Evidence map›Paper›PMID 29661196›Full record

Trial reportBMC women's health2018

The women's heart health programme: a pilot trial of sex-specific cardiovascular management.

Ting Ting Low, Siew Pang Chan, Shin Hnin Wai, Zhou Ang, Kyu Kyu, Kim Yee Lee, Anne Ching, Sarah Comer, Naomi Qiu Pin Tan, Elizabeth Grace Hui En Thong and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC women's health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02017470 (A Culture-Centered Approach to Promoting Women's Heart Health in Singapore), which is not on this map. Cited by 8 papers.

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

NCT02017470 naunknown statusnot on this map

A Culture-Centered Approach to Promoting Women's Heart Health in Singapore

TypeinterventionalSponsorNational University Hospital, SingaporeRan2013 to 2015Enrolled300ConditionsCardiovascular DiseaseArmsGender-tailored women's heart health outpatient programme
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  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

13 authors.

Ting Ting LowNational University Heart Centre, Singapore, Singapore.
Siew Pang ChanNational University of Singapore, Singapore, Singapore.
Shin Hnin WaiMonash University, Clayton, Australia.
Zhou AngNational University of Singapore, Singapore, Singapore.
Kyu KyuNational University Heart Centre, Singapore, Singapore.
Kim Yee LeeNational University Heart Centre, Singapore, Singapore.
Anne ChingNational University Heart Centre, Singapore, Singapore.
Sarah ComerNational University of Singapore, Singapore, Singapore.
Naomi Qiu Pin TanNational University of Singapore, Singapore, Singapore.
Elizabeth Grace Hui En ThongImperial College, London, UK.
Tracy NangNew York University, New York, USA.
Mohan DuttaNational University of Singapore, Singapore, Singapore.
Carolyn S P LamNational Heart Centre Singapore, 5 Hospital Drive, Singapore, 169609, Singapore. Carolyn.lam@duke-nus.edu.sg.ORCID 0000-0003-1903-0018

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is increasing knowledge of sex-specific differences in cardiovascular disease and recognition of sex disparities in management. In our study, we investigated whether a cardiovascular programme tailored to the specific needs of women could lead to improved outcomes.

methodsWe randomised 100 female patients to receive cardiology follow-up with the conventional sex-neutral cardiac programme (control), or the sex-tailored Women's Heart Health Programme (intervention). The intervention group was managed by an all-women multidisciplinary team and received culture-centred health intervention workshops, designed through in-depth interviews with the participants. The primary outcome was cardiovascular risk factor improvement at 1 year. Secondary outcomes include cardiovascular event rates, quality of life scores, and self-reported improvement in knowledge, attitudes, intentions and practices. Generalised structural equation model analysis was used to determine if the intervention group had better outcomes at alpha level 0.1.

resultsThe mean age was 67.3 ± 12.7 years, with an ethnic distribution of 70% Chinese, 18% Malays, and 12% Indians. The majority of these patients had no formal or primary level of education (63%), and were mostly unemployed (78%). Patients in intervention group had better control of diabetes mellitus (lower HbA1c of 0.63% [CI 0.21-1.04], p = 0.015) and lower body-mass-index (0.74 kg/m

conclusionThis pilot study is the first of its kind evaluating a new model of care for women with heart disease. The potential to improve outcomes needs to be studied in a larger trial with longer follow up.

trial registrationThis trial was prospectively registered clinicaltrials.gov on 6 May 2013. Trial Number: 2013/00088. Identifier: NCT02017470.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PromotionPatient Education as TopicAgedAged, 80 and overBlood PressureBody Mass IndexCardiovascular DiseasesDiabetes MellitusFemaleGlycated HemoglobinHumansLipoproteins, HDLLipoproteins, LDLMiddle AgedPilot ProjectsGlycated Hemoglobinhemoglobin A1c protein, humanLipoproteins, HDLLipoproteins, LDLAttitudesCardiovascular diseaseCulturally competent careHealthcare disparitiesHealth knowledgePracticeQuality of lifeWomen’s health

Identifiers

PMID29661196
PMCPMC5902877

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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.