Evidence map›Paper›PMID 29921255›Full record

Trial reportBMC public health2018

Effectiveness of the blended-care lifestyle intervention 'PerfectFit': a cluster randomised trial in employees at risk for cardiovascular diseases.

Tessa A Kouwenhoven-Pasmooij, Suzan J W Robroek, Roderik A Kraaijenhagen, Pieter H Helmhout, Daan Nieboer, Alex Burdorf, M G Myriam Hunink

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 pooled it
8.5field-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.

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

30 citing papers in PubMed, 6 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. [On the Effectiveness of Digital Workplace Health Promotion in Times of Home Office: A Systematic Review].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
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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

7 authors at 3 institutions in 2 countries.

Tessa A Kouwenhoven-PasmooijDepartment of Epidemiology, Erasmus MC, University Medical Center Rotterdam, Na2818, Postbus 2040, 3000, CA, Rotterdam, The Netherlands. t.kouwenhoven@erasmusmc.nl.ORCID 0000-0003-2753-9076
Suzan J W RobroekDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Roderik A KraaijenhagenNDDO Institute for Prevention and E-health Development (NIPED), Amsterdam, The Netherlands.
Pieter H HelmhoutStaff Joint Health Care Division, Command Service Center, Ministry of Defense, Utrecht, The Netherlands.
Daan NieboerDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Alex BurdorfDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
M G Myriam HuninkDepartment of Epidemiology, Erasmus MC, University Medical Center Rotterdam, Na2818, Postbus 2040, 3000, CA, Rotterdam, The Netherlands.
Erasmus MC · NLHarvard University · USMinistry of Defence · NL

Funding

Erasmus Medisch Centrum 2013-13110ZonMw 208030007
6 · The paper itself

Abstract

backgroundWeb-based lifestyle interventions at the workplace have the potential to promote health and work productivity. However, the sustainability of effects is often small, which could be enhanced by adding face-to-face contacts, so-called 'blended care'. Therefore, this study evaluates the effects of a blended workplace health promotion intervention on health and work outcomes among employees with increased cardiovascular risk.

methodsIn this multicentre cluster-randomised controlled trial (PerfectFit), 491 workers in 18 work units from military, police, and a hospital with increased cardiovascular risk were randomised into two intervention groups. The limited intervention (n = 213; 9 clusters) consisted of a web-based Health Risk Assessment with advice. In the extensive intervention (n = 271; 8 clusters), coaching sessions by occupational health physicians using motivational interviewing were added. One cluster dropped out after randomisation but before any inclusion of subjects. Primary outcome was self-rated health. Secondary outcomes were body weight, body mass index (BMI), work productivity, and health behaviours. Follow-up measurements were collected at 6 and 12 months. Effect sizes were determined in mixed effects models.

resultsAt 12 months, the extensive intervention was not statistically different from the limited intervention for self-rated health (4.3%; 95%CI -5.3-12.8), BMI (- 0.81; 95%CI -1.87-0.26) and body weight (- 2.16; 95%CI -5.49-1.17). The within-group analysis showed that in the extensive intervention group body weight (- 3.1 kg; 95% CI -2.0 to - 4.3) was statistically significantly reduced, whereas body weight remained stable in the limited intervention group (+ 0.2 kg; 95% CI -1.4 to 1.8). In both randomised groups productivity loss and physical activity increased and excessive alcohol use decreased significantly at 12 months.

conclusionsThere were no effects on self-rated health, body weight, and BMI. However, within the group with web-based tailored Health Risk Assessment including personalized advice body weight reduced significantly. Adding motivational coaching is promising to reduce body weight.

trial registrationRetrospectively registered at the Netherlands Trial Registry with number NTR4894 , at Nov 14 2014.

Indexed as

InternetLife StyleMotivational InterviewingOccupational HealthCardiovascular DiseasesFemaleHumansMaleMiddle AgedNetherlandsProgram EvaluationRisk AssessmentWeight LossBody weightCardiovascular diseaseseHealthLife styleMotivational interviewingRisk assessment

Identifiers

PMID29921255
PMCPMC6009059
OpenAlexW2809369928

What OpenQuestion holds

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LicenceCC BY
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.