Evidence map›Paper›PMID 30614267›Full record

Trial reportAmerican journal of health promotion : AJHP2019

Predictors of Health Self-Management Program Preference Among Lower-to-Middle Wage Employed Adults With Chronic Health Conditions.

Shawn M Kneipp, Lindsey Horrell, Ziya Gizlice, Matthew Lee Smith, Laura Linnan, Teresa Brady

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of health promotion : AJHP, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Outcome of management based on "1+X" model in a health examination center.American journal of translational research · 2023
    Article
  4. 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

6 authors.

Shawn M Kneipp1 School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lindsey Horrell1 School of Nursing, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ziya Gizlice2 Health Promotion and Disease Prevention Research Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Matthew Lee Smith3 Center for Population Health and Aging, Texas A&M University, and the College of Public Health, The University of Georgia, Athens, GA, USA.
Laura Linnan4 Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Teresa Brady5 Clarity Consulting and Communications, Atlanta, GA, USA.

Funding

Center for Health Promotion and Disease PreventionU48DP005017 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI AMMERMAN, ALICE S, WHEELER, STEPHANIE BROOKE · 2014 to 2018
$10.9M
Cancer Health Disparities Training ProgramT32CA128582 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN, TATE, DEBORAH F. · 2009 to 2023
$3.4M
ACL HHS U48DP005017NCCDPHP CDC HHS U48 DP005017NCI NIH HHS T32 CA128582
6 · The paper itself

Abstract

purposeWe examined the extent to which demographic, chronic disease burden, and financial strain characteristics were associated with a preference for engaging in the Chronic Disease Self-Management Program (presented as a "health self-management program" [HSMP]) over a financial self-management program (FSMP) and a no program preference (NPP) group among employed adults.

designCross-sectional, correlation design using baseline data from a randomized controlled trial (RCT). SUBJECTS: The analytic sample included 324 workers aged 40 to 64 years with 1 or more chronic disease conditions recruited into the RCT from 2015 to 2017. MEASURES: Chronic disease burden measures included the number of chronic conditions, body mass index (BMI), and the 8-item and 15-item Patient Health Questionnaire (PHQ-8 and PHQ-15). Financial strain was measured as the inability to purchase essentials and food assistance receipt. Both individual and household measures of income were assessed. ANALYSES: Multinomial logistic regression and post-hoc marginal effects models.

resultsModerate-to-severe depressive symptoms increased the likelihood of having an HSMP preference when compared with those preferring the FSMP (RR = 4.2, P < .05) but not those having NPP; while higher BMI marginally increased HSMP preference over FSMP preference, but not NPP groups (RR = 1.04, P < .05). Financial strain differentially, but significantly, reduces the likelihood of HSMP preference at varying levels of household poverty, depressive symptom severity, and financial strain.

conclusionMiddle-aged, lower-to-middle income workers with moderate-to-severe depressive symptoms opt for HSMPs over FSMPs, but preference for HSMPs significantly diminished when they are experiencing financial strain.

Indexed as

AdultAge FactorsBody Mass IndexChronic DiseaseCross-Sectional StudiesDecision MakingDepressionFemaleHealth PromotionHealth StatusHumansLogistic ModelsMaleMental HealthMiddle AgedPatient Participationchronic diseasefinancial strainhealth disparitiesself-managementsymptom burden

Identifiers

PMID30614267
PMCPMC7161073

What OpenQuestion holds

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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.