Evidence map›Paper›PMID 31343582›Full record

Trial reportJournal of cardiopulmonary rehabilitation and prevention2019

A Motivational Telephone Intervention to Reduce Early Dropouts in Cardiac Rehabilitation: A FEASIBILITY PILOT STUDY.

Grace LaValley, Andrew Storer, Heidi Szalai, Michel Farah, Quinn R Pack

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiopulmonary rehabilitation and prevention, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
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 at 2 institutions in 2 countries.

Grace LaValleyBaystate Health Systems, Springfield, Massachusetts (Drs LaValley, Farah, and Pack and Mrs Szalai); Elms College, Chicopee, Massachusetts (Drs LaValley and Storer); University of Massachusetts Medical School at Baystate, Springfield (Dr Pack); and Center for Health Care Delivery and Population Science, Springfield, Massachusetts (Dr Pack).
Andrew Storer
Heidi Szalai
Michel Farah
Quinn R Pack
Baystate Health · USUniversity of Massachusetts Chan Medical School · US

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
TUFTS CLINICAL AND TRANSLATION SCIENCE INSTITUTE (UL1): BPCAUL1RR025752 · NCRR · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2008 to 2011
$17.6M
Tufts Clinical and Translation Science Institute (UL1)UL1TR000073 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2012 to 2013
$5.5M
Tufts Clinical and Translational Research InstituteKL2TR001063 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$2.1M
Identifying Effective Strategies to Improve Participation in Cardiac Rehabilitation after an Acute Cardiac HospitalizationK23HL135440 · NHLBI · BAYSTATE MEDICAL CENTER, INC. · PI PACK, QUINN RUSSELL · 2017 to 2020
$697k
NCATS NIH HHS KL2 TR001063NCATS NIH HHS UL1 TR000073NCATS NIH HHS UL1 TR001064NCRR NIH HHS UL1 RR025752NHLBI NIH HHS K23 HL135440
6 · The paper itself

Abstract

purposeCardiac rehabilitation (CR) improves outcomes, yet early dropout is common. The purpose of the study was to determine whether a motivational telephone intervention among patients at risk for nonadherence would reduce early dropouts.

methodsWe performed a randomized double-blind pilot study with the intervention group receiving the telephone intervention 1 to 3 d after outpatient CR orientation. The control group received the standard of care, which did not routinely monitor attendance until 2 wk after orientation. The primary outcome was the percentage of patients who attended their second exercise session as scheduled. Secondary outcomes included attendance at the second CR session at any point and total number of sessions attended. Because not everyone randomized to the intervention was able to be contacted, we also conducted a per-protocol analysis.

resultsOne hundred patients were randomized to 2 groups (age 62 ± 15 yr, 46% male, 40% with myocardial infarction) with 49 in the intervention group. Patients who received the intervention were more likely to attend their second session as scheduled compared with the standard of care (80% vs 49%; relative risk = 1.62; 95% CI, 1.18-2.22). Although there was no difference in total number of sessions between groups, there was a statistically significant improvement in overall return rate among the per-protocol group (87% vs 66%; relative risk = 1.31; 95% CI, 1.05-1.63).

conclusionsA nursing-based telephone intervention targeted to patients at risk for early dropout shortly after their CR orientation improved both on-time and eventual return rates. This straightforward strategy represents an attractive adjunct to improve adherence to outpatient CR.

Indexed as

MotivationCardiac RehabilitationDouble-Blind MethodFeasibility StudiesFemaleHumansMaleMassachusettsMiddle AgedNursesOutpatientsPatient DropoutsPatient Education as TopicPilot ProjectsTelemedicineTelephone

Identifiers

PMID31343582
PMCPMC6715501
OpenAlexW2965379466

What OpenQuestion holds

Textmetadata
LicenceTDM
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.