Evidence map›Paper›PMID 31175425›Full record

Trial reportInternational archives of occupational and environmental health2019

No impact of an extensive social intervention program on return to work and quality of life after acute cardiac event: a cluster-randomized trial in patients with negative occupational prognosis.

Annett Salzwedel, Karl Wegscheider, Claudia Schulz-Behrendt, Gesine Dörr, Rona Reibis, Heinz Völler

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International archives of occupational and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

6 authors at 2 institutions in 1 country.

Annett SalzwedelCenter of Rehabilitation Research, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany. annett.salzwedel@uni-potsdam.de.ORCID 0000-0003-2530-2673
Karl WegscheiderDepartment of Medical Biometry and Epidemiology, University Medical Center, Hamburg-Eppendorf, Hamburg, Germany.
Claudia Schulz-BehrendtCenter of Rehabilitation Research, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany.
Gesine DörrGLG Fachklinik Wolletzsee, Rehabilitation Center, Angermünde, Germany.
Rona ReibisCardiological Outpatient Clinic Am Park Sanssouci, Potsdam, Germany.
Heinz VöllerCenter of Rehabilitation Research, University of Potsdam, Am Neuen Palais 10, 14469, Potsdam, Germany.
University of Potsdam · DEUniversität Hamburg · DE

Funding

Deutsche Rentenversicherung Bund 8011-106-31/31.114
6 · The paper itself

Abstract

objectivesTo examine the effectiveness of extensive social therapy intervention during inpatient multi-component cardiac rehabilitation (CR) on return to work and quality of life in patients with low probability of work resumption after an acute cardiac event.

methodsPatients after acute cardiac event with negative subjective expectations about return to work or unemployment (n = 354) were included and randomized in clusters of 3-6 study participants. Clusters were randomized for social counseling and therapy led by a social worker, six sessions of 60 min each in 3 weeks, or control group (usual care: individual counseling meeting by request). The return to work (RTW) status and change in quality of life (QoL, short form 12: Physical and Mental Component Summary PCS and MCS) 12 months after discharge from inpatient CR were outcome measures.

resultsThe regression model for RTW showed no impact of the intervention (OR 1.1, 95% CI 0.6-2.1, P = 0.79; n = 263). Predictors were unemployment prior to CR as well as higher anxiety values at discharge from CR. Likewise, QoL was not improved by social therapy (linear mixed model: ΔPCS 0.3, 95% CI - 1.9 to 2.5; P = 0.77; n = 177; ΔMCS 0.7, 95% CI - 1.9 to 3.3; P = 0.58; n = 215).

conclusionsIn comparison to usual care, an intensive program of social support for patients during inpatient cardiac rehabilitation after an acute cardiac event had no additional impact on either the rate of resuming work or quality of life.

Indexed as

Return to WorkUnemploymentAdultAnxietyAnxiety DisordersCounselingFemaleHeart DiseasesHumansMaleMiddle AgedQuality of LifeAcute coronary syndromeCardiac rehabilitationQuality of lifeRCTReturn to workSocial work

Identifiers

PMID31175425
OpenAlexW2958178997

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.