboud University Medical CenterRan2010 to 2014Enrolled89ConditionsHearing Loss, Low VisionArmsSelf management program, self management program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. 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.

Lieve M Roets-MerkenRadboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
Sytse U ZuidemaDepartment of General Practice and Elderly Care Medicine, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Myrra J F J Vernooij-DassenRadboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.
Steven TeerenstraDepartment for Health Evidence, Radboud University Medical Center, Nijmegen, The Netherlands.
Pieter G J M HermsenSeverinus Foundation, Veldhoven, The Netherlands.
Gertrudis I J M KempenDepartment of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands.
Maud J L GraffRadboud University Medical Center, Donders Center for Cognition, Brain and Behavior, Scientific Institute for Quality of Healthcare, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effectiveness of a nurse-supported self-management programme to improve social participation of dual sensory impaired older adults in long-term care homes.

designCluster randomised controlled trial.

settingThirty long-term care homes across the Netherlands.

participantsLong-term care homes were randomised into intervention clusters (n=17) and control clusters (n=13), involving 89 dual sensory impaired older adults and 56 licensed practical nurses.

interventionNurse-supported self-management programme. MEASUREMENTS: Effectiveness was evaluated by the primary outcome social participation using a participation scale adapted for visually impaired older adults distinguishing four domains: instrumental activities of daily living, social-cultural activities, high-physical-demand and low-physical-demand leisure activities. A questionnaire assessing hearing-related participation problems was added as supportive outcome. Secondary outcomes were autonomy, control, mood and quality of life and nurses' job satisfaction. For effectiveness analyses, linear mixed models were used. Sampling and intervention quality were analysed using descriptive statistics.

resultsSelf-management did not affect all four domains of social participation; however. the domain 'instrumental activities of daily living' had a significant effect in favour of the intervention group (P=0.04; 95% CI 0.12 to 8.5). Sampling and intervention quality was adequate.

conclusionsA nurse-supported self-management programme was effective in empowering the dual sensory impaired older adults to address the domain 'instrumental activities of daily living', but no differences were found in addressing the other three participation domains. Self-management showed to be beneficial for managing practical problems, but not for those problems requiring behavioural adaptations of other persons. TRIAL REGISTRATION NUMBER: NCT01217502; Results.

Indexed as

Activities of Daily LivingNurse's RoleSocial ParticipationAged, 80 and overCluster AnalysisDeaf-Blind DisordersFemaleHumansLinear ModelsLong-Term CareMaleNetherlandsNurse-Patient RelationsQuality of LifeSelf-Managementdual sensory lossgeriatric nursinglicensed practical nurseslong-term careself-managementsocial participation

Identifiers

PMID29371264
PMCPMC5786069

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.