Evidence map›Paper›PMID 31619429›Full record

ArticleBMJ open2019

Feasibility and implementation of a healthy lifestyles program in a community setting in Ontario, Canada: protocol for a pragmatic mixed methods pilot study.

Elizabeth Alvarez, Majdi Qutob, Lawrence Mbuagbaw, John Lavis, Cynthia Lokker, Marjan Walli-Attaei, Zainab Samaan, Arielle Sutton, Japteg Singh, David Feeny and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03258138 (Feasibility and Implementation of a Healthy Lifestyles Program), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03258138 nacompletednot on this map

Feasibility and Implementation of a Healthy Lifestyles Program: A Pilot Study

TypeinterventionalSponsorMcMaster UniversityRan2018 to 2021Enrolled30ConditionsHealth Behavior, Quality of Life, Chronic Disease, Health PromotionArmsHealth and wellness learning sessions, Brainstorming group sessions, Individual sessions with a multidisciplinary health team, Health goal development, Physical activity and nutrition journals
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

11 authors.

Elizabeth AlvarezCentre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Ontario, Canada alvare@mcmaster.ca.ORCID 0000-0003-2333-0144
Majdi QutobInnovation Science and Medicine (ISM), Burlington, Ontario, Canada.
Lawrence MbuagbawDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-5855-5461
John LavisCentre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Ontario, Canada.
Cynthia LokkerDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Marjan Walli-AttaeiPopulation Health Research Institute, Hamilton, Ontario, Canada.
Zainab SamaanDepartment of Psychiatry and Behavioral Neurosciences, McMaster University, Hamilton, Ontario, Canada.
Arielle SuttonDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
Japteg SinghDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
David FeenyCentre for Health Economics and Policy Analysis (CHEPA), McMaster University, Hamilton, Ontario, Canada.
John FortunaDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRates of chronic conditions, such as diabetes, cardiovascular disease and obesity are increasing in Canada and internationally. There are effective lifestyle interventions that are known to improve chronic conditions. However, there is often a gap in 'how to' make lifestyle changes. Mental health and other determinants of health play a role in the development and progression of chronic conditions. Changing habits takes time and requires the use of multiple techniques, including mental health and behavioural change strategies, based on a person's needs. A new, multidisciplinary, person-centred and evidence-based and practice-based programme has been created to address these needs. This proposal aims to evaluate the feasibility and implementation of this programme and to determine changes in participant-directed and clinical outcomes through a pilot study. METHODS AND ANALYSIS: A pragmatic mixed methods design will be used to study multiple dimensions of the year-long healthy lifestyles programme. The pilot study includes a randomised controlled trial, with 30 participants randomised to either the programme or to a comparator arm, and qualitative components to determine the feasibility of the programme, including recruitment and retention, data missing rates and resources needed to run this programme. Changes in participant-directed and clinical outcomes will be measured. Descriptive statistics, t-tests and repeated measures analysis of variance (ANOVA) for within group comparisons and generalised estimating equations for between group analyses will be used. Qualitative interviews of programme staff and healthcare providers and family focus groups will be used to further enhance the findings and improve the programme. ETHICS AND DISSEMINATION: Approval from the Hamilton Integrated Research Ethics Board (HiREB) has been obtained. Informed consent will be obtained prior to enrolling any participant into the study. Participant IDs will be used during data collection and entry. Peer-reviewed publications and presentations will target researchers, health professionals and stakeholders. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Identifier: NCT03258138.HiREB project number: 3793.

Indexed as

Cognitive Behavioral TherapyHealthy LifestyleChronic DiseaseFeasibility StudiesFocus GroupsHealth BehaviorHumansInterviews as TopicOntarioPilot ProjectsPragmatic Clinical Trials as TopicProgram EvaluationQualitative ResearchRandomized Controlled Trials as TopicResearch Designhealth services researchmental healthpatient-centred medicinepreventive medicineprimary care

Identifiers

PMID31619429
PMCPMC6797346

What OpenQuestion holds

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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.