Evidence map›Paper›PMID 30124759›Full record

SynthesisAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2018

N-of-1 Randomized Intervention Trials in Health Psychology: A Systematic Review and Methodology Critique.

Jonathan A Shaffer, Ian M Kronish, Louise Falzon, Ying Kuen Cheung, Karina W Davidson

Abstract readSystematic Review
In one paragraph

Synthesis in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

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

16 citing papers in PubMed.

  1. Article
  2. N-of-1 trials: The epitome of personalized medicine?Journal of clinical and translational science · 2023
    Article
  3. Article
  4. Article
  5. Article
  6. Single case designs for early phase behavioral translational research in health psychology.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Review
  12. Article
  13. Precision Health: The Role of the Social and Behavioral Sciences in Advancing the Vision.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
    Article
  14. Article
  15. Article
  16. 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

5 authors.

Jonathan A ShafferDepartment of Psychology, University of Colorado Denver, Denver, CO.
Ian M KronishDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University, New York, NY.
Louise FalzonDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University, New York, NY.
Ying Kuen CheungDepartment of Biostatistics, Columbia University Mailman School of Public Health, Columbia University, New York, NY.
Karina W DavidsonDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University, New York, NY.

Funding

WORKSITE BLOOD PRESSURE STUDYP01HL047540 · NHLBI · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI SCHWARTZ, JOSEPH E · 1993 to 2014
$27.7M
Depression, Biobehavioral Mechanisms, & CHD/Mortality OutcomesP01HL088117 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVIDSON, KARINA W. · 2008 to 2013
$12.5M
Re-engineering Precision Therapeutics Through N-of-1 TrialsR01LM012836 · NLM · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI DAVIDSON, KARINA W. · 2017 to 2023
$7.6M
PTSD, Medication Adherence, and Prognosis after Acute Coronary SyndromesR01HL123368 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DAVIDSON, KARINA W., KRONISH, IAN MATTHEW · 2014 to 2017
$1.6M
Increasing the Uptake of the USPSTF Hypertension Screening Guidelines in Primary Care.R01HS024262 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KRONISH, IAN MATTHEW · 2015 to 2019
$1.2M
Developing Optimal Dynamic Behavioral Intervention in Community-Based Studies.R01NS072127 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEUNG, KEN · 2011 to 2013
$835k
Uncontrolled hypertension - the role of medication adherence and clinical inertiaK23HL098359 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRONISH, IAN MATTHEW · 2010 to 2014
$688k
Improving QoL in Outpatients with Heart Failure: A Dose-Finding Study and RCTK23HL112850 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SHAFFER, JONATHAN A · 2013 to 2017
$631k
AHRQ HHS R01 HS024262NHLBI NIH HHS K23 HL098359NHLBI NIH HHS K23 HL112850NHLBI NIH HHS P01 HL047540NHLBI NIH HHS P01 HL088117NHLBI NIH HHS R01 HL123368NINDS NIH HHS R01 NS072127NLM NIH HHS R01 LM012836
6 · The paper itself

Abstract

Background: Single-patient, multiple cross-over designs (N-of-1 or single-case randomized clinical trials) with systematic data collection on treatment effects may be useful for increasing the precision of treatments in health psychology. Purposes: To assess the quality of the methods and statistics, describe interventions and outcomes, and explore the heterogeneity of treatment effect of health psychology N-of-1 trials. Methods: We conducted a systematic review of N-of-1 trials from electronic database inception through June 1, 2015. Potentially relevant articles were identified by searching the biomedical electronic databases Ovid, MEDLINE, EMBASE, all six databases in the Cochrane Library, CINAHL, and PsycINFO, and conference proceedings, dissertations, ongoing studies, Open Grey, and the New York Academy's Grey Literature Report. Studies were included if they had health behavior or psychological outcomes and the order of interventions was randomized. We abstracted study characteristics and analytic methods and used the Consolidated Standards of Reporting Trials extension for reporting N-of-1 trials as a quality checklist. Results: Fifty-four N-of-1 trial publications composed of 1,193 participants were included. Less than half of these (36%) reported adequate information to calculate the heterogeneity of treatment effect. Nearly all (90%) provided some quantitative information to determine the superior treatment; 79% used an a priori statistical cutoff, 12% used a graph, and 10% used a combination. Conclusions: N-of-1 randomized trials could be the next major advance in health psychology for precision therapeutics. However, they must be conducted with more methodologic and statistical rigor and must be transparently and fully reported.

Indexed as

Behavioral MedicineCross-Over StudiesRandomized Controlled Trials as TopicHealth BehaviorHumans

Identifiers

PMID30124759
PMCPMC6128372

What OpenQuestion holds

Textmetadata
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.