Evidence map›Paper›PMID 30541460›Full record

Trial reportBMC family practice2018

Nurses' perceptions towards the delivery and feasibility of a behaviour change intervention to enhance physical activity in patients at risk for cardiovascular disease in primary care: a qualitative study.

Heleen Westland, Yvonne Koop, Carin D Schröder, Marieke J Schuurmans, P Slabbers, Jaap C A Trappenburg, Sigrid C J M Vervoort

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02725203 (Unravelling Effectiveness of a Nurse-led Behavior Change Intervention to Enhance Physical Activity in Patients With a Cardiovascular Risk), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 13% 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.

NCT02725203 nacompletednot on this map

Unravelling Effectiveness of a Nurse-led Behavior Change Intervention to Enhance Physical Activity in Patients With a Cardiovascular Risk: a Clustered-randomized Controlled Trial in Primary Care

TypeinterventionalSponsorUMC UtrechtRan2016 to 2017Enrolled195ConditionsCardiovascular DiseasesArmsActivate
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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 4 institutions in 1 country.

Heleen WestlandJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, HP Str. 6.131, PO 85500, 3508, GA, Utrecht, The Netherlands. H.Westland@umcutrecht.nl.ORCID 0000-0001-7366-5773
Yvonne KoopDepartment of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands.
Carin D SchröderCenter of Excellence in Rehabilitation Medicine, Brain Center Rudolf Magnus, University Medical Center Utrecht, University Utrecht and De Hoogstraat Rehabilitation, Utrecht, the Netherlands.
Marieke J SchuurmansEducation Center, UMC Utrecht Academy, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
P SlabbersDepartment of Acute Psychiatry, Psychiatric Center GGZ Central, Amersfoort, The Netherlands.
Jaap C A TrappenburgJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, HP Str. 6.131, PO 85500, 3508, GA, Utrecht, The Netherlands.
Sigrid C J M VervoortCancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLUtrecht University · NLGGz centraal · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-management support is widely accepted for the management of chronic conditions. Self-management often requires behaviour change in patients, in which primary care nurses play a pivotal role. To support patients in changing their behaviour, the structured behaviour change Activate intervention was developed. This intervention aims to enhance physical activity in patients at risk for cardiovascular disease in primary care as well as to enhance nurses' role in supporting these patients. This study aimed to evaluate nurses' perceptions towards the delivery and feasibility of the Activate intervention.

methodsA qualitative study nested within a cluster-randomised controlled trial using semistructured interviews was conducted and thematically analysed. Fourteen nurses who delivered the Activate intervention participated.

resultsThree key themes emerged concerning nurses' perceptions of delivering the intervention: nurses' engagement towards delivering the intervention; acquiring knowledge and skills; and dealing with adherence to the consultation structure. Three key themes were identified concerning the feasibility of the intervention: expectations towards the use of the intervention in routine practice; perceptions towards the feasibility of the training programme; and enabling personal development.

conclusionsDelivering a behaviour change intervention is challenged by the complexity of changing nurses' consultation style, including acquiring corresponding knowledge and skills. The findings have increased the understanding of the effectiveness of the Activate trial and will guide the development and evaluation of future behaviour change interventions delivered by nurses in primary care.

trial registrationClinicalTrials.gov NCT02725203 .

Indexed as

Attitude of Health PersonnelQualitative ResearchAdultBehavior TherapyCardiovascular DiseasesExerciseFeasibility StudiesFemaleFollow-Up StudiesHealth BehaviorHumansMaleMiddle AgedPrimary Health CareRetrospective StudiesRisk Reduction Behavior

Identifiers

PMID30541460
PMCPMC6292042
OpenAlexW2903984255

What OpenQuestion holds

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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.