Evidence map›Paper›PMID 32541882›Full record

Trial reportSpinal cord2020

Understanding how a community-based intervention for people with spinal cord injury in Bangladesh was delivered as part of a randomised controlled trial: a process evaluation.

Hueiming Liu, Mohammad Sohrab Hossain, Md Shofiqul Islam, Md Akhlasur Rahman, Punam D Costa, Robert D Herbert, Stephen Jan, Ian D Cameron, Stephen Muldoon, Harvinder S Chhabra and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Spinal cord, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. 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

15 authors.

Hueiming Liu *George Institute for Global Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-9077-8673
Mohammad Sohrab Hossain *John Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, St Leonards, NSW, Australia.
Md Shofiqul IslamCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.ORCID http://orcid.org/0000-0001-8085-7976
Md Akhlasur RahmanCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Punam D CostaCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Robert D HerbertNeuroscience Research Australia, Barker Street, Randwick, NSW, Australia.
Stephen JanGeorge Institute for Global Health, Sydney, NSW, Australia.
Ian D CameronJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, St Leonards, NSW, Australia.
Stephen MuldoonMuldoon Rehabilitation, 72 Liscreevin Road, Lisnarick, Co Fermanagh, BT, Northern Ireland, Northern Ireland.
Harvinder S ChhabraIndian Spinal Injuries Centre, Sector C, Vasant Kunj, New Delhi, India.
Richard I LindleyGeorge Institute for Global Health, Sydney, NSW, Australia.
Fin Biering-SorensenClinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Stanley DucharmeBoston Medical Centre and Boston University School of Medicine, 725 Albany street, Boston, MA, USA.
Valerie TaylorCentre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
Lisa A HarveyJohn Walsh Centre for Rehabilitation Research, Kolling Institute, Sydney Medical School/Northern, University of Sydney, St Leonards, NSW, Australia. l.harvey@usyd.edu.au.ORCID http://orcid.org/0000-0002-4365-0236

Funding

Department of Health | National Health and Medical Research Council (NHMRC) APP1080259
6 · The paper itself

Abstract

designMixed methods study

settingCommunity, Bangladesh

objectivesTo understand how a community-based intervention for people with spinal cord injury (SCI) in Bangladesh was delivered as part of a randomised controlled trial and to gauge the perceptions of participants and healthcare professionals to the intervention.

methodsA community-based intervention was administered to 204 participants as part of a large randomised controlled trial (called the CIVIC trial). Case-managers followed-up participants with regular telephone calls and home visits over the first 2 years after discharge. The following data were collected alongside the trial: (i) chart audit of telephone calls and home visits (ii) recordings of 20 telephone calls (iii) interviews with 14 Intervention participants and four healthcare professionals including three case-managers.

resultsParticipants received the target number of telephone calls and home visits. Pressure injuries were identified as a problem during at least one telephone call by 43% of participants. Participants and case-managers valued regular telephone calls and home visits, and believed that calls and visits prevented complications and alleviated social isolation. Participants trusted case-managers and were confident in the care and advice provided. Case-managers expressed concerns that people with SCI in Bangladesh face many problems impacting on well-being and motivation stemming from poverty, limited employment opportunities, societal attitudes and inaccessible environments.

conclusionA community-based intervention involving regular telephone calls and home visits was administered as intended and was well received by the recipients of the care. Nonetheless, people with SCI in Bangladesh face economic and social problems which cannot be fully addressed by this type of intervention alone.

Indexed as

Spinal Cord InjuriesBangladeshHouse CallsHumansPatient DischargeTelephone

Identifiers

PMID32541882
PMCPMC7606133

What OpenQuestion holds

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LicenceCC BY
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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.