Evidence map›Paper›PMID 31891349›Full record

ArticleThe American journal of occupational therapy : official publication of the American Occupational Therapy Association

Contextualizing the Positive Effects of the Well Elderly 2 Trial: A Response to Schelly and Ohl (2019).

Elizabeth A Pyatak, Mike Carlson, Cheryl L P Vigen, Jeanine Blanchard, Stacey Schepens Niemiec, John Sideris, Grace T Baranek

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

7 authors at 1 institution in 1 country.

Elizabeth A PyatakElizabeth A. Pyatak, PhD, OTR/L, CDE, FAOTA, is Associate Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles; beth.pyatak@usc.edu.
Mike CarlsonMike Carlson, PhD, is Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Cheryl L P VigenCheryl L. P. Vigen, PhD, is Associate Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Jeanine BlanchardJeanine Blanchard, PhD, OTR/L, is Project Manager, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Stacey Schepens NiemiecStacey Schepens Niemiec, PhD, OTR/L, is Assistant Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
John SiderisJohn Sideris, PhD, is Professor of Research, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
Grace T BaranekGrace T. Baranek, PhD, OTR/L, FAOTA, is Associate Dean, Chair, and Mrs. T. H. Chan Professor, Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles.
University of Southern California · US

Funding

Health Mediating Effects of the Well Elderly ProgramR01AG021108 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CLARK, FLORENCE A. · 2004 to 2007
$2.2M
NIA NIH HHS R01 AG021108
6 · The paper itself

Abstract

importanceA recent reanalysis of data from the Well Elderly (WE) 2 study purportedly indicated that the intervention did not achieve clinically meaningful or statistically significant effects; this article addresses these criticisms.

objectiveTo contextualize the WE 2 study as targeting a nonclinical population and demonstrate that the intervention produced substantively important, statistically significant effects.

designSecondary analysis of WE 2 intervention-based pre-post change scores.

settingThe original trial occurred primarily in senior centers and senior housing facilities in greater Los Angeles.

participantsIndependent-living older adults (N = 324) who were assessed before and after intervention.

interventionThe WE intervention, a version of the Lifestyle Redesign® (LR) approach, was administered by occupational therapists over 6 mo by means of group and individual sessions. OUTCOMES AND MEASURES: The 36-item Short Form Health Survey, the Life Satisfaction Index-Z, and the Center for Epidemiologic Studies Depression Scale.

resultsThe WE intervention was associated with statistically significant improvement on 10 of 12 outcome variables that were examined. CONCLUSIONS AND RELEVANCE: Because the WE intervention was hypothesized to reduce age-related decline and followed a population-oriented approach, the expectation that average results would be clinically meaningful was inappropriate. The intervention produced positive effects across a wide array of outcome domains. In settings in which clinical meaningfulness is an appropriate index of intervention outcomes, evidence suggests that LR produces effects that are clinically meaningful. As an evidence-based intervention, LR should be considered useful both in population-oriented contexts and in addressing discrete health conditions. WHAT THIS ARTICLE ADDS: Valid analyses demonstrate that the positive experimental effects of the WE 2 study are, in fact, genuine and cost-effective, and LR in clinically oriented contexts has produced statistically significant, clinically meaningful results. Clearly and accurately representing the evidence base of occupational therapy in prevention and chronic care is of critical importance to advance the field as a whole.

Indexed as

Occupational TherapyProgram EvaluationAgedCost-Benefit AnalysisHumansLife Style

Identifiers

PMID31891349
PMCPMC12980650
OpenAlexW2991516830

What OpenQuestion holds

Textmetadata
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.